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editorial
. 2021 Jun;10(6):2824–2827. doi: 10.21037/tau-20-1317

Table 1. Summary table: factors influencing patient decision-making.

Decision maker criteria Factors Supportive care suggestions Why is this important in clinical practice Ref
Patient-related criteria’ Patient decisional quality: (= education level; age; patient satisfaction with care; knowledge of kidney cancer; decisional conflict; emotional impact of decision making; emotional impact of decision making) Introduce clinical decision aids to increase patient involvement and knowledge about their disease Will reduce decisional conflict of the patient and shared decision making; however, it does not replace counselling (1,9,10)
Patient’s risk perception: (= fear of recurrence; fatigue; anxiety; concerns about cancer; depression; aches; decreased interest in previously enjoyed activities; decreased interest in previously enjoyed events; decreased interest in previously enjoyed events; reluctance to start new relationships) Providing patients/caregivers with an electronic or written document to act as a reminder/resource Will ensure that physicians do not omit or ‘gloss over’ important issues and patient can access information provided in a less stressful environment (8)
Educational videos and online modules before the appointment Will prepare patients for an interactive consultation regarding their care (1)
Patient-physician interaction Patient involvement in decision making: (= interaction with different specialities; perceived shared decision making; paternalistic care, (clear) information provided by the doctor; psychological support) Interdisciplinary counselling service Will enable patient to receive a complete picture (7)
Provide more information about their cancer, long term follow-up and potential complications Setting the scene for decision making and setting patient expectations (8)
Shared decision-making modelling Consider use in reimbursement models (US) and private consultations. Increases adherence to clinical management guidelines. (1)