Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol

Introduction Following a cancer diagnosis, patients and their caregivers face crucial decisions regarding goals of care and treatment, which have consequences that can persist throughout their cancer journey. To foster informed and value-driven treatment choices, evidence-based information on outcom...

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Main Authors: Natalie G Coburn, Frances C Wright, Alyson L Mahar, Lesley Gotlib Conn, Julie Hallet, Amy T Hsu, Paul D James, Joanna Yang, Tori Barabash, Luckshi Rajendran, Claire Ludwig, Ekaterina Kosyachkova, Julie Deleemans
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e061309.full
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author Natalie G Coburn
Frances C Wright
Alyson L Mahar
Lesley Gotlib Conn
Julie Hallet
Amy T Hsu
Paul D James
Joanna Yang
Tori Barabash
Luckshi Rajendran
Claire Ludwig
Ekaterina Kosyachkova
Julie Deleemans
author_facet Natalie G Coburn
Frances C Wright
Alyson L Mahar
Lesley Gotlib Conn
Julie Hallet
Amy T Hsu
Paul D James
Joanna Yang
Tori Barabash
Luckshi Rajendran
Claire Ludwig
Ekaterina Kosyachkova
Julie Deleemans
author_sort Natalie G Coburn
collection DOAJ
description Introduction Following a cancer diagnosis, patients and their caregivers face crucial decisions regarding goals of care and treatment, which have consequences that can persist throughout their cancer journey. To foster informed and value-driven treatment choices, evidence-based information on outcomes relevant to patients is needed. Traditionally, clinical studies have largely focused on a few concrete and easily measurable outcomes such as survival, disease progression and immediate treatment toxicities. These outcomes do not capture other important factors that patients consider when making treatment decisions. Patient-centred outcomes (PCOs) reflect the patients’ individual values, preferences, needs and circumstances that are essential to directing meaningful and informed healthcare discussions. Often, however, these outcomes are not included in research protocols in a standardised and practical fashion. This scoping review will summarise the existing literature on PCOs in gastrointestinal (GI) cancer care as well as the tools used to assess these outcomes. A comprehensive list of these PCOs will be generated for future efforts to develop a core outcome set.Methods and analysis This scoping review will follow Arksey and O’Malley’s expanded framework for scoping reviews. We will systematically search Medline, Embase, CINAHL, Cochrane Library and APA PsycINFO databases for studies examining PCOs in the context of GI cancer. We will include studies published in or after the year 2000 up to the date of the final searches, with no language restrictions. Studies involving adult patients with GI cancers and discussion of any PCOs will be included. Opinion pieces, protocols, case reports and abstracts will be excluded. Two authors will independently perform two rounds of screening to select studies for inclusion. The data from full texts will be extracted, charted and summarised both quantitatively and qualitatively.Ethics and dissemination No ethics approval is required for this scoping review. Results will be disseminated through scientific publication and presentation at relevant conferences.
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spelling doaj-art-b51eb3235b1a4ccf9f461340f1c7b7fb2025-01-28T00:30:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-061309Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocolNatalie G Coburn0Frances C Wright1Alyson L Mahar2Lesley Gotlib Conn3Julie Hallet4Amy T Hsu5Paul D James6Joanna Yang7Tori Barabash8Luckshi Rajendran9Claire Ludwig10Ekaterina Kosyachkova11Julie Deleemans12Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada5 Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, CanadaDepartment of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada1 Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada7 Sunnybrook Health Sciences Centre, Toronto, Ontario, CanadaBruyère Research Institute, Ottawa, Ontario, CanadaDepartment of Medicine, University Health Network, Toronto, Ontario, CanadaTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaCancer Program, Sunnybrook Research Institute, Evaluative Clinical Sciences Platform, Toronto, Ontario, Canada1 Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, CanadaSchool of Nursing, University of Ottawa, Ottawa, Ontario, CanadaMy Gut Feeling, Stomach Cancer Foundation of Canada, Toronto, Ontario, CanadaDepartment of Oncology, University of Calgary Cumming School of Medicine, Calgary, Alberta, CanadaIntroduction Following a cancer diagnosis, patients and their caregivers face crucial decisions regarding goals of care and treatment, which have consequences that can persist throughout their cancer journey. To foster informed and value-driven treatment choices, evidence-based information on outcomes relevant to patients is needed. Traditionally, clinical studies have largely focused on a few concrete and easily measurable outcomes such as survival, disease progression and immediate treatment toxicities. These outcomes do not capture other important factors that patients consider when making treatment decisions. Patient-centred outcomes (PCOs) reflect the patients’ individual values, preferences, needs and circumstances that are essential to directing meaningful and informed healthcare discussions. Often, however, these outcomes are not included in research protocols in a standardised and practical fashion. This scoping review will summarise the existing literature on PCOs in gastrointestinal (GI) cancer care as well as the tools used to assess these outcomes. A comprehensive list of these PCOs will be generated for future efforts to develop a core outcome set.Methods and analysis This scoping review will follow Arksey and O’Malley’s expanded framework for scoping reviews. We will systematically search Medline, Embase, CINAHL, Cochrane Library and APA PsycINFO databases for studies examining PCOs in the context of GI cancer. We will include studies published in or after the year 2000 up to the date of the final searches, with no language restrictions. Studies involving adult patients with GI cancers and discussion of any PCOs will be included. Opinion pieces, protocols, case reports and abstracts will be excluded. Two authors will independently perform two rounds of screening to select studies for inclusion. The data from full texts will be extracted, charted and summarised both quantitatively and qualitatively.Ethics and dissemination No ethics approval is required for this scoping review. Results will be disseminated through scientific publication and presentation at relevant conferences.https://bmjopen.bmj.com/content/12/6/e061309.full
spellingShingle Natalie G Coburn
Frances C Wright
Alyson L Mahar
Lesley Gotlib Conn
Julie Hallet
Amy T Hsu
Paul D James
Joanna Yang
Tori Barabash
Luckshi Rajendran
Claire Ludwig
Ekaterina Kosyachkova
Julie Deleemans
Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol
BMJ Open
title Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol
title_full Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol
title_fullStr Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol
title_full_unstemmed Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol
title_short Patient-centered outcomes for gastrointestinal cancer care: a scoping review protocol
title_sort patient centered outcomes for gastrointestinal cancer care a scoping review protocol
url https://bmjopen.bmj.com/content/12/6/e061309.full
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