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Decision making in pediatric oncology: Evaluation and incorporation of patient and parent preferences
Author(s) -
Sung Lillian,
Regier Dean A.
Publication year - 2013
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.24450
Subject(s) - pediatric oncology , medicine , blood cancer , clinical decision making , medical decision making , decision aids , oncology , medline , intensive care medicine , medical physics , cancer , family medicine , alternative medicine , pathology , political science , law
Decision making in pediatric cancer is particularly difficult. There may be uncertainty about prognosis, and long‐term survival estimates from trials may not be applicable to current patients. There are many motivations to conduct research into patient and provider decision making. This review discusses three approaches to understanding decision making, namely decision analysis, the threshold technique and discrete choice experiment. These techniques are applied to situations in pediatric oncology to illustrate how the results may be useful for patient care. Future work in pediatric oncology decision making should focus on methods to facilitate decision making and elicit preferences from children themselves. Pediatr Blood Cancer 2013; 60: 558–563. © 2012 Wiley Periodicals, Inc.