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A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing?

Publication ,  Journal Article
Zhao, J; Abdallah, M; Sanapala, C; Watson, E; LoCastro, M; Castillo, DA; Richardson, D; LeBlanc, TW; Loh, KP
Published in: Oncologist
February 8, 2023

BACKGROUND: Patient decision aids (PDAs) are tools designed to facilitate decision-making. In this systematic review, we summarized existing studies on the development and evaluation of PDAs for patients with hematologic malignancies. PATIENTS AND METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched for articles in PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. We included studies, abstracts, and clinical trial protocols available in English involving PDAs for patients age ≥18 diagnosed with a hematologic malignancy and/or their caregivers. Data were summarized using descriptive statistics. RESULTS: Of the 5281 titles/abstracts screened, 15 were included: 1 protocol, 7 abstracts, and 7 full-texts. Six were PDA developmental studies, 6 were pilot studies, and 3 were randomized trials. PDA formats included electronic with web content, videos, and/or audio, questionnaires, bedside instruments, and a combination of various formats. Average participant age ranged from 36.0 to 62.4 years. Patients and caregivers identified efficacy, adverse effects, cost, and quality of life as important decision-making factors. PDAs were associated with increased knowledge and patient satisfaction as well as decreased decisional conflict and attitudinal barriers. Research on PDAs for adult patients with hematologic malignancies and their caregivers is limited. Among the studies, PDAs appear to support patients in shared decision-making. CONCLUSION: While current literature examining the use of PDAs for adults with hematologic malignancies is limited, the positive impact of PDAs on shared decision-making and patient outcomes warrants additional research in this field.

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Published In

Oncologist

DOI

EISSN

1549-490X

Publication Date

February 8, 2023

Volume

28

Issue

2

Start / End Page

105 / 115

Location

England

Related Subject Headings

  • Quality of Life
  • Pilot Projects
  • Patient Satisfaction
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Decision Support Techniques
  • Decision Making, Shared
  • Adult
  • 3211 Oncology and carcinogenesis
 

Citation

APA
Chicago
ICMJE
MLA
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Zhao, J., Abdallah, M., Sanapala, C., Watson, E., LoCastro, M., Castillo, D. A., … Loh, K. P. (2023). A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing? Oncologist, 28(2), 105–115. https://doi.org/10.1093/oncolo/oyac231
Zhao, Janice, Maya Abdallah, Chandrika Sanapala, Erin Watson, Marissa LoCastro, Daniel A. Castillo, Daniel Richardson, Thomas W. LeBlanc, and Kah Poh Loh. “A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing?Oncologist 28, no. 2 (February 8, 2023): 105–15. https://doi.org/10.1093/oncolo/oyac231.
Zhao J, Abdallah M, Sanapala C, Watson E, LoCastro M, Castillo DA, et al. A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing? Oncologist. 2023 Feb 8;28(2):105–15.
Zhao, Janice, et al. “A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing?Oncologist, vol. 28, no. 2, Feb. 2023, pp. 105–15. Pubmed, doi:10.1093/oncolo/oyac231.
Zhao J, Abdallah M, Sanapala C, Watson E, LoCastro M, Castillo DA, Richardson D, LeBlanc TW, Loh KP. A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing? Oncologist. 2023 Feb 8;28(2):105–115.

Published In

Oncologist

DOI

EISSN

1549-490X

Publication Date

February 8, 2023

Volume

28

Issue

2

Start / End Page

105 / 115

Location

England

Related Subject Headings

  • Quality of Life
  • Pilot Projects
  • Patient Satisfaction
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Decision Support Techniques
  • Decision Making, Shared
  • Adult
  • 3211 Oncology and carcinogenesis