Journal article
Outcomes of Shared Decision-Making for Low-Dose Screening for Lung Cancer in an Academic Medical Center
Journal of cancer education, v 38(2), pp 522-537
01 Apr 2023
PMID: 35488967
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Shared decision-making (SDM) helps patients weigh risks and benefits of screening approaches. Little is known about SDM visits between patients and healthcare providers in the context of lung cancer screening. This study explored the extent that patients were informed by their provider of the benefits and harms of lung cancer screening and expressed certainty about their screening choice. We conducted a survey with 75 patients from an academic medical center in the Southeastern U.S. Survey items included knowledge of benefits and harms of screening, patients' value elicitation during SDM visits, and decisional certainty. Patient and provider characteristics were collected through electronic medical records or self-report. Descriptive statistics, Kruskal-Wallis tests, and Pearson correlations between screening knowledge, value elicitation, and decisional conflict were calculated. The sample was predominately non-Hispanic White (73.3%) with no more than high school education (53.4%) and referred by their primary care provider for screening (78.7%). Patients reported that providers almost always discussed benefits of screening (81.3%), but infrequently discussed potential harms (44.0%). On average, patients had low knowledge about screening (score =3.71 out of 8) and benefits/harms. Decisional conflict was low (score = - 3.12) and weakly related to knowledge (R= - 0.25) or value elicitation (R=- 0.27). Black patients experienced higher decisional conflict than White patients (score = - 2.21 vs - 3.44). Despite knowledge scores being generally low, study patients experienced low decisional conflict regarding their decision to undergo lung cancer screening. Additional work is needed to optimize the quality and consistency of information presented to patients considering screening.
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Details
- Title
- Outcomes of Shared Decision-Making for Low-Dose Screening for Lung Cancer in an Academic Medical Center
- Creators
- Jan M. Eberth - University of South CarolinaAnja Zgodic - University of South CarolinaScott C. Pelland - Wake Forest UniversityStephanie Y. Wang - Wake Forest UniversityDavid P. Miller - Wake Forest University
- Publication Details
- Journal of cancer education, v 38(2), pp 522-537
- Publisher
- Springer Nature
- Number of pages
- 16
- Grant note
- University of South Carolina Office of the Vice President for Research
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000789066600001
- Scopus ID
- 2-s2.0-85129225207
- Other Identifier
- 991021855182504721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Oncology
- Public, Environmental & Occupational Health