Enhancing patient engagement: the influence of an in-consult patient decision aid on shared decision-making for lung tumour radiation - protocol for the randomised trial 'SDM Lung SBRT'
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View abstract on PubMed
Summary
This summary is machine-generated.This study introduces a patient decision aid (PtDA) to enhance shared decision-making (SDM) in lung stereotactic body radiation therapy (SBRT). Engaging patients in treatment decisions for tumors near the thoracic wall is crucial for optimizing outcomes.
Area Of Science
- Radiation Oncology
- Clinical Decision-Making
- Patient Engagement
Background
- Shared decision-making (SDM) is increasingly promoted in healthcare.
- Planning stereotactic body radiation therapy (SBRT) for lung tumors near the thoracic wall involves balancing tumor control with minimizing side effects like pain and fractures.
- Currently, radiation oncologists often unilaterally decide on SBRT doses without patient input.
Purpose Of The Study
- To introduce the protocol for the 'SDM Lung SBRT' randomized trial.
- To evaluate the effectiveness of a patient decision aid (PtDA) in promoting patient engagement during SDM for lung SBRT.
- To explore patient preferences in treatment decisions involving radiation dose escalation versus toxicity risk.
Main Methods
- A randomized trial involving patients with lung tumors ≤1 cm from the thoracic wall.
- Patients are randomized to consultations with or without a PtDA.
- Treatment options include varying radiation doses (66 Gy/3 fractions, 45 Gy/3 fractions) or no treatment. The primary outcome is patient engagement measured by the OPTION-12 score.
Main Results
- The study is designed to measure patient engagement using the OPTION-12 score.
- Secondary outcomes include patient-reported quality of life and side effects.
- Results will be disseminated through scientific meetings and peer-reviewed publications.
Conclusions
- Engaging patients in SBRT treatment decisions for lung tumors near the thoracic wall is essential.
- The PtDA aims to facilitate informed patient participation in complex treatment choices.
- This trial will provide valuable data on SDM in the context of lung SBRT.
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