Support Care Cancer (2018) 26:1197–1205 https://doi.org/10.1007/s00520-017-3942-y ORIGINAL ARTICLE Triadic treatment decision-making in advanced cancer: a pilot study of the roles and perceptions of patients, caregivers, and oncologists 1,2 3 4 5 Thomas W. LeBlanc & Nick Bloom & Steven P. Wolf & Sarah G. Lowman & 1,6 7,8,9 10 11,12 Kathryn I. Pollak & Karen E. Steinhauser & Dan Ariely & James A. Tulsky Received: 23 May 2017 /Accepted: 23 October 2017 /Published online: 4 November 2017 Springer-Verlag GmbH Germany 2017 Abstract about the caregiver’s influence on the decision 56% of the Purpose The research on cancer treatment decision-making time. In addition, many patients and caregivers preferred to focuses on dyads; the full Btriad^ of patients, oncologists, defer to their oncologist about treatment decisions, felt like no and caregivers remains largely unstudied. We investigated true decision existed, and disagreed with their oncologist how all members of this triad perceive and experience deci- about how many treatment options had been presented. sions related to treatment for advanced cancer. Conclusions Patients, caregivers, and oncologists have dis- Methods At an academic cancer center, we enrolled adult pa- cordant perceptions of the cancer treatment decision-making tients with advanced gastrointestinal or hematological malig- process,
Supportive Care in Cancer – Springer Journals
Published: Nov 4, 2017
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