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Susanne Friis-Haché

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    MA17 - New Methods to Improve Lung Cancer Patients Outcomes (ID 918)

    • Event: WCLC 2018
    • Type: Mini Oral Abstract Session
    • Track: Nursing and Allied Professionals
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 13:30 - 15:00, Room 205 AC
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      MA17.03 - Shared Decision-Making for Patients with Advanced Non-Small Cell Lung Cancer (ID 12426)

      13:40 - 13:45  |  Author(s): Susanne Friis-Haché

      • Abstract
      • Presentation
      • Slides


      Lung cancer is the leading cause of cancer-related death in the world and more than half of the patients have metastatic disease at the time of diagnosis. Although, treatment options are developing rapidly, most patients are facing a poor prognosis. The role of 3rd or 4th line treatment with chemotherapy remains controversial with sparse evidence of efficacy. Therefore, the patient’s preferences become central. Shared decision-making enables the patients to be actively involved in choosing the treatment option that best reflects both medical evidence and individual preferences.

      This study examines how patients with lung cancer and their relatives are empowered and supported when they have to make informed choices regarding 3rd or 4th line of treatment. The aim was to develop a model for shared decision-making and to test decision aid tools that enable a collaborative process that takes into account the best available scientific evidence, as well as the patient's values and preferences.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      Patients diagnosed with advanced non-small cell lung cancer, their relatives and the health care professionals were involved in the process that included: 1) Multidisciplinary workshops and workshops with patients and relatives, 2) Training course in communication on existential issues and shared decision-making for health care professionals, 3) Designing and testing five decision aid tools, 4) Creating a Podcast and 5) Evaluation by patient satisfaction surveys.

      4c3880bb027f159e801041b1021e88e8 Result

      Three strategic focus areas were identified: 1) The meaningful service, 2) considerations in end-of-life care and 3) patient involvement in decision making. The patient reported quality of communication was increased during the study period. The patient satisfaction surveys (n=77 baseline) and (n=60 final evaluation) demonstrated statistical significant improvements from baseline to final evaluation in regard to:1) involving patients in the treatment decisions to the extent they prefer (Pearson Chi-Square, P=0.048) and 2) encouraging patients to ask questions (Pearson Chi-Square, P=0.008). The study improved the health care professionals understanding of the importance of incorporating patients in shared decision-making processes in clinical practice. However, some barriers for implementation were identified, such as changing established behaviour among health care professionals.

      8eea62084ca7e541d918e823422bd82e Conclusion

      The findings indicate that decision aid tools are useful and related to significant changes in patient experience of the quality of communication. We suggest investigating the feasibility and potential concerns of integrating these tools to a larger extend in clinical practice.


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