1
|
Maes-Carballo M. Shared decision making in surgery, why is it important? J Healthc Qual Res 2024:S2603-6479(24)00003-4. [PMID: 38267360 DOI: 10.1016/j.jhqr.2024.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Accepted: 01/08/2024] [Indexed: 01/26/2024]
Affiliation(s)
- M Maes-Carballo
- Servicio de Cirugía General y Aparato Digestivo del Hospital Público de Verín, Ourense, Spain; Vocal del Comité de Ética Asistencial del Área Sanitaria de Ourense, Spain; Vocal del Comité Deontológico del Colegio de Médicos de Ourense, Spain.
| |
Collapse
|
2
|
Rattenborg S, Frøstrup Hansen T, Möller S, Frostberg E, Rahr HB. Non-Curative Treatment Choices in Colorectal Cancer: Predictors and Between-Hospital Variations in Denmark: A Population-Based Register Study. Cancers (Basel) 2024; 16:366. [PMID: 38254854 PMCID: PMC10814909 DOI: 10.3390/cancers16020366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/09/2024] [Accepted: 01/12/2024] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND Variations in treatment choices have been reported in colorectal cancer (CRC). In the context of national recommendations, we aimed to elucidate predictors and between-hospital variations in refraining from curatively intended surgery and adjuvant chemotherapy in potentially curable colorectal cancer. METHODS A total of 34,116 patients diagnosed with CRC from 2009 to 2018 were included for analyses on non-curative treatment in this register-based study. Subsequently 8006 patients were included in analyses on adjuvant treatment. Possible predictors included patient-, disease-, socioeconomic- and perioperative-related factors. Logistic regressions were utilized to examine the predictors of a non-curative aim of treatment and no adjuvant chemotherapy. RESULTS The predictors of non-curative treatment were high age, poor performance, distant metastases and being underweight. Predictors for no adjuvant treatment were high age, poor performance, kidney disease, postoperative complications and living alone. For both outcomes we found between-hospital variations to be present. CONCLUSIONS Non-curative overall treatment and refraining from adjuvant chemotherapy were associated with well-known risk factors, but the former was also associated with being underweight and the latter was also associated with living alone. Marked between-hospital variations were found and should be examined further.
Collapse
Affiliation(s)
- Søren Rattenborg
- Department of Surgery, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark; (E.F.); (H.B.R.)
- Institute of Regional Health Research, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark;
- Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark
| | - Torben Frøstrup Hansen
- Institute of Regional Health Research, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark;
- Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark
- Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark
| | - Sören Möller
- Open Patient Data Exploratory Network, Odense University Hospital, J. B. Winsløws Vej 9A, 3. Sal, 5000 Odense C, Denmark;
- Department of Clinical Research, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark
| | - Erik Frostberg
- Department of Surgery, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark; (E.F.); (H.B.R.)
- Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark
| | - Hans Bjarke Rahr
- Department of Surgery, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark; (E.F.); (H.B.R.)
- Institute of Regional Health Research, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark;
- Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark
| |
Collapse
|