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) |