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Evaluation of decision support tools for patients with advanced cancer: A systematic review of literature

Published online by Cambridge University Press:  31 August 2018

Diane Tapp Open the ORCID record for Diane Tapp [Opens in a new window]  and
Marie-Claude Blais
Diane Tapp*
Affiliation:
Faculty of Nursing, Laval University, Quebec Heart and Lung Institute Research Center, Quebec City, Quebec, Canada
Marie-Claude Blais
Affiliation:
Équipe de Recherche Michel-Sarrazin en Oncologie psychosociale et Soins palliatifs, Psychology Department, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada
*
Author for correspondence: Diane Tapp, Faculty of Nursing, Laval University, Ferdinand-Vandry Pavilion, local 3482, 1050 avenue de la Médecine, Quebec City, Quebec, Canada G1V 0A6. E-mail: [email protected]
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Abstract

Objective

Medical decisions in the context of advanced cancer are more based on patient values and preferences than during the early stages of the disease. The implementation of shared decision-making is particularly important with an oncology palliative care population. However, few decision support tools focus on this population. This literature review aims to identify decision support tools related to palliative care for an oncological population and to assess their quality using International Patient Decision Aids Standards criteria.

Method

The tools were identified through PsycINFO, EMBASE, MEDLINE, and CINAHL databases; the inventory of tools to assist the decisions of the Ottawa Hospital Research Institute; and through the register of Cochrane trials. They were then evaluated using the third version of the International Patient Decision Aids Standards instrument.

Result

Sixteen tools were identified, which targeted five types of cancer and addressed a particular decision or the use of chemotherapy in addition to palliative care. The quality of the reviewed tools varies.

Significance of results

Clinicians can use four decision support tools related to palliative care with an oncology population that meet a certain quality standard. Further studies are needed to develop new decision support tools targeting more types of cancer and decisions.

Keywords

Decision support toolsPatient decision aidOncologyPalliative careDecision-making
Type
Review Article
Information
Palliative & Supportive Care , Volume 17 , Issue 3 , June 2019 , pp. 356 - 364
Copyright
Copyright © Cambridge University Press 2018 

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