Communication Frameworks for Palliative Surgical Consultations: A Randomized Study of Advanced Cancer Patients.

ABSTRACT:

Objective

To evaluate whether patients with advanced cancer prefer surgeons to use the best case/worst case (BC/WC) communication framework over the traditional risk/benefit (R/B) framework in the context of palliative surgical scenarios.

Background

Identifying the patient's preferred communication frameworks may improve satisfaction and outcome measures during difficult clinical decision-making.

Methods

In a video-vignette-based randomized, double-blinded study from November 2020 to May 2021, patients with advanced cancer viewed 2 videos depicting a physician-patient encounter in a palliative surgical scenario, in which the surgeon uses either the BC/WC or the R/B framework to discuss treatment options. The primary outcome was the patients' preferred video surgeon.

SUBMITTER: Blumenthaler AN 

PROVIDER: S-EPMC10440363 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature