TY - JOUR
T1 - Availability and effectiveness of decision aids for supporting shared decision making in patients with advanced colorectal and lung cancer
T2 - Results from a systematic review
AU - Spronk, Inge
AU - Meijers, Maartje C
AU - Heins, Marianne J
AU - Francke, Anneke L
AU - Elwyn, Glyn
AU - van Lindert, Anne
AU - van Dulmen, Sandra
AU - van Vliet, Liesbeth M
N1 - Funding Information:
This study was funded by a grant from the Dutch Care Institute (grant: Shared decision making in incurable colorectal and lung cancer). LvV is funded by a Young Investigator Grant from the Dutch Cancer Society (grant number 10392).
Funding Information:
Funding information This study was funded by a grant from the Dutch Care Institute (grant: Shared decision making in incurable colorectal and lung cancer). LvV is funded by a Young Investigator Grant from the Dutch Cancer Society (grant number 10392). The authors gratefully acknowledge the assistance of Anne-Vicky Carlier (librarian at Nivel) in the systematic literature search.
Publisher Copyright:
© 2019 The Authors. European Journal of Cancer Care Published by John Wiley & Sons Ltd
PY - 2019/5
Y1 - 2019/5
N2 - INTRODUCTION: Shared decision making is not always commonplace in advanced colorectal or lung cancer care. Decision aids (DAs) might be helpful. This review aimed (a) to provide an overview of DAs for patients with advanced colorectal or lung cancer and assess their availability; and (b) to assess their effectiveness if possible.METHODS: A systematic literature search (PubMed/EMBASE/PsycINFO/CINAHL) and Internet and expert searches were carried out to identify relevant DAs. Data from the DAs included were extracted and the quality of studies, evidence (Grading of Recommendations Assessment, Development and Evaluation) and effectiveness (International Patient Decision Aid Standards) of DAs were determined.RESULTS: Ten of the 12 DAs included (four colorectal cancer, four lung cancer and four generic) are still available. Most (9/12) were applicable throughout the disease pathway and usable for all decisions, or to the decision for supportive care with/without anti-cancer therapy. Seven studies tested effectiveness. Effects on patient outcomes varied, but were generally weakly positive (e.g., DAs improved patient satisfaction) with low evidence. Study quality was fair to good.CONCLUSION: There is a lack of readily available DAs that have been demonstrated to be effective in advanced colorectal or lung cancer. Rigorous testing of the effects of currently available and future DAs, to improve patient outcomes, is urgently needed.
AB - INTRODUCTION: Shared decision making is not always commonplace in advanced colorectal or lung cancer care. Decision aids (DAs) might be helpful. This review aimed (a) to provide an overview of DAs for patients with advanced colorectal or lung cancer and assess their availability; and (b) to assess their effectiveness if possible.METHODS: A systematic literature search (PubMed/EMBASE/PsycINFO/CINAHL) and Internet and expert searches were carried out to identify relevant DAs. Data from the DAs included were extracted and the quality of studies, evidence (Grading of Recommendations Assessment, Development and Evaluation) and effectiveness (International Patient Decision Aid Standards) of DAs were determined.RESULTS: Ten of the 12 DAs included (four colorectal cancer, four lung cancer and four generic) are still available. Most (9/12) were applicable throughout the disease pathway and usable for all decisions, or to the decision for supportive care with/without anti-cancer therapy. Seven studies tested effectiveness. Effects on patient outcomes varied, but were generally weakly positive (e.g., DAs improved patient satisfaction) with low evidence. Study quality was fair to good.CONCLUSION: There is a lack of readily available DAs that have been demonstrated to be effective in advanced colorectal or lung cancer. Rigorous testing of the effects of currently available and future DAs, to improve patient outcomes, is urgently needed.
KW - advanced colorectal cancer
KW - advanced lung cancer
KW - decision aid
KW - shared decision making
KW - Colorectal Neoplasms/pathology
KW - Decision Making, Shared
KW - Lung Neoplasms/pathology
KW - Humans
KW - Decision Support Techniques
UR - http://www.scopus.com/inward/record.url?scp=85065993081&partnerID=8YFLogxK
U2 - 10.1111/ecc.13079
DO - 10.1111/ecc.13079
M3 - Article
C2 - 31066142
SN - 1365-2354
VL - 28
JO - European Journal of Cancer Care
JF - European Journal of Cancer Care
IS - 3
M1 - e13079
ER -