Participation and conflict in the decision-making process for endoscopic resection or surgical gastrectomy for early gastric cancer

Hyuk Lee, Yong Chan Lee, Suji Shin, Jun Chul Park, Sung Kwan Shin, Sang Kil Lee, Sung Hoon Noh

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: This study was to evaluate the participation role and conflict of patients during the decision-making process for endoscopic or surgical treatment for early gastric cancer (EGC). Methods: In this prospective observational study, the sequential survey for patients under consideration for treatment of differentiated EGC was performed at the tertiary referral center. Results: Among the 82 responders, 63.4% preferred endoscopic resection. The total decisional conflict scores were high and significantly different between groups that preferred endoscopic resection or surgical treatment (44.8 vs. 51.6, P = 0.016). Values assigned to the two treatment attributes "preservation of stomach (OR = 0.51)" and "bother in case of incomplete resection (OR = 2.13)" clearly discriminated between patients reaching a final decision of surgical gastrectomy or endoscopic resection. Regarding the participation role, a shared role was more frequent in the group with preference for endoscopic treatment before consultation (42.3% vs. 24.0%, P = 0.045). However, at the time of therapeutic decision, the passive role was most remarkable, both for the endoscopic (53.2%) and surgical (71.4%) groups. Conclusion: Despite the high overall decisional conflict, patients with preference for endoscopic treatment tended to be more autonomous. After consultation, all patients exhibited a passive participation role in the decision-making process.

Original languageEnglish
Pages (from-to)101-106
Number of pages6
JournalJournal of surgical oncology
Volume106
Issue number1
DOIs
Publication statusPublished - 2012 Jul 1

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

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