Decisional conflict of physicians during the decision-making process for a simulated advanced-stage cancer patient: an international longitudinal study with German and Belgian physicians

Decision making with advanced cancer patients is often associated with decisional conflict regarding treatment outcomes. This longitudinal multicenter study investigated German physicians' course of decisional conflict during the decision-making process for a Simulated advanced-stage cancer Pat...

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Bibliographic Details
Published in:BMC cancer 2018-11, Vol.18 (1), p.1161-1161, Article 1161
Main Authors: Schoenfeld, Catharina, Libert, Yves, Sattel, Heribert, Canivet, Delphine, Delevallez, France, Dinkel, Andreas, Berberat, Pascal O, Wuensch, Alexander, Razavi, Darius
Format: Article
Language:English
Subjects:
Adult
Belgium
Cancer
Cancer patients
Care and treatment
Clinical Decision-Making
Clinical outcomes
Combined Modality Therapy
Communication
Culture
Decision making
Decisional conflict
Family physicians
Female
Germany
Health Care Surveys
Humans
Intercultural
Longitudinal studies
Male
Middle Aged
Neoplasm Staging
Neoplasms - diagnosis
Neoplasms - epidemiology
Neoplasms - therapy
Oncology
Patients
Physician-Patient Relations
Physicians
Practice
Uncertainty
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Summary:Decision making with advanced cancer patients is often associated with decisional conflict regarding treatment outcomes. This longitudinal multicenter study investigated German physicians' course of decisional conflict during the decision-making process for a Simulated advanced-stage cancer Patient (SP). Results were compared to a matched sample of Belgian physicians. German physicians' (n = 30) decisional conflict was assessed with the Decisional Conflict Scale (DCS) at baseline (t1) and after the four steps of a decision-making process: after reviewing the SP chart (t2), after viewing an assessment video interview with the SP (t3), after reviewing the team recommendations (t4), and after conducting the patient-physician decision-making interview (t5). The results were compared to those of a Belgian matched sample (n = 30). Decisional conflict of German physicians decreased during the Decision-Making process (M = 53.5, SD = 11.6 at t2 to M = 37.8, SD = 9.6 at t5, p 
ISSN:1471-2407
1471-2407
DOI:10.1186/s12885-018-5071-5