Pulmonologists' reported use of guidelines and shared decision-making in evaluation of pulmonary nodules a qualitative study

Chest

Volumn 148, Issue 6, 2015, Pages 1415-1421

  Wiener, Renda Soylemez ^a,b   Slatore, Christopher G ^c,e   Gillespie, Chris ^a   Clark, Jack A ^d,f  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BOSTON UNIVERSITY   (United States)

^c Health Services Research and Development   (United States)

^d Portland VA Medical Center   (United States)

^e Division of Pulmonary and Critical Care Medicine   (United States)

^f OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGGRESSION; ANXIETY; ARTICLE; CANCER RISK; CLINICAL DECISION MAKING; CLINICAL EVALUATION; COMFORT; FEMALE; HUMAN; INVASIVE PROCEDURE; LIFE EXPECTANCY; LUNG CANCER; LUNG NODULE; MALE; MALPRACTICE; MEDICOLEGAL ASPECT; PATIENT ASSESSMENT; PATIENT DECISION MAKING; PATIENT PREFERENCE; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; PULMONOLOGIST; RISK ASSESSMENT; WORK EXPERIENCE; DECISION MAKING; DISEASE MANAGEMENT; DOCTOR PATIENT RELATION; HEALTH PERSONNEL ATTITUDE; LUNG TUMOR; MIDDLE AGED; MULTIPLE PULMONARY NODULES; PATHOLOGY; PROBABILITY; PROCEDURES; PSYCHOLOGY; PULMONOLOGY; QUALITATIVE RESEARCH; SOLITARY PULMONARY NODULE;

ADULT; ATTITUDE OF HEALTH PERSONNEL; DECISION MAKING; DISEASE MANAGEMENT; GUIDELINE ADHERENCE; HUMANS; LUNG NEOPLASMS; MIDDLE AGED; MULTIPLE PULMONARY NODULES; PATIENT PREFERENCE; PHYSICIAN-PATIENT RELATIONS; PRACTICE GUIDELINES AS TOPIC; PROBABILITY; PULMONARY MEDICINE; QUALITATIVE RESEARCH; RISK ASSESSMENT; SOLITARY PULMONARY NODULE;

EID: 84949009144     PISSN: 00123692     EISSN: 19313543     Source Type: Journal    
DOI: 10.1378/chest.14-2941     Document Type: Article

References (36)

1. Smith-Bindman R, Miglioretti DL, Johnson E, et al. Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996-2010. JAMA. 2012;307(22):2400-2409.
2. Gould MK, Donington J, Lynch WR, et al. Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013; 143(5-suppl):e93S-120S.
3. MacMahon H, Austin JH, Gamsu G, et al; Fleischner Society. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology. 2005;237(2):395-400.
4. Eisenberg RL, Bankier AA, Boiselle PM. Compliance with Fleischner Society guidelines for management of small lung nodules: a survey of 834 radiologists. Radiology. 2010;255(1):218-224.
5. Esmaili A, Munden RF, Mohammed TL. Small pulmonary nodule management: a survey of the members of the Society of Thoracic Radiology with comparison to the Fleischner Society guidelines. J Thorac Imaging. 2011; 26 (1): 27-31.
6. Lacson R, Prevedello LM, Andriole KP, et al; Fleischner Society. Factors associated with radiologists' adherence to Fleischner Society guidelines for management of pulmonary nodules. J Am Coll Radiol. 2012;9(7):468-473.
7. Masciocchi M, Wagner B, Lloyd B. Quality review: Fleischner criteria adherence by radiologists in a large community hospital. J Am Coll Radiol. 2012; 9 (5): 336-339.
8. Wiener RS, Gould MK, Slatore CG, Fincke BG, Schwartz LM, Woloshin S. Resource use and guideline concordance in evaluation of pulmonary nodules for cancer: too much and too little care. JAMA Intern Med. 2014;174(6): 871-880.
9. Strauss AL, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage Publications; 1990.
10. Gould MK, Wiener RS. Shared decision making in patients with pulmonary nodules. American College of Chest Physicians PCCSU website. http://69.36.35.38/accp/pccsu/shared-decision-making-patients-pulmonary-nodules? page50, 3. Published 2009. Accessed January 15, 2015.
11. Levinson W, Kao A, Kuby A, Tisted RA. Not all patients want to participate in decision making. A national study of public preferences. J Gen Intern Med. 2005;20(6):531-535.
12. Wiener RS, Gould MK, Woloshin S, Schwartz LM, Clark JA. What do you mean, a spot?: A qualitative analysis of patients' reactions to discussions with their physicians about pulmonary nodules. Chest. 2013;143(3):672-677.
13. Pardon K, Deschepper R, Vander Stichele R, et al. Are patients' preferences for information and participation in medical decision-making being met? Interview study with lung cancer patients. Palliat Med. 2011;25(1):62-70.
14. Cykert S, Dilworth-Anderson P, Monroe MH, et al. Factors associated with decisions to undergo surgery among patients with newly diagnosed early-stage lung cancer. JAMA. 2010;303(23): 2368-2376.
15. Davidson JR, Brundage MD, Feldman-Stewart D. Lung cancer treatment decisions: patients' desires for participation and information. Psychooncology. 1999;8(6):511-520.
16. Hotta K, Kiura K, Takigawa N, et al. Desire for information and involvement in treatment decisions: lung cancer patients' preferences and their physicians' perceptions: results from Okayama Lung Cancer Study Group Trial 0705. J Thorac Oncol. 2010;5(10):1668-1672.
17. Nelson JE, Gay EB, Berman AR, Powell CA, Salazar-Schicchi J, Wisnivesky JP. Patients rate physician communication about lung cancer. Cancer. 2011;117(22): 5212-5220.
18. Pardon K, Deschepper R, Vander Stichele R, et al; End-of-Life Information and Communication Consortium. Preferred and actual involvement of advanced lung cancer patients and their families in end-of-life decision making: a multi-center study in 13 hospitals in Flanders, Belgium. J Pain Symptom Manage. 2012; 43(3):515-526.
19. Golden SE, Wiener RS, Sullivan D, Ganzini L, Slatore CG. Primary care providers and a system problem: a qualitative study of clinicians caring for patients with incidental pulmonary nodules. Chest. 2015;148(6):1422-1429.
20. Légaré F, Witteman HO. Shared decision making: examining key elements and barriers to adoption into routine clinical practice. Health Af (Millwood). 2013; 32(2):276-284.
21. Henry SG, Holmboe ES, Frankel RM. Evidence-based competencies for improving communication skills in graduate medical education: a review with suggestions for implementation. Med Teach. 2013;35(5):395-403.
22. Légaré F, Ratté S, Gravel K, Graham ID. Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals' perceptions. Patient Educ Couns. 2008; 73 (3): 526-535.
23. Légaré F, Tompson-Leduc P. Twelve myths about shared decision making. Patient Educ Couns. 2014; 96 (3): 281-286.
24. Gravel K, Légaré F, Graham ID. Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions. Implement Sci. 2006; 1:16.
25. Politi MC, Clark MA, Ombao H, Dizon D, Elwyn G. Communicating uncertainty can lead to less decision satisfaction: a necessary cost of involving patients in shared decision making? Health Expect. 2011;14(1):84-91.
26. Politi MC, Street RL Jr. The importance of communication in collaborative decision making: facilitating shared mind and the management of uncertainty. J Eval Clin Pract. 2011;17(4):579-584.
27. Portnoy DB, Han PK, Ferrer RA, Klein WM, Clauser SB. Physicians' attitudes about communicating and managing scientif c uncertainty differ by perceived ambiguity aversion of their patients. Health Expect. 2013;16(4):362-372.
28. Chinn GM, Liu PH, Klabunde CN, Kahn KL, Keating NL. Physicians' preferences for hospice if they were terminally ill and the timing of hospice discussions with their patients. JAMA Intern Med. 2014;174(3):466-468.
29. Davidson SM. Open questions concerning influences on clinical decision making. J Ambul Care Manage. 2013; 36(2):88-107.
30. Perkins HS, Bauer RL, Hazuda HP, Schoolfield JD. Impact of legal liability, family wishes, and other "external factors" on physicians' life-support decisions. Am J Med. 1990; 89 (2): 185-194.
31. Wiener RS, Gould MK, Woloshin S, Schwartz LM, Clark JA. 'The thing is not knowing': patients' perspectives on surveillance of an indeterminate pulmonary nodule. Health Expect. 2015;18(3): 355-365.
32. Mishler EG. Research Interviewing: Context and Narrative. Cambridge, England: Harvard University Press; 1991.
33. Coar L, Sim J. Interviewing one's peers: methodological issues in a study of health professionals. Scand J Prim Health Care. 2006;24(4):251-256.
34. Slatore CG, Press N, Au DH, Curtis JR, Wiener RS, Ganzini L. What the heck is a "nodule"? A qualitative study ofiveterans with pulmonary nodules. Ann Am Thorac Soc. 2013;10(4):330-335.
35. Légaré F, Stacey D, Turcotte S, et al. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2014;9:CD006732.
36. Elwyn G, Frosch D, Rollnick S. Dual equipoise shared decision making: definitions for decision and behaviour support inter ventions. Implement Sci. 2009;4:75.