Navigation Links
Shared decision making during radiation therapy improves patient satisfaction

PHILADELPHIAPlaying an active role in their radiation treatment decisions leaves cancer patients feeling more satisfied with their care, and may even relieve psychological distress around the experience, researchers from the Perelman School of Medicine at the University of Pennsylvania report in the journal Cancer.

In a study of 305 patients undergoing radiation treatment, Neha Vapiwala, MD, an associate professor in the department in Radiation Oncology at Penn Medicine, and colleagues at link "Penn's...Center: Penn's Abramson Cancer Center found an association between patient satisfaction and patient-perceived control and shared decision making (SDM)the process that allows patients and providers to make health care decisions together, taking into account scientific evidence as well as the patient's values and preferences.

Patients who experienced SDM or perceived some control over their treatments were more satisfied with their care than those who did not experience SDM or perception of controla difference of almost 17 percent and 26 percent, respectively. Furthermore, increased anxiety, depression and fatigue were reported in patients who desired control over treatments but did not perceive this control.

"Most importantly, our findings emphasize the value of patient-physician relationships and communication specifically in radiation oncology, and their impact on patient experience in a way that hasn't been shown before," said Dr. Vapiwala. "No matter where cancer patients are in the treatment process, there is always an opportunity to improve patient satisfactionsomething hospitals and providers have consciously and increasingly been making a priority."

Past studies of SDM in patients undergoing chemotherapy, as well as treatments for other medical conditions such as hypertension and diabetes, have shown an association with improved satisfaction and quality of life. Taking notice, the Institute of Medicine recently recognized its importance, and the Affordable Care Act even devotes an entire section to establishing a program for SDM. However, no group has evaluated its impact on patients going through radiation.

Often, radiation oncology is seen as a treatment avenue that is ultimately left to the physician to dictate. But there are tailored options, decisions, and discussions that can apply to individual patients, even if they all have similar diagnoses. There are different radiation regimens, dosages, risks and benefits, as well as pain control management issues, that should be part of the ongoing conversation.

Among the participants in the study, 31 percent of patients experienced SDM, 32 percent perceived control in decisions, and 76 percent reported feeling very satisfied with their radiation treatment course overall. There was a significant association noted between patient satisfaction with his/her radiation treatments and patient-perceived experience of SDM (84.4 percent vs. 71.4 percent) or perceived control over one's treatment (89.7 percent vs. 69.2 percent).

Patients who specifically desired control over their treatment decisions, but did not perceive this control, experienced significantly more anxiety (44 percent vs. 20 percent), depression (44 percent vs. 15 percent), and fatigue (68 percent vs. 39.2 percent), compared with patients who did not perceive a sense of control in their treatment decisions.

One of the strengths of the study is its diverse group of patients. Ages ranged from 18 to 87 years old, with patients of varying ethnic and racial backgrounds, and having various cancers at all stages, as long as they were well enough to participate in the study.

The next step in the research is to determine both physician and patient barriers to SDM and to determine methods to break down these barriers.

"As providers, it doesn't matter what treatment you are offering, or how complicated it is, or how busy you may be," said Dr. Vapiwala. "It's worth taking even a few minutes to talk to patients about seemingly minor decisions in which they can provide some input. It's not only critical in today's health care setting where both information and misinformation are rampant, but will very likely lead to the patient feeling positively about the encounter."


Contact: Steve Graff
University of Pennsylvania School of Medicine

Related medicine news :

1. Trivedi Master™ Dahryn Trivedi’s last Monthly Enhancement Program of the year touched the hearts of many, as people shared their feelings about Dahryn and her Energy Tran
2. Video Project Shared Via Social Media Gives Hope and Help to Couples Struggling with Infertility
3. Shared medical appointments -- Key factors for successful implementation
4. Dialysis for the elderly: New evidence from Mayo Clinic to guide shared decision-making
5. Getting better together: New study looks at shared medical decision making
6. Canadian Web Hosting Announces Major Upgrades for Their Shared Hosting Servers and Discounts Shared Hosting Plans
7. Introduces New Vendor Relationship Officer
8. Solutions to Skin Problems Shared by Ageless Rx, Perfect for Summer Season
9. For Fourth of July, People from over 190 Countries Shared Emotions of Pride, Patriotism and Celebration From
10. Delicious Healthy Snack Ideas Shared in New Video By Fat Loss Expert
11. New Face Facts TV Segment Shared Latest Med Spa Services
Post Your Comments:
Related Image:
Shared decision making during radiation therapy improves patient satisfaction
(Date:11/27/2015)... ... , ... CBD College is proud to announce that on November ... to its Diagnostic Medical Sonography program. CBD College is honored to join this very ... and universities in the state of California make the cut. CBD College is officially ...
(Date:11/26/2015)... ... November 26, 2015 , ... ... in central Michigan, have come together on Thanksgiving Day to share the things ... for viewing on the Serenity Point YouTube channel, patients displayed what they wrote ...
(Date:11/26/2015)... NE (PRWEB) , ... November 26, 2015 , ... Jobs ... searched by healthcare professionals and offered by healthcare staffing agency Aureus Medical Group ... during the month of October 2015 among those searching for healthcare jobs through the ...
(Date:11/26/2015)... ... November 26, 2015 , ... Indosoft Inc., developer and distributor ... application server to improve system efficiency and reliability. , The new Q-Suite 6 platform ... standards, the system avoids locking itself into a specific piece of software for many ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... been recognized once again for its stellar workplace culture with the company’s Cincinnati ... , Medical Solutions’ Cincinnati office was named a finalist in Cincinnati Business ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... WILMINGTON, N.C. , Nov. 25, 2015 /PRNewswire/ ... announces the planned investment of at least $15.8 ... in Wilmington, NC . The ... services capacity to meet the growing demands of ... Wilmington site expansion will provide up ...
(Date:11/25/2015)... , Nov. 25, 2015  Henry Schein, Inc., the ... to office-based dental, medical and animal health practitioners, will ... the Henry Schein ConnectDental® Pavilion , which brings ... of open solutions designed to help any practice or ... here for a schedule of experts appearing at ...
(Date:11/25/2015)... 25, 2015  Trovagene, Inc. (NASDAQ: TROV ), ... Chief Executive Officer Antonius Schuh, Ph.D., is scheduled to ... Annual Piper Jaffray Healthcare Conference. th ... Palace Hotel in New York ... Mr. Schuh will be available for one-on-one meetings during ...
Breaking Medicine Technology: