Developing an Educational and Decision Support Tool for Stage I Lung Cancer Using Decision Science.
Ann Thorac Surg
; 115(2): 299-308, 2023 02.
Article
em En
| MEDLINE
| ID: mdl-35926640
ABSTRACT
BACKGROUND:
Guidelines recommend shared decision-making about treatment options for high-risk, operable stage I lung cancer. Patient decision aids can facilitate shared decision-making; however, their development, implementation, and evaluation in routine clinical practice presents numerous challenges and opportunities.METHODS:
The purpose of this review is to reflect on the process of tool development; identify the challenges associated with meeting the needs of patients, clinicians from multiple disciplines, and institutional workflow during implementation; and propose recommendations for future clinicians who wish to develop, refine, or implement similar tools into routine care.RESULTS:
In this review, we (1) discuss guidelines for decision aid development; (2) describe how we applied those to create an education and decision support tool for patients with clinical stage I lung cancer deciding between radiation therapy and surgical resection; and (3) highlight challenges in implementing and evaluating the tool.CONCLUSIONS:
We provide recommendations for those seeking to develop, refine, or implement similar tools into routine care.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Tomada de Decisão Compartilhada
/
Neoplasias
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Ann Thorac Surg
Ano de publicação:
2023
Tipo de documento:
Article