Decisional control preferences among patients with advanced cancer: An international multicenter cross-sectional survey

Autor: Eduardo Bruera, Janet L. Williams, Omar Shamieh, Antonio Noguera Tejedor, Vikash Sewram, Zhanni Lu, Minjeong Park, Colombe Tricou, Sriram Yennurajalingam, Mary Jocylyn S Bautista, Marilène Filbet, Kyaw Naing, Shobha S Rao, Akhileshwaran Ramaswamy, Sofia Bunge, Sarah Fakrooden, Luis Fernando Rodrigues, Hilda Cantu, Diane D. Liu, Pedro Emilio Perez-Cruz, David Hui, Suresh K. Reddy, Mary Ann Muckaden
Rok vydání: 2017
Předmět:
Zdroj: Palliative Medicine. 32:870-880
ISSN: 1477-030X
0269-2163
DOI: 10.1177/0269216317747442
Popis: Background: Understanding patients’ decision control preferences is important in providing quality cancer care. Patients’ decisional control preference can be either active (patients prefer to make decisions themselves), shared (collaborative between patient, their physician, and/or family), or passive (patients prefer that the decisions are made by either the physician and/or their family). Aim: To determine the frequency and predictors of passive decision control preferences among advanced cancer patients. We also determined the concordance between actual decision-making and decision control preferences and its association with patient satisfaction. Design: In this cross-sectional survey of advanced cancer patients referred to palliative care across 11 countries, we evaluated sociodemographic variables, Control Preference Scale, and satisfaction with the decisions and care. Results: A total of 1490 participants were evaluable. Shared, active, and passive decision control preferences were 33%, 44%, and 23%, respectively. Passive decision control preferences (odds ratio, p value) was more frequent in India (4.34, Conclusion: Passive decision control preferences were less common (23%) than shared and active decision control preference even among developing countries. Significant predictors of passive decision control preferences were performance status, education, and country of origin.
Databáze: OpenAIRE