Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction

Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common f...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Dun-Hao Chang, Yu-Hsiang Wang, Chi-Ying Hsieh, Che-Wei Chang, Ke-Chung Chang, Yo-Shen Chen
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	conjoint analysis patient preference hand reconstruction decision-making Medicine R
Acceso en línea:	https://doaj.org/article/e830ac59242541e39d7f74aa02738a2b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e830ac59242541e39d7f74aa02738a2b
record_format	dspace
spelling	oai:doaj.org-article:e830ac59242541e39d7f74aa02738a2b2021-11-11T16:13:39ZIncorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction10.3390/ijerph1821110811660-46011661-7827https://doaj.org/article/e830ac59242541e39d7f74aa02738a2b2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11081https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common flaps—i.e., a cross-finger flap (CFF), a dorsal metacarpal artery perforator flap (DMAPF), and an arterialized venous flap (AVF)—were listed as treatment alternatives. Five attributes corresponding to these flaps were recovery time, total procedure, postoperative care methods, postoperative scar condition, and complication rate. Utility and importance scores were generated from the software, and preference characteristics were evaluated using cluster analysis. Results: The survey was completed by 197 participants with hand trauma. Complication risk received the highest importance score (42.87%), followed by scar condition (21.55%). Cluster analysis classified the participants as “conservative,” “practical,” and “dual-concern”. The dual-concern and conservative groups had more foreign laborers and highly educated participants, respectively, than the other groups. Most participants in the conservative and practical groups preferred DMAPF, whereas those in the dual-concern group favored CFF. Our proposed model consisted of shared decision-making and treatment recommendation pathways. Conclusion: Incorporating patient preferences into the decision-making model can strengthen patient-centered care. Further research on the applications of the proposed model is warranted.Dun-Hao ChangYu-Hsiang WangChi-Ying HsiehChe-Wei ChangKe-Chung ChangYo-Shen ChenMDPI AGarticleconjoint analysispatient preferencehand reconstructiondecision-makingMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11081, p 11081 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	conjoint analysis patient preference hand reconstruction decision-making Medicine R
spellingShingle	conjoint analysis patient preference hand reconstruction decision-making Medicine R Dun-Hao Chang Yu-Hsiang Wang Chi-Ying Hsieh Che-Wei Chang Ke-Chung Chang Yo-Shen Chen Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
description	Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common flaps—i.e., a cross-finger flap (CFF), a dorsal metacarpal artery perforator flap (DMAPF), and an arterialized venous flap (AVF)—were listed as treatment alternatives. Five attributes corresponding to these flaps were recovery time, total procedure, postoperative care methods, postoperative scar condition, and complication rate. Utility and importance scores were generated from the software, and preference characteristics were evaluated using cluster analysis. Results: The survey was completed by 197 participants with hand trauma. Complication risk received the highest importance score (42.87%), followed by scar condition (21.55%). Cluster analysis classified the participants as “conservative,” “practical,” and “dual-concern”. The dual-concern and conservative groups had more foreign laborers and highly educated participants, respectively, than the other groups. Most participants in the conservative and practical groups preferred DMAPF, whereas those in the dual-concern group favored CFF. Our proposed model consisted of shared decision-making and treatment recommendation pathways. Conclusion: Incorporating patient preferences into the decision-making model can strengthen patient-centered care. Further research on the applications of the proposed model is warranted.
format	article
author	Dun-Hao Chang Yu-Hsiang Wang Chi-Ying Hsieh Che-Wei Chang Ke-Chung Chang Yo-Shen Chen
author_facet	Dun-Hao Chang Yu-Hsiang Wang Chi-Ying Hsieh Che-Wei Chang Ke-Chung Chang Yo-Shen Chen
author_sort	Dun-Hao Chang
title	Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
title_short	Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
title_full	Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
title_fullStr	Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
title_full_unstemmed	Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
title_sort	incorporating patient preferences into a decision-making model of hand trauma reconstruction
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e830ac59242541e39d7f74aa02738a2b
work_keys_str_mv	AT dunhaochang incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT yuhsiangwang incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT chiyinghsieh incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT cheweichang incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT kechungchang incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT yoshenchen incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction
_version_	1718432389024186368

Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction

Ejemplares similares