Patients' and plastic surgeons' experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation.

IF 3.3 3区医学 Q2 MEDICAL INFORMATICS

BMC Medical Informatics and Decision Making Pub Date : 2025-02-06 DOI:10.1186/s12911-024-02832-5

Jacqueline A Ter Stege, Ellen G Engelhardt, Leonie A E Woerdeman, Hester S A Oldenburg, Jacobien M Kieffer, Daniela E E Hahn, Frederieke H van Duijnhoven, Martine A van Huizum, Regina The, Klemens Karssen, Marianne Kuenen, Miranda A Gerritsma, Quinten Pq Ruhe, Irene S Krabbe-Timmerman, Martijne Van't Riet, Nikola An Kimmings, Eveline M L Corten, Kerry A Sherman, Arjen J Witkamp, Eveline M A Bleiker

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引用次数: 0

Abstract

Background: Women diagnosed with breast cancer undergoing a mastectomy often have the option to undergo breast reconstruction (BR). BR decisions are complex and have considerable impact. We developed a patient decision aid (pDA) to support patients' BR decision-making. Here, we assess patients' and physicians' use of the BR pDA and their views on the barriers and facilitators for widespread implementation.

Methods: Participants completed a questionnaire, and back-end data of the pDA was analyzed.

Results: Of 116 eligible patients, 113 patients accessed the BR pDA (median age: 50 years and 50% were highly educated. Most patients (72%) were satisfied with the pDA and 74% would recommend the BR pDA to other women facing the same choice. Patients' preferences regarding how much, what kind and how to present information varied. Plastic surgeons (N = 22; 71% response) were satisfied with the pDA. Their key factors for implementation included the perceived match between information and clinical practice, costs, impact on patients, and support from peers and management for the tool.

Conclusions: As the BR pDA was highly valued by its end users, the identified factors for implementation should be taken into account.

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患者和整形外科医生对乳房重建的在线患者决策辅助的经验：全国实施的考虑。

背景：被诊断为乳腺癌并接受乳房切除术的妇女通常可以选择进行乳房重建（BR）。BR决策是复杂的，并且具有相当大的影响。我们开发了一种患者决策辅助（pDA）来支持患者的BR决策。在这里，我们评估了患者和医生对BR pDA的使用情况，以及他们对广泛实施的障碍和促进因素的看法。方法：参与者填写问卷，对pDA的后端数据进行分析。结果：116例符合条件的患者中，113例患者使用了BR pDA(中位年龄：50岁，50%的患者受过高等教育。大多数患者（72%）对pDA感到满意，74%的患者会向其他面临相同选择的女性推荐BR pDA。患者对信息的数量、种类和呈现方式的偏好各不相同。整形外科医生(N = 22；（71%回应）对pDA感到满意。他们实施的关键因素包括信息与临床实践之间的感知匹配、成本、对患者的影响以及同行和管理人员对该工具的支持。结论：由于BR pDA受到其最终用户的高度重视，因此应考虑已确定的实施因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Medical Informatics and Decision Making 医学-医学：信息

CiteScore

7.20

自引率

5.70%

发文量

297

审稿时长

1 months

期刊介绍： BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.