Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study
Purpose To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance). Methods Investigators qualitatively ana...
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| Veröffentlicht in: | Endocrine 2023-04, Vol.80 (1), p.124-133 |
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| creator | Patel Chavez, Chandani Patel Godinez Leiva, Eddison Bagautdinova, Diliara Hidalgo, Jessica Hartasanchez, Sandra Barb, Diana Danan, Deepa Dziegielewski, Peter Edwards, Catherine Hughley, Brian Srihari, Ashok Subbarayan, Sreevidya Castro, M. Regina Dean, Diana Morris, John Ryder, Mabel Stan, Marius N. Hargraves, Ian Shepel, Kathryn Brito, Juan P. Bylund, Carma L. Treise, Debbie Montori, Victor Singh Ospina, Naykky |
| description | Purpose
To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance).
Methods
Investigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients’ expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used.
Results
In total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%).
Conclusion
User centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians. |
| doi_str_mv | 10.1007/s12020-022-03277-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10292116</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2792548721</sourcerecordid><originalsourceid>FETCH-LOGICAL-c431t-5ceff5dec78c5528ec27ed64a7d6a21cbab1ad9a445573c65c08f839a880a5353</originalsourceid><addsrcrecordid>eNp9kU1uFDEQhS0EIiFwARbIEhs2Df5td68QiviTIsEC1la1XT3jpMcOdvdIkxWH4IScBE8mhMCClct-n1-5_Ah5ytlLzph5VbhggjVMiIZJYUyj7pFjrnXfsKrfv1MfkUelnLNKitY8JEey1VJJ0R6Tq88wB4wzHRH9AO6CZnQYtiGuqIOMdCn7EmhZ152nHl0oIUW6gYu9MKc00TFlOq93OQVPY_LLhBS3MC3VOsWf339ApGkomLfXBzDRMi9-95g8GGEq-ORmPSFf3739cvqhOfv0_uPpm7PGKcnnRjscR137ms5pLTp0wqBvFRjfguBugIGD70EprY10rXasGzvZQ9cx0FLLE_L64Hu5DBv0rk6bYbKXOWwg72yCYP9WYljbVdpazkQvOG-rw4sbh5y-LVhmuwnF4TRBxLQUK4zWXf1n1Vf0-T_oeVpynXlP9UKrzgheKXGgXE6lZBxvX8OZ3WdrD9nampi9ztaqeunZ3Tlur_wOswLyAJQqxRXmP73_Y_sLjDmzXg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2792548721</pqid></control><display><type>article</type><title>Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Patel Chavez, Chandani Patel ; Godinez Leiva, Eddison ; Bagautdinova, Diliara ; Hidalgo, Jessica ; Hartasanchez, Sandra ; Barb, Diana ; Danan, Deepa ; Dziegielewski, Peter ; Edwards, Catherine ; Hughley, Brian ; Srihari, Ashok ; Subbarayan, Sreevidya ; Castro, M. Regina ; Dean, Diana ; Morris, John ; Ryder, Mabel ; Stan, Marius N. ; Hargraves, Ian ; Shepel, Kathryn ; Brito, Juan P. ; Bylund, Carma L. ; Treise, Debbie ; Montori, Victor ; Singh Ospina, Naykky</creator><creatorcontrib>Patel Chavez, Chandani Patel ; Godinez Leiva, Eddison ; Bagautdinova, Diliara ; Hidalgo, Jessica ; Hartasanchez, Sandra ; Barb, Diana ; Danan, Deepa ; Dziegielewski, Peter ; Edwards, Catherine ; Hughley, Brian ; Srihari, Ashok ; Subbarayan, Sreevidya ; Castro, M. Regina ; Dean, Diana ; Morris, John ; Ryder, Mabel ; Stan, Marius N. ; Hargraves, Ian ; Shepel, Kathryn ; Brito, Juan P. ; Bylund, Carma L. ; Treise, Debbie ; Montori, Victor ; Singh Ospina, Naykky</creatorcontrib><description>Purpose
To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance).
Methods
Investigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients’ expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used.
Results
In total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%).
Conclusion
User centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians.</description><identifier>ISSN: 1559-0100</identifier><identifier>ISSN: 1355-008X</identifier><identifier>EISSN: 1559-0100</identifier><identifier>DOI: 10.1007/s12020-022-03277-4</identifier><identifier>PMID: 36534326</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Biopsy ; Decision making ; Decision Making, Shared ; Diabetes ; Endocrinology ; Feedback ; Female ; Humanities and Social Sciences ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; multidisciplinary ; Nodules ; Observational studies ; Original Article ; Patient Participation ; Patients ; Referral and Consultation ; Science ; Thyroid ; Thyroid gland ; Thyroid Nodule - diagnosis ; Thyroid Nodule - therapy</subject><ispartof>Endocrine, 2023-04, Vol.80 (1), p.124-133</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-5ceff5dec78c5528ec27ed64a7d6a21cbab1ad9a445573c65c08f839a880a5353</citedby><cites>FETCH-LOGICAL-c431t-5ceff5dec78c5528ec27ed64a7d6a21cbab1ad9a445573c65c08f839a880a5353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12020-022-03277-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12020-022-03277-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36534326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patel Chavez, Chandani Patel</creatorcontrib><creatorcontrib>Godinez Leiva, Eddison</creatorcontrib><creatorcontrib>Bagautdinova, Diliara</creatorcontrib><creatorcontrib>Hidalgo, Jessica</creatorcontrib><creatorcontrib>Hartasanchez, Sandra</creatorcontrib><creatorcontrib>Barb, Diana</creatorcontrib><creatorcontrib>Danan, Deepa</creatorcontrib><creatorcontrib>Dziegielewski, Peter</creatorcontrib><creatorcontrib>Edwards, Catherine</creatorcontrib><creatorcontrib>Hughley, Brian</creatorcontrib><creatorcontrib>Srihari, Ashok</creatorcontrib><creatorcontrib>Subbarayan, Sreevidya</creatorcontrib><creatorcontrib>Castro, M. Regina</creatorcontrib><creatorcontrib>Dean, Diana</creatorcontrib><creatorcontrib>Morris, John</creatorcontrib><creatorcontrib>Ryder, Mabel</creatorcontrib><creatorcontrib>Stan, Marius N.</creatorcontrib><creatorcontrib>Hargraves, Ian</creatorcontrib><creatorcontrib>Shepel, Kathryn</creatorcontrib><creatorcontrib>Brito, Juan P.</creatorcontrib><creatorcontrib>Bylund, Carma L.</creatorcontrib><creatorcontrib>Treise, Debbie</creatorcontrib><creatorcontrib>Montori, Victor</creatorcontrib><creatorcontrib>Singh Ospina, Naykky</creatorcontrib><title>Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study</title><title>Endocrine</title><addtitle>Endocrine</addtitle><addtitle>Endocrine</addtitle><description>Purpose
To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance).
Methods
Investigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients’ expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used.
Results
In total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%).
Conclusion
User centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians.</description><subject>Adult</subject><subject>Biopsy</subject><subject>Decision making</subject><subject>Decision Making, Shared</subject><subject>Diabetes</subject><subject>Endocrinology</subject><subject>Feedback</subject><subject>Female</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Nodules</subject><subject>Observational studies</subject><subject>Original Article</subject><subject>Patient Participation</subject><subject>Patients</subject><subject>Referral and Consultation</subject><subject>Science</subject><subject>Thyroid</subject><subject>Thyroid gland</subject><subject>Thyroid Nodule - diagnosis</subject><subject>Thyroid Nodule - therapy</subject><issn>1559-0100</issn><issn>1355-008X</issn><issn>1559-0100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1uFDEQhS0EIiFwARbIEhs2Df5td68QiviTIsEC1la1XT3jpMcOdvdIkxWH4IScBE8mhMCClct-n1-5_Ah5ytlLzph5VbhggjVMiIZJYUyj7pFjrnXfsKrfv1MfkUelnLNKitY8JEey1VJJ0R6Tq88wB4wzHRH9AO6CZnQYtiGuqIOMdCn7EmhZ152nHl0oIUW6gYu9MKc00TFlOq93OQVPY_LLhBS3MC3VOsWf339ApGkomLfXBzDRMi9-95g8GGEq-ORmPSFf3739cvqhOfv0_uPpm7PGKcnnRjscR137ms5pLTp0wqBvFRjfguBugIGD70EprY10rXasGzvZQ9cx0FLLE_L64Hu5DBv0rk6bYbKXOWwg72yCYP9WYljbVdpazkQvOG-rw4sbh5y-LVhmuwnF4TRBxLQUK4zWXf1n1Vf0-T_oeVpynXlP9UKrzgheKXGgXE6lZBxvX8OZ3WdrD9nampi9ztaqeunZ3Tlur_wOswLyAJQqxRXmP73_Y_sLjDmzXg</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Patel Chavez, Chandani Patel</creator><creator>Godinez Leiva, Eddison</creator><creator>Bagautdinova, Diliara</creator><creator>Hidalgo, Jessica</creator><creator>Hartasanchez, Sandra</creator><creator>Barb, Diana</creator><creator>Danan, Deepa</creator><creator>Dziegielewski, Peter</creator><creator>Edwards, Catherine</creator><creator>Hughley, Brian</creator><creator>Srihari, Ashok</creator><creator>Subbarayan, Sreevidya</creator><creator>Castro, M. Regina</creator><creator>Dean, Diana</creator><creator>Morris, John</creator><creator>Ryder, Mabel</creator><creator>Stan, Marius N.</creator><creator>Hargraves, Ian</creator><creator>Shepel, Kathryn</creator><creator>Brito, Juan P.</creator><creator>Bylund, Carma L.</creator><creator>Treise, Debbie</creator><creator>Montori, Victor</creator><creator>Singh Ospina, Naykky</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230401</creationdate><title>Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study</title><author>Patel Chavez, Chandani Patel ; Godinez Leiva, Eddison ; Bagautdinova, Diliara ; Hidalgo, Jessica ; Hartasanchez, Sandra ; Barb, Diana ; Danan, Deepa ; Dziegielewski, Peter ; Edwards, Catherine ; Hughley, Brian ; Srihari, Ashok ; Subbarayan, Sreevidya ; Castro, M. Regina ; Dean, Diana ; Morris, John ; Ryder, Mabel ; Stan, Marius N. ; Hargraves, Ian ; Shepel, Kathryn ; Brito, Juan P. ; Bylund, Carma L. ; Treise, Debbie ; Montori, Victor ; Singh Ospina, Naykky</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-5ceff5dec78c5528ec27ed64a7d6a21cbab1ad9a445573c65c08f839a880a5353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Biopsy</topic><topic>Decision making</topic><topic>Decision Making, Shared</topic><topic>Diabetes</topic><topic>Endocrinology</topic><topic>Feedback</topic><topic>Female</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>multidisciplinary</topic><topic>Nodules</topic><topic>Observational studies</topic><topic>Original Article</topic><topic>Patient Participation</topic><topic>Patients</topic><topic>Referral and Consultation</topic><topic>Science</topic><topic>Thyroid</topic><topic>Thyroid gland</topic><topic>Thyroid Nodule - diagnosis</topic><topic>Thyroid Nodule - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patel Chavez, Chandani Patel</creatorcontrib><creatorcontrib>Godinez Leiva, Eddison</creatorcontrib><creatorcontrib>Bagautdinova, Diliara</creatorcontrib><creatorcontrib>Hidalgo, Jessica</creatorcontrib><creatorcontrib>Hartasanchez, Sandra</creatorcontrib><creatorcontrib>Barb, Diana</creatorcontrib><creatorcontrib>Danan, Deepa</creatorcontrib><creatorcontrib>Dziegielewski, Peter</creatorcontrib><creatorcontrib>Edwards, Catherine</creatorcontrib><creatorcontrib>Hughley, Brian</creatorcontrib><creatorcontrib>Srihari, Ashok</creatorcontrib><creatorcontrib>Subbarayan, Sreevidya</creatorcontrib><creatorcontrib>Castro, M. Regina</creatorcontrib><creatorcontrib>Dean, Diana</creatorcontrib><creatorcontrib>Morris, John</creatorcontrib><creatorcontrib>Ryder, Mabel</creatorcontrib><creatorcontrib>Stan, Marius N.</creatorcontrib><creatorcontrib>Hargraves, Ian</creatorcontrib><creatorcontrib>Shepel, Kathryn</creatorcontrib><creatorcontrib>Brito, Juan P.</creatorcontrib><creatorcontrib>Bylund, Carma L.</creatorcontrib><creatorcontrib>Treise, Debbie</creatorcontrib><creatorcontrib>Montori, Victor</creatorcontrib><creatorcontrib>Singh Ospina, Naykky</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Endocrine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patel Chavez, Chandani Patel</au><au>Godinez Leiva, Eddison</au><au>Bagautdinova, Diliara</au><au>Hidalgo, Jessica</au><au>Hartasanchez, Sandra</au><au>Barb, Diana</au><au>Danan, Deepa</au><au>Dziegielewski, Peter</au><au>Edwards, Catherine</au><au>Hughley, Brian</au><au>Srihari, Ashok</au><au>Subbarayan, Sreevidya</au><au>Castro, M. Regina</au><au>Dean, Diana</au><au>Morris, John</au><au>Ryder, Mabel</au><au>Stan, Marius N.</au><au>Hargraves, Ian</au><au>Shepel, Kathryn</au><au>Brito, Juan P.</au><au>Bylund, Carma L.</au><au>Treise, Debbie</au><au>Montori, Victor</au><au>Singh Ospina, Naykky</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study</atitle><jtitle>Endocrine</jtitle><stitle>Endocrine</stitle><addtitle>Endocrine</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>80</volume><issue>1</issue><spage>124</spage><epage>133</epage><pages>124-133</pages><issn>1559-0100</issn><issn>1355-008X</issn><eissn>1559-0100</eissn><abstract>Purpose
To characterize the feedback of patients with thyroid nodules receiving care using a shared decision making (SDM) tool designed to improve conversations with their clinicians related to diagnostic options (e.g. thyroid biopsy, ultrasound surveillance).
Methods
Investigators qualitatively analyzed post-encounter interviews with patients to characterize their feedback of a SDM tool used during their clinical visits. Additionally, investigators counted instances of diagnostic choice awareness and of patients’ expression of a diagnostic management preference in recordings of clinical encounters of adult patients presenting for evaluation of thyroid nodules in which the SDM tool was used.
Results
In total, 53 patients (42 (79%) women); median age 62 years were enrolled and had consultations supported by the SDM tool. Patients were favorable about the design of the SDM tool and its ability to convey information about options and support patient-clinician interactions. Patients identified opportunities to improve the tool through adding more content and improve its use in practice through training of clinicians in its use. There was evidence of diagnostic choice awareness in 52 (98%) of these visits and patients expressed a diagnostic management preference in 40 (76%).
Conclusion
User centered design including feedback from patients and real life observation supports the use of the SDM tool to facilitate collaboration between patients and clinicians.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36534326</pmid><doi>10.1007/s12020-022-03277-4</doi><tpages>10</tpages></addata></record> |
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| ispartof | Endocrine, 2023-04, Vol.80 (1), p.124-133 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Biopsy Decision making Decision Making, Shared Diabetes Endocrinology Feedback Female Humanities and Social Sciences Humans Internal Medicine Male Medicine Medicine & Public Health Middle Aged multidisciplinary Nodules Observational studies Original Article Patient Participation Patients Referral and Consultation Science Thyroid Thyroid gland Thyroid Nodule - diagnosis Thyroid Nodule - therapy |
| title | Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study |
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