BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer.

Tópicos

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Resumo

CKGROUND: A variety of multimodal treatment options are available for colorectal cancer and many patients want to be involved in decisions about their therapies. However, their desire for autonomy is limited by lack of disease-specific knowledge. Visual aids may be helpful tools to present complex data in an easy-to-understand, graphic form to lay persons. The aim of the present study was to evaluate the treatment preferences of healthy persons and patients using visual aids depicting multimodal treatment options for colorectal cancer.METHODS: We designed visual aids for treatment scenarios based on four key studies concerning multimodal treatment of colorectal cancer. The visual aids were composed of diagrams depicting outcome parameters and side effects of two treatment options. They were presented to healthy persons (n=265) and to patients with colorectal cancer (n=102).RESULTS: Most patients and healthy persons could make immediate decisions after seeing the diagrams (range: 88%-100%). Patients (79%) chose the intensive-treatment option in the scenario with a clear survival benefit. In scenarios without survival benefit, all groups clearly preferred the milder treatment option (range: 78% - 90%). No preference was seen in the scenario depicting equally intense treatment options with different timing (neoadjuvant vs. adjuvant) but without survival benefit.CONCLUSIONS: Healthy persons' and patients' decisions using visual aids seem to be influenced by quality-of-life aspects rather than recurrence rates especially in situations without survival benefit. In the future visual aids may help to improve the management of patients with colorectal cancer.

Resumo Limpo

ckground varieti multimod treatment option avail colorect cancer mani patient want involv decis therapi howev desir autonomi limit lack diseasespecif knowledg visual aid may help tool present complex data easytounderstand graphic form lay person aim present studi evalu treatment prefer healthi person patient use visual aid depict multimod treatment option colorect cancermethod design visual aid treatment scenario base four key studi concern multimod treatment colorect cancer visual aid compos diagram depict outcom paramet side effect two treatment option present healthi person n patient colorect cancer nresult patient healthi person make immedi decis see diagram rang patient chose intensivetreat option scenario clear surviv benefit scenario without surviv benefit group clear prefer milder treatment option rang prefer seen scenario depict equal intens treatment option differ time neoadjuv vs adjuv without surviv benefitconclus healthi person patient decis use visual aid seem influenc qualityoflif aspect rather recurr rate especi situat without surviv benefit futur visual aid may help improv manag patient colorect cancer

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