Table 3. Multivariable Analysis of Patient and Surgeon Factors and Conversation Characteristics Related to OPTION5 Scores.
| Characteristic | Effect estimate (95% CI) | P value |
|---|---|---|
| Patient age, y | 0.22 (−0.04 to 0.46) | .009 |
| Patient gender | ||
| Male | 1 [Reference] | NA |
| Female | −0.06 (−3.68 to 3.45) | .97 |
| Patient educational level | ||
| Some college or less | 1 [Reference] | NA |
| College degree or higher | −2.67 (−6.16 to 0.71) | .13 |
| Surgeon age, y | −0.25 (−0.70 to 0.20) | .30 |
| Surgeon gender | ||
| Male | 1 [Reference] | NA |
| Female | −2.28 (−11.16 to 6.60) | .63 |
| Surgical indication | ||
| Vascular | 1 [Reference] | NA |
| Oncologic | 0.16 (−8.46 to 8.81) | .97 |
| Final treatment decision | ||
| No surgery planned | 1 [Reference] | NA |
| May consider surgerya | 6.97 (0.34 to 13.45) | .04b |
| Surgery planned | −1.40 (−8.22 to 5.16) | .68 |
| Transcript audio length, min | 0.69 (0.52 to 0.88) | <.001b |
| Reluctance to operate | ||
| No | 1 [Reference] | NA |
| Yes | 5.80 (1.09-10.52) | .02b |
Abbreviations: NA, not applicable; OPTION5, 5-domain Observing Patient Involvement in Decision-making scale.
a
During group adjudication of OPTION5 scores, coders assessed the final treatment decision based on the content of the recorded consultation. The response “may consider surgery” was used to indicate consultations when surgery was discussed but not definitely planned (eg, awaiting additional workup or discussion with tumor board) or when surgery was being considered in the future.
b
Statistically significant at P < .05.