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Shared Decision Making in Oncology and Its Implementation in Cervical Cancer Management in the Philippines: A Narrative Review.
Bacorro, Warren; Short, Michala; Baldivia, Kathleen; Mariano, Jocelyn; Bautista, Aida; Amparo, Genalin; Tagayuna, Irene; Jainar, Carl Jay; Antonio, Linda; Dancel, Evelyn; Ortin, Teresa Sy; Gonzalez, Gil; Canlas, Rodel.
Afiliación
  • Bacorro W; Graduate School, University of Santo Tomas, Manila, Philippines.
  • Short M; Department of Clinical Epidemiology, University of Santo Tomas-Faculty of Medicine and Surgery, Manila, Philippines.
  • Baldivia K; Department of Radiation Oncology, University of Santo Tomas Hospital-Benavides Cancer Institute, Manila, Philippines.
  • Mariano J; UniSA Allied Health and Human Performance, University of South Australia, Adelaide, Australia.
  • Bautista A; Department of Radiation Oncology, University of Santo Tomas Hospital-Benavides Cancer Institute, Manila, Philippines.
  • Amparo G; Department of Obstetrics and Gynecology, University of Santo Tomas-Faculty of Medicine and Surgery, Manila, Philippines.
  • Tagayuna I; Department of Obstetrics and Gynecology, University of Santo Tomas Hospital, Manila, Philippines.
  • Jainar CJ; Department of Obstetrics and Gynecology, Manila Doctors Hospital, Manila, Philippines.
  • Antonio L; Department of Obstetrics and Gynecology, Our Lady of Lourdes Hospital, Manila, Philippines.
  • Dancel E; Department of Obstetrics and Gynecology, De Los Santos Medical Center, Quezon City, Philippines.
  • Ortin TS; Department of Radiation Oncology, University of Santo Tomas Hospital-Benavides Cancer Institute, Manila, Philippines.
  • Gonzalez G; Department of Radiation Oncology, University of Santo Tomas Hospital-Benavides Cancer Institute, Manila, Philippines.
  • Canlas R; Department of Radiation Oncology, University of Santo Tomas Hospital-Benavides Cancer Institute, Manila, Philippines.
JCO Glob Oncol ; 10: e2300486, 2024 May.
Article en En | MEDLINE | ID: mdl-38754049
ABSTRACT

PURPOSE:

Shared decision making (SDM) is an approach where clinicians and patients make decisions together using the best available evidence. Although much studied, recognized to be ethically imperative, and recommended in international health policies, it remains poorly implemented. In the Philippines, there are limited studies on patient decision making preferences and SDM. Practical guidance on the implementation of SDM or use of patient decision aids (PtDAs) is often not detailed in existing national clinical practice guidelines in oncology.

METHODS:

We performed a systematic search of Philippine literature on SDM in oncology and an iterative review of international literature on the philosophy and methods of SDM, the utility and effectiveness of PtDAs, and the facilitators and barriers to implementation or usage. We contextualized our review to the cervical cancer management and health service delivery in the Philippines.

RESULTS:

Local literature is limited to five scientific publications and two registered studies. International literature encompasses patient decisional preferences, the role of PtDAs and the standards for their development and evaluation, their effectiveness, and barriers and facilitators to their use in cancer-related decision making. We discussed the implications on the management of cervical cancer in the Philippines, challenges in health service delivery and standards, and SDM research.

CONCLUSION:

Local SDM research is limited. Our preliminary experience in a multicenter clinical trial in Manila on PtDA use in the framework of SDM in cervical cancer suggest good patient and clinician acceptability. Challenges to implementation such as unfavorable financial situations, urgency of clinical decisions, low patient or caregiver educational attainment, and poor integration of multidisciplinary and SDM in organizational workflows will be important when implementing SDM in different settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Toma de Decisiones Conjunta Límite: Female / Humans País/Región como asunto: Asia Idioma: En Revista: JCO Glob Oncol Año: 2024 Tipo del documento: Article País de afiliación: Filipinas Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Toma de Decisiones Conjunta Límite: Female / Humans País/Región como asunto: Asia Idioma: En Revista: JCO Glob Oncol Año: 2024 Tipo del documento: Article País de afiliación: Filipinas Pais de publicación: Estados Unidos