The impact of decision aids in patients with colorectal cancer: a systematic review
Objectives Our aim was to conduct a systematic review of the literature to determine the impact of patient decision aids (PDA) on patients facing treatment decisions for colorectal cancer.Design Systematic review.Data sources Sources included Embase, Medline, Web of Science, CINAHL and the Cochrane...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e028379.full |
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| author | Marie-Anne Durand Glyn Elwyn Peter Scalia Jenaya Goldwag Priscilla Marsicovetere Heather A Johnson Srinivas J Ivatury |
| author_facet | Marie-Anne Durand Glyn Elwyn Peter Scalia Jenaya Goldwag Priscilla Marsicovetere Heather A Johnson Srinivas J Ivatury |
| author_sort | Marie-Anne Durand |
| collection | DOAJ |
| description | Objectives Our aim was to conduct a systematic review of the literature to determine the impact of patient decision aids (PDA) on patients facing treatment decisions for colorectal cancer.Design Systematic review.Data sources Sources included Embase, Medline, Web of Science, CINAHL and the Cochrane Library from inception to June, 20, 2019.Eligibility criteria We included randomised controlled trials (RCTs), cohort studies, mixed methods and case series in which a PDA for colorectal cancer treatment was used. Qualitative studies were excluded from our review.Data extraction and synthesis Following execution of the search strategy by a medical librarian, two blinded independent reviewers identified articles for inclusion. Two blinded reviewers were also responsible for data extraction, risk of bias and study quality assessments. Any conflict in article inclusion or extraction was resolved by discussion.Results Out of 3773 articles identified, three met our inclusion criteria: one RCT, one before-and-after study and one mixed-method study. In these studies, the use of a PDA for colorectal cancer treatment was associated with increased patient knowledge, satisfaction and preparation for making a decision. On quality assessment, two of three studies were judged to be of low quality.Conclusion A paucity of evidence exists on the effect of PDA for colorectal cancer treatment with existing evidence being largely of low quality. Further investigation is required to determine the effect of decision aids for colorectal cancer treatment as well as reasons for the lack of PDA development and implementation in this area.Prospero registration number CRD42018095153. |
| format | Article |
| id | doaj-art-75dba98a64b54633bffc048347b88d47 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-75dba98a64b54633bffc048347b88d472025-08-20T02:32:52ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2018-028379The impact of decision aids in patients with colorectal cancer: a systematic reviewMarie-Anne Durand0Glyn Elwyn1Peter Scalia2Jenaya Goldwag3Priscilla Marsicovetere4Heather A Johnson5Srinivas J Ivatury62 Unisanté, Centre universitaire de médecine générale et santé publique, Lausanne, SwitzerlandThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, New Hampshire, USA4 Coproduction Laboratory, The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire, USA1 Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA2 Clinical Education, Geisel School of Medicine, Hanover, New Hampshire, USA2 Clinical Education, Geisel School of Medicine, Hanover, New Hampshire, USA1 Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USAObjectives Our aim was to conduct a systematic review of the literature to determine the impact of patient decision aids (PDA) on patients facing treatment decisions for colorectal cancer.Design Systematic review.Data sources Sources included Embase, Medline, Web of Science, CINAHL and the Cochrane Library from inception to June, 20, 2019.Eligibility criteria We included randomised controlled trials (RCTs), cohort studies, mixed methods and case series in which a PDA for colorectal cancer treatment was used. Qualitative studies were excluded from our review.Data extraction and synthesis Following execution of the search strategy by a medical librarian, two blinded independent reviewers identified articles for inclusion. Two blinded reviewers were also responsible for data extraction, risk of bias and study quality assessments. Any conflict in article inclusion or extraction was resolved by discussion.Results Out of 3773 articles identified, three met our inclusion criteria: one RCT, one before-and-after study and one mixed-method study. In these studies, the use of a PDA for colorectal cancer treatment was associated with increased patient knowledge, satisfaction and preparation for making a decision. On quality assessment, two of three studies were judged to be of low quality.Conclusion A paucity of evidence exists on the effect of PDA for colorectal cancer treatment with existing evidence being largely of low quality. Further investigation is required to determine the effect of decision aids for colorectal cancer treatment as well as reasons for the lack of PDA development and implementation in this area.Prospero registration number CRD42018095153.https://bmjopen.bmj.com/content/9/9/e028379.full |
| spellingShingle | Marie-Anne Durand Glyn Elwyn Peter Scalia Jenaya Goldwag Priscilla Marsicovetere Heather A Johnson Srinivas J Ivatury The impact of decision aids in patients with colorectal cancer: a systematic review BMJ Open |
| title | The impact of decision aids in patients with colorectal cancer: a systematic review |
| title_full | The impact of decision aids in patients with colorectal cancer: a systematic review |
| title_fullStr | The impact of decision aids in patients with colorectal cancer: a systematic review |
| title_full_unstemmed | The impact of decision aids in patients with colorectal cancer: a systematic review |
| title_short | The impact of decision aids in patients with colorectal cancer: a systematic review |
| title_sort | impact of decision aids in patients with colorectal cancer a systematic review |
| url | https://bmjopen.bmj.com/content/9/9/e028379.full |
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