Table 2.

Emerging themes and outcomes

Emerging themes	Derived outcomes
Patient factors
Cost and affordability	Shift from healthcare provider and to healthcare insurer
Quality of life	Raising awareness of health outcome measures
Patient choice and demand	Respect patient choice/demand/trust and beliefs
Trust and beliefs
Patient knowledge	Raise patient knowledge
Socio-economic and educational status	Consider socio-economic/educational status while decision-making
Family and social support
Clinician and clinical factors
Communication, risk, and consent	Train clinicians in risk communication/consent
Patient advocate	Encourage patient groups/voice
Information technology	Direct patients to evidence based, reliable, specialty-based websites
Clinician knowledge	Raise clinician knowledge
Psychosocial workers/nursing
Sharing and support	Increase nursing input in patient care