A scoping review of interactive and personalized web-based clinical tools to support treatment decision making in breast cancer

被引：17
作者：
Zhao, Amy [1 ,2 ]
Larbi, Maya [1 ,2 ,4 ]
Miller, Kristen [3 ]
O'Neill, Suzanne [1 ,2 ]
Jayasekera, Jinani [1 ,2 ]
机构：
[1] Georgetown Univ, Med Ctr, Dept Oncol, Washington, DC 20007 USA
[2] Georgetown Lombardi Comprehens Canc Ctr, Canc Prevent & Control Program, Washington, DC USA
[3] MedStar Hlth Natl Ctr Human Factors Healthcare, Washington, DC USA
[4] Towson Univ, Towson, MD USA
来源：
BREAST | 2022年 / 61卷
基金：
美国国家卫生研究院;
关键词：
Web-based decision tools; Treatment; Breast cancer; QUALITY-OF-LIFE; PROGNOSTIC-FACTORS; PREDICTION MODELS; COMPUTER-PROGRAM; RANDOMIZED-TRIAL; WOMEN; RISK; AID; NOMOGRAM; MARGINS;
D O I：
10.1016/j.breast.2021.12.003
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
The increasing attention on personalized breast cancer care has resulted in an explosion of new interactive, tailored, web-based clinical decision tools for guiding treatment decisions in clinical practice. The goal of this study was to review, compare, and discuss the clinical implications of current tools, and highlight future directions for tools aiming to improve personalized breast cancer care. We searched PubMed, Embase, PsychInfo, Cochrane Database of Systematic Reviews, Web of Science, and Scopus to identify web-based decision tools addressing breast cancer treatment decisions. There was a total of 17 articles associated with 21 unique tools supporting decisions related to surgery, radiation therapy, hormonal therapy, bisphosphonates, HER2-targeted therapy, and chemotherapy. The quality of the tools was assessed using the International Patient Decision Aid Standard instrument. Overall, the tools considered clinical (e.g., age) and tumor characteristics (e.g., grade) to provide personalized outcomes (e.g., survival) associated with various treatment options. Fewer tools provided the adverse effects of the selected treatment. Only one tool was field-tested with patients, and none were tested with healthcare providers. Future studies need to assess the feasibility, usability, acceptability, as well as the effects of personalized web-based decision tools on communication and decision making from the patient and clinician perspectives.
引用
收藏
页码：43 / 57
页数：15
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