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Whether preferences of gastric cancer patients after surgery for follow-up change over time? Analysis based on discrete choice experiment

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Abstract

Purposes

The purposes of this discrete choice experiment are as follows: (1) quantify the relevant characteristics that may affect the follow-up selection of gastric cancer patients after surgery and (2) explore the differences in follow-up preferences of gastric cancer patients at different stages and reveal the change trend of preferences over time, thereby providing references for the formulation and optimization of follow-up strategies.

Methods

A survey instrument that was developed using the design principle of a discrete choice experiment investigated gastric cancer patients on the day of discharge, and at 3 months, 6 months, and 12 months after discharge. In Stata 15.0, a mixed logit model was used to explore the preferences of gastric cancer patients after surgery at different stages, the willingness to pay was calculated, and the NLCOM command was used to simulate the follow-up uptake rates of different attribute levels at different stages.

Results

On the day of discharge, and 3 months, 6 months, and 12 months after discharge, the most important attribute levels of gastric cancer patients after surgery were “thoroughness-very thorough,” “method-face-to-face,” “thoroughness-very thorough,” and “provider-specialist nurse,” respectively, and patients were willing to pay more for these services. Patients’ preference for the attribute level “very thorough” decreased over time, while their preferences for “specialist doctors” as follow-up providers remained relatively stable. Furthermore, the attribute levels with the greatest effect on receiving the baseline follow-up program varied across stages.

Conclusion

The gastric cancer patients’ preferences for follow-up change over time, and the time factor should be considered when developing follow-up strategies.

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Data Availability

The data used to support the findings of this study are included within the article, and all data included in this study are available upon request by contact with the corresponding authors.

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Author information

Author notes

  1. Xie Peng and Li Hui-qin have equal contributions and should be listed as co-first authors.

Authors and Affiliations

  1. Operating Room, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan province, People’s Republic of China

    Xie Peng

  2. Mental Health Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, Sichuan province, People’s Republic of China

    Li Hui-qin & Huang Xia

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  2. Li Hui-qin
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Contributions

Material preparation, data collection and analysis were performed by LI Hui-Qin, HUANG Xia and XIE Peng. The first draft of the manuscript was written by LI Hui-Qin and XIE Peng. XIE Peng prepared Supplement 1-4, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Huang Xia.

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Ethical approval

This study was performed in accordance with the Declaration of Helsinki and was approved by the Ethics Committee of West China Hospital, Sichuan University (Ethics Number: 2021301).

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The authors declare no competing interests.

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Peng, X., Hui-qin, L. & Xia, H. Whether preferences of gastric cancer patients after surgery for follow-up change over time? Analysis based on discrete choice experiment. Support Care Cancer 31, 234 (2023). https://doi.org/10.1007/s00520-023-07699-2

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