Patient and Clinician Perspectives on Shared Decision-making in Early Adopting Lung Cancer Screening Programs: a Qualitative Study

Journal of General Internal Medicine
Renda Soylemez WienerHasmeena Kathuria

Abstract

Guidelines recommend, and Medicare requires, shared decision-making between patients and clinicians before referring individuals at high risk of lung cancer for chest CT screening. However, little is known about the extent to which shared decision-making about lung cancer screening is achieved in real-world settings. To characterize patient and clinician impressions of early experiences with communication and decision-making about lung cancer screening and perceived barriers to achieving shared decision-making. Qualitative study entailing semi-structured interviews and focus groups. We enrolled 36 clinicians who refer patients for lung cancer screening and 49 patients who had undergone lung cancer screening in the prior year. Participants were recruited from lung cancer screening programs at four hospitals (three Veterans Health Administration, one urban safety net). Using content analysis, we analyzed transcripts to characterize communication and decision-making about lung cancer screening. Our analysis focused on the recommended components of shared decision-making (information sharing, deliberation, and decision aid use) and barriers to achieving shared decision-making. Clinicians varied in the information shared with patien...Continue Reading

References

Apr 20, 2005·Journal of General Internal Medicine·Michael K Paasche-OrlowRima R Rudd
Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
Mar 13, 2008·Journal of General Internal Medicine·Lisa D ChewMichelle Vanryn
Nov 26, 2009·British Journal of Cancer·K A M van den BerghR J van Klaveren
Oct 15, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Brian J Zikmund-FisherAngela Fagerlin
Jul 1, 2011·The New England Journal of Medicine·UNKNOWN National Lung Screening Trial Research TeamJoRean D Sicks
Jan 15, 2013·CA: a Cancer Journal for Clinicians·Richard WenderRobert A Smith
Oct 2, 2013·Clinical Journal of Oncology Nursing·Laura S HunnibellEllen A Ballard
Jan 1, 2014·Annals of Internal Medicine·Virginia A Moyer, UNKNOWN U.S. Preventive Services Task Force
Jan 15, 2015·Journal of the National Comprehensive Cancer Network : JNCCN·Douglas E WoodUNKNOWN National comprehension cancer network
Jan 24, 2015·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Jennifer A LewisKathryn E Weaver
Oct 2, 2015·American Journal of Respiratory and Critical Care Medicine·Renda Soylemez WienerUNKNOWN ATS/ACCP Committee on Low-Dose CT Lung Cancer Screening in Clinical Practice
Oct 13, 2015·American Journal of Preventive Medicine·Yan Kwan LauRafael Meza
Dec 25, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lisa Carter-HarrisSusan M Rawl
May 6, 2016·Annals of the American Thoracic Society·Erika M MosesonChristopher G Slatore
Jul 12, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Samantha L QuaifeJane Wardle
Aug 19, 2016·Preventing Chronic Disease·Shiraz I MishraRichard M Hoffman
Sep 7, 2016·Annals of the American Thoracic Society·Christopher G SlatoreLinda Ganzini
Sep 23, 2016·Annals of the American Thoracic Society·Kristina CrothersJoann G Elmore
Sep 28, 2016·Annals of the American Thoracic Society·Neeti M KanodraNichole T Tanner
Sep 28, 2016·Annals of the American Thoracic Society·Marilyn M SchapiraLiana Fraenkel
Jan 31, 2017·JAMA Internal Medicine·Linda S KinsingerGeorge L Jackson
Feb 19, 2017·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Sarah E LillieMelissa R Partin
Jun 27, 2017·Clinical Lung Cancer·Sritha RajupetJenny J Lin

❮ Previous
Next ❯

Citations

May 8, 2018·Journal of General Internal Medicine·Marilyn M Schapira
Jan 9, 2019·Annals of the American Thoracic Society·Christina BellingerDavid Miller
Aug 15, 2019·The Annals of Otology, Rhinology, and Laryngology·Kimberly DukesNitin A Pagedar
Mar 11, 2019·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Samir SonejiGerard A Silvestri
Sep 29, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Claire Burke DrauckerLisa Carter-Harris
Apr 14, 2020·JAMA Internal Medicine·Stephen D ClarkDaniel E Jonas
Oct 2, 2020·American Journal of Respiratory and Critical Care Medicine·M Patricia RiveraMelinda C Aldrich
Apr 18, 2020·Radiology. Imaging Cancer·David S GieradaDavid F Yankelevitz
May 15, 2019·Annals of the American Thoracic Society·Mamta RuparelSam M Janes
Nov 21, 2019·Journal of General Internal Medicine·Anne C MelzerChristopher G Slatore
Jan 29, 2020·Journal of Evaluation in Clinical Practice·Ruth Stalnikowicz, Mayer Brezis
Dec 5, 2018·European Radiology·Claudia I HenschkeUNKNOWN Writing Committee for the I-ELCAP Investigators
Jun 9, 2020·Journal of Primary Care & Community Health·Jenna E SchiffelbeinTracy Onega
Nov 25, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Mohammad Abubaker-SharifRonald Myers
Mar 9, 2021·Journal of Cancer Research and Clinical Oncology·Lena JosfeldJutta Hübner
May 6, 2021·Journal of Clinical and Translational Science·Young Ji LeeKathleen McTigue
Aug 24, 2021·Translational Behavioral Medicine·Thomas J ReeseKensaku Kawamoto
Sep 4, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Samantha R PaigeLisa Carter-Harris
Jul 17, 2021·Chest·Peter J MazzoneFrank C Detterbeck

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
James G. Dolan
Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Margaret Holmes-RovnerAngela Fagerlin
Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Adolfo G CuevasSomnath Saha
© 2022 Meta ULC. All rights reserved