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Information giving and decision-making in patients with advanced cancer: A systematic review

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  • Gaston, Christine M.
  • Mitchell, Geoffrey

Abstract

Patients with advanced, non-curable cancer face difficult decisions on further treatment, where a small increase in survival time must be balanced against the toxicity of the treatment. If patients want to be involved in these decisions, in keeping with current notions of autonomy and empowerment, they also require to be adequately informed both on the treatments proposed and on their own disease status and prognosis. A systematic review was performed on decision-making and information provision in patients with advanced cancer. Studies of interventions to improve information giving and encourage participation in decision-making were reviewed, including both randomised controlled trials and uncontrolled studies. Almost all patients expressed a desire for full information, but only about two-thirds wished to participate actively in decision-making. Higher educational level, younger age and female sex were predictive of a desire to participate in decision-making. Active decision-making was more common in patients with certain cancers (e.g. breast) than others (e.g. prostate). A number of simple interventions including question prompt sheets, audio-taping of consultations and patient decision aids have been shown to facilitate such involvement.

Suggested Citation

  • Gaston, Christine M. & Mitchell, Geoffrey, 2005. "Information giving and decision-making in patients with advanced cancer: A systematic review," Social Science & Medicine, Elsevier, vol. 61(10), pages 2252-2264, November.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:10:p:2252-2264
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    2. Zandra Engelbak Nielsen & Connie Bøttcher Berthelsen, 2019. "Cancer patients’ perceptions of factors influencing their decisions on participation in clinical drug trials: A qualitative meta‐synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2443-2461, July.
    3. Jannie Christina Frølund & Anders Løkke & Hanne Irene Jensen & Ingeborg Farver-Vestergaard, 2024. "The Use of Podcasts as Patient Preparation for Hospital Visits—An Interview Study Exploring Patients’ Experiences," IJERPH, MDPI, vol. 21(6), pages 1-14, June.
    4. Liv-Helen Heggland & Kjell Hausken, 2013. "A Qualitative Identification of Categories of Patient Participation in Decision-Making by Health Care Professionals and Patients During Surgical Treatment," Clinical Nursing Research, , vol. 22(2), pages 206-227, May.
    5. Holly O. Witteman & Laura D. Scherer & Teresa Gavaruzzi & Arwen H. Pieterse & Andrea Fuhrel-Forbis & Selma Chipenda Dansokho & Nicole Exe & Valerie C. Kahn & Deb Feldman-Stewart & Nananda F. Col & Ale, 2016. "Design Features of Explicit Values Clarification Methods," Medical Decision Making, , vol. 36(4), pages 453-471, May.
    6. Hamblin, Richard & Minko, Nikolai & Shuker, Carl & Hill, Jennifer & Merry, Alan F., 2018. "What happens at the end of life? Using linked administrative health data to understand healthcare usage in the last year of life in New Zealand," Health Policy, Elsevier, vol. 122(7), pages 783-790.
    7. Klein, Jens & von dem Knesebeck, Olaf, 2015. "Socioeconomic inequalities in prostate cancer survival: A review of the evidence and explanatory factors," Social Science & Medicine, Elsevier, vol. 142(C), pages 9-18.
    8. Liv‐Helen Heggland & Kjell Hausken, 2014. "Patient participation, decision‐makers and information flow in surgical treatment," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1430-1444, May.
    9. Rebecca Jaks & Elena Guggiari & Saskia Maria De Gani & Dunja Nicca, 2023. "Patients’ Perspectives on the Use of a Newly Developed “Patients’ Guide for Doctor’s Visit”: DocVISITguide," IJERPH, MDPI, vol. 20(14), pages 1-15, July.

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