Details
| Original language | English |
|---|---|
| Pages (from-to) | 580-591 |
| Number of pages | 12 |
| Journal | European Journal of Cancer Care |
| Volume | 25 |
| Issue number | 4 |
| Publication status | Published - 27 Jun 2016 |
Abstract
The consideration of patient preferences in decision-making has become more important, especially for life-threatening diseases such as lung cancer. This paper aims to identify the preferences of lung cancer patients with regard to their treatment and involvement in the decision-making process. We conducted a systematic literature review from 12 electronic databases and included studies published between 2000 and 2012. A total of 20 studies were included in this review. These revealed that lung cancer patients do have preferences that should be considered in treatment decisions; however, these preferences are not homogenous. We found that patients often consider life extension to be more important than the health-related quality of life or undesirable side effects. This preference seems to depend on patient age. Nausea and vomiting are the most important side effects to be avoided; the relevance of other side effects differs highly between subgroups. The majority of lung cancer patients, nevertheless, seem to prefer a passive rather than an active role in decision-making, although the self-reported preferences differed partly from the physicians' perceptions. Overall, we identified an urgent need for larger studies that are suitable for subgroup analyses and incorporate multi-attributive measurement techniques.
Keywords
- decision-making, lung cancer, patient, preference, systematic review, treatment
ASJC Scopus subject areas
- Medicine(all)
- Oncology
Sustainable Development Goals
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In: European Journal of Cancer Care, Vol. 25, No. 4, 27.06.2016, p. 580-591.
Research output: Contribution to journal › Review article › Research › peer review
}
TY - JOUR
T1 - Preferences of lung cancer patients for treatment and decision-making
T2 - a systematic literature review
AU - Schmidt, K.
AU - Damm, K.
AU - Prenzler, A.
AU - Golpon, H.
AU - Welte, T.
N1 - The project was funded by the Federal Ministry of Education and Research.
PY - 2016/6/27
Y1 - 2016/6/27
N2 - The consideration of patient preferences in decision-making has become more important, especially for life-threatening diseases such as lung cancer. This paper aims to identify the preferences of lung cancer patients with regard to their treatment and involvement in the decision-making process. We conducted a systematic literature review from 12 electronic databases and included studies published between 2000 and 2012. A total of 20 studies were included in this review. These revealed that lung cancer patients do have preferences that should be considered in treatment decisions; however, these preferences are not homogenous. We found that patients often consider life extension to be more important than the health-related quality of life or undesirable side effects. This preference seems to depend on patient age. Nausea and vomiting are the most important side effects to be avoided; the relevance of other side effects differs highly between subgroups. The majority of lung cancer patients, nevertheless, seem to prefer a passive rather than an active role in decision-making, although the self-reported preferences differed partly from the physicians' perceptions. Overall, we identified an urgent need for larger studies that are suitable for subgroup analyses and incorporate multi-attributive measurement techniques.
AB - The consideration of patient preferences in decision-making has become more important, especially for life-threatening diseases such as lung cancer. This paper aims to identify the preferences of lung cancer patients with regard to their treatment and involvement in the decision-making process. We conducted a systematic literature review from 12 electronic databases and included studies published between 2000 and 2012. A total of 20 studies were included in this review. These revealed that lung cancer patients do have preferences that should be considered in treatment decisions; however, these preferences are not homogenous. We found that patients often consider life extension to be more important than the health-related quality of life or undesirable side effects. This preference seems to depend on patient age. Nausea and vomiting are the most important side effects to be avoided; the relevance of other side effects differs highly between subgroups. The majority of lung cancer patients, nevertheless, seem to prefer a passive rather than an active role in decision-making, although the self-reported preferences differed partly from the physicians' perceptions. Overall, we identified an urgent need for larger studies that are suitable for subgroup analyses and incorporate multi-attributive measurement techniques.
KW - decision-making
KW - lung cancer
KW - patient
KW - preference
KW - systematic review
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=85027952954&partnerID=8YFLogxK
U2 - 10.1111/ecc.12425
DO - 10.1111/ecc.12425
M3 - Review article
C2 - 26676876
AN - SCOPUS:85027952954
VL - 25
SP - 580
EP - 591
JO - European Journal of Cancer Care
JF - European Journal of Cancer Care
SN - 0961-5423
IS - 4
ER -