Randomized trial of a patient decision aid for choice of surgical treatment for breast cancer
Randomized trial of a patient decision aid for choice of surgical treatment for breast cancer
复制标题
DOI：
10.1177/0272989x0102100101
复制
发表时间：
2001-01-01
影响因子：
3.6
通讯作者：
O'Connor, AM
中科院分区：
文献类型：
--
作者：
Goel, V;Sawka, CA;O'Connor, AM
在一项随机对照试验中评估了早期乳腺癌手术治疗的决策辅助。决策辅助，磁带和工作簿，包括明确介绍的概率，照片和图形，以及价值观澄清练习。社区外科医生被随机分配使用决策辅助工具或对照小册子。患者在使用决策辅助之前、在回顾之后但在手术之前以及在入组后6个月完成问卷。两组在焦虑、知识或决策后悔方面没有差异。在决策辅助组中，决策冲突的降低趋势不显著。最初倾向于乳房切除术或不确定的女性亚组的决策冲突较低。虽然决策辅助对主要研究结果的影响最小，但一个亚组可能受益。应确定这些分组，并应制定和评价适当的决策支持干预措施。
A decision aid for the surgical treatment of early breast cancer was evaluated in a randomized controlled trial. The decision aid, a tape and workbook, includes explicit presentation of probabilities, photographs and graphics, and a values clarification exercise. Community surgeons were randomized to use the decision aid or a control pamphlet. Patients completed a questionnaire prior to using the decision aid, after reviewing it but prior to surgery, and 6 months after enrollment. There was no difference in anxiety, knowledge, or decisional regret across the 2 groups. There was a nonsignificant trend toward lower decisional conflict in the decision aid group. A subgroup of women who were initially leaning toward mastectomy or were unsure had lower decisional conflict. Although the decision aid had minimal impact on the main study outcomes, a subgroup may have benefited. Such subgroups should be identified, and appropriate decision support interventions should be developed and evaluated.