Patient impressions of the impact of comorbidities on lung cancer screening benefits and harms: A qualitative analysis.
Patient impressions of the impact of comorbidities on lung cancer screening benefits and harms: A qualitative analysis.
复制标题
患者对合并症对肺癌筛查益处和危害的影响的印象：定性分析。
DOI：
10.1016/j.pec.2022.107590
复制
发表时间：
2023
影响因子：
3.5
通讯作者：
Schnur,Julie
中科院分区：
文献类型：
--
作者：
Kale,MinalS;Diefenbach,Michael;Masse,Sybil;Kee,Dustin;Schnur,Julie
目的了解接受肺癌筛查决策的患者对肺癌筛查的信念和偏好。具体地说，我们调查了他们的共病如何影响他们对筛查的兴趣。我们的目标是为围绕合并症和腰腿综合征的作用的共享决策讨论提供信息。方法我们从纽约市一家学术医疗中心的全科门诊招募了符合英语条件的患有腰腿综合征的患者。面试官遵循半结构化的面试指南，所有的面试都经过专业转录。研究调查人员独立地对未确认的成绩单进行专题分析；编码后，调查人员讨论并商定确定的主题(Jacobs等人，1999[3])。这项研究得到了IRB的批准。结果经过15次访谈，我们达到了主题饱和。我们确定了以下主题：1)合并症被认为与LCS的决策无关，2)肺癌知识是有价值的，值得冒任何风险，3)无论指南或我的提供者说什么，LCS的决定都由我决定。结论/实践影响这些发现的影响是，提供者建议不要LCS的对话可能需要时间、患者教育和对患者观点的理解。
ObjectiveTo learn about the beliefs and preferences of lung cancer screening (LCS) among patients undergoing LCS decision making. Specifically, we investigated how their comorbidity influences their interest in screening. The goal was to inform shared-decision making discussions around the role of comorbidities and LCS.MethodsWe recruited English-speaking LCS-eligible individuals with comorbidities from general medicine outpatient clinics at an academic medical center in New York City. The interviewers followed a semi-structured interview guide and all interviews were professionally transcribed. Study investigators independently conducted thematic analysis of de-identified transcripts; after coding, investigators discussed and agreed upon identified themes (Jacobs et al., 1999 [3]). This study was IRB-approved.ResultsWe achieved thematic saturation after 15 interviews. We identified the following themes: 1) Comorbidities were perceived as unrelated to LCS decision-making, 2) Lung cancer knowledge is valuable and worth any risks, 3) No matter what the guidelines or my providers say, the LCS decision is up to me.Conclusion/practice implicationsImplications of these findings are that conversations where providers recommend against LCS may likely require time, patient education, and appreciation of the patient perspective.