Abstract
Purpose
The purpose of this study was to investigate and analyze the level of actual participation and perceived importance of shared decision-making on treatment and care of lung cancer patients, to compare their differences and to explore their influencing factors.
Methods
A total of 290 lung cancer patients were collected from oncology and thoracic surgery departments of a comprehensive medical center in Qingdao from October 2018 to December 2019. Participants completed a cross-sectional questionnaire to assess their actual participation and perceived importance in shared decision-making on treatment and care. Descriptive analysis and non-parametric tests were carried out to assess the status quo of patients' shared decision-making on treatment and care. Binary logistic regression analysis with a stepwise back-wards was applied to predict factors that affected patients' participation in shared decision-making.
Results
The results showed that patients with lung cancer had a low degree of participation in shared decision-making. There were significant differences between actual participation and perceived importance of shared decision-making on treatment and care. Education level, age, gender, income, marital status, personality, the course of the disease (> 6 months), and the pathological TNM staging (III) affected patient's level of participation in shared decision-making.
Conclusion
Actual participation in shared decision-making on the treatment and care of lung cancer patients was low and considered unimportant. We could train oncology nurses to use patient decision aids to help patients and families participate in shared decision-making on patients’ value, preferences and needs.
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All authors declared that all data and materials as well as software application or custom code support their published claims and comply with field standards.
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Funding
The study was funded by Project of Research Planning Foundation on Humanities and Social Sciences of the Ministry of Education (No. 20YJAZH144).
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All authors contributed to the study conception and design. Study design and material preparation were performed by Ying Wang, Bo Hu, and Jinna Zhang. Data collection and analysis were performed by Ying Wang, Jinna Zhang, Bo Hu, Jizhe Wang, Laixiang Zhang, Xiaohua Li, and Xiuli Zhu. The first draft of the manuscript was written by Ying Wang, Jinna Zhang, and Bo Hu and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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This study was conducted according to the Declaration of Helsinki and were supported by the ethical committee of the university which the researchers affiliated.
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Before distributing the questionnaires, all the patients signed the informed consents. That indicated that they understood the nature and purpose of the study and they knew that their personal information would not be divulged.
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Not applicable. Because this is not a case study, but cross-sectional study. We collect data anonymously. We present the results by analysing a large number of quantitative data and there will be no information leakage of any participants.
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Wang, Y., Zhang, J., Hu, B. et al. Influencing factors of lung cancer patients' participation in shared decision-making: a cross-sectional study. J Cancer Res Clin Oncol 148, 3303–3312 (2022). https://doi.org/10.1007/s00432-022-04105-y
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DOI: https://doi.org/10.1007/s00432-022-04105-y