Physician-Centered Outcomes for Skin Cancer Treatment: A Single-Day Modified Delphi Process to Assess the Importance of Themes in Skin Cancer Management. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Success in skin cancer treatment is determined through outcome measurement. Patients and physicians may prioritize different outcomes of care, and identification of such may enhance patient-centered care. OBJECTIVE: To identify gaps between patient and physician attitudes toward skin cancer outcomes. MATERIALS AND METHODS: A single-day, 21-patient, modified, in-person Delphi process to solicit and rate the importance of skin cancer-related outcomes was conducted. Twelve masked dermatologic surgeons rated patient-generated outcomes in a 2-round modified Delphi process. Each item was rated on a 1 to 9 scale (1, least important; 9, most important) using the Qualtrics web platform (Qualtrics, Provo, UT). Results of the physician ratings were compared with the patient ratings. RESULTS: A list of 53 skin cancer treatment-related themes and outcomes was generated. Eight items were ranked by physicians as "very high" (>80% importance), 5 as "high" (>70% importance), 19 as intermediate, and 21 as low. The physician and patient panels' ratings were concordant for 56% of items, whereas 7 outcome items showed a 2-category discordance. CONCLUSION: Physicians and patients were concordant regarding skin cancer treatment on multiple spheres. Areas of discordance include patient fear of unknown future risk, recurrence, or empowering patients to make treatment choices, and may be areas of continued improvement for delivery of patient-centered care.

authors

  • Rossi, Anthony M.
  • Sobanko, Joseph
  • Lawrence, Naomi
  • Bordeaux, Jeremy
  • Cartee, Todd
  • Armbrecht, Eric S
  • Behera, Anit
  • Baum, Christian L
  • Alam, Murad
  • Maher, Ian A

publication date

  • July 1, 2019

Research

keywords

  • Attitude of Health Personnel
  • Outcome Assessment, Health Care
  • Patient Satisfaction
  • Skin Neoplasms

Identity

PubMed Central ID

  • PMC6860020

Scopus Document Identifier

  • 85069211802

Digital Object Identifier (DOI)

  • 10.1111/bjd.16671

PubMed ID

  • 30807387

Additional Document Info

volume

  • 45

issue

  • 7