Decision making in early-stage colorectal cancer treatments: a literature review

Clare Westwood, Robert McSherry, Tom Lee, Josette Bettany-Saltikov

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Abstract

Background:

The introduction of the National Bowel Cancer Screening Programme has led to an increase in colorectal cancer diagnosed at an early stage. Advances in the options for treatmentof early-stage disease may have similar survival benefits but different risks and side effects. The decision on treatment for early stage bowel cancers can therefore be described as preference sensitive.
Method:

A literature review was conducted of 12 studies and reviews published 2007–2017, focusing on patient involvement in decisions on treatment following a diagnosis of colorectal cancer. The review covered both patient and clinician perspectives.
Results:

The review highlighted key themes that influence how far patients are involved in decisions regarding treatment. These themes include: patient understanding of the preference-sensitive nature of the decision, time pressures and perceived inapplicability of involving patients.
Conclusion:

Further studies are necessary to understand the experiences of patients and clinicians making treatment decisions in the context of early colorectal cancer, including polyp cancers. There is a lack of studies specifically addressing clinician experiences in this area.
Original languageEnglish
Pages (from-to)22-29
Number of pages8
JournalGastrointestinal Nursing
Volume16
Issue number6
DOIs
Publication statusPublished - 18 Jul 2018

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