Tilly Alyssa E, Evans April, Chen Jane S, Manda Agness, Salima Ande, Bingo Samuel, Chikasema Maria, Westmoreland Katherine D
UNC Project-Malawi, Lilongwe, Malawi.
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Palliat Med Rep. 2023 Apr 27;4(1):127-132. doi: 10.1089/pmr.2023.0002. eCollection 2023.
Oncology teams are encouraged to include patient preferences and goals of care in determining appropriate treatment courses. There are no existing data from Malawi exploring decision-making preferences among cancer patients.
In the oncology clinic in Lilongwe, Malawi, 50 patients were surveyed for decision making.
Most participants (70%, = 35) preferred to engage in shared decision making regarding cancer treatment. About half (52%, = 24) did not feel that their medical team involved them in decision making and 64% ( = 32) felt that they were never or only sometimes listened to by the medical team. Nearly all (94%, = 47) preferred to have their medical team inform them how likely treatments are to lead to cure.
Shared decision making was the preferred mode of treatment decision making by the majority of the surveyed cancer patients in Malawi. Cancer patients in Malawi may have similar preferences to cancer patients in other low-resource settings regarding decision making and communication.
肿瘤学团队在确定适当的治疗方案时，被鼓励纳入患者的偏好和护理目标。马拉维尚无关于癌症患者决策偏好的现有数据。
在马拉维利隆圭的肿瘤学诊所，对50名患者进行了决策调查。
大多数参与者（70%，n = 35）倾向于就癌症治疗参与共同决策。约一半（52%，n = 24）的患者认为其医疗团队没有让他们参与决策，64%（n = 32）的患者觉得医疗团队从未或只是有时听取他们的意见。几乎所有患者（94%，n = 47）都希望医疗团队告知他们治疗治愈的可能性。
共同决策是马拉维大多数接受调查的癌症患者首选的治疗决策模式。马拉维的癌症患者在决策和沟通方面可能与其他资源匮乏地区的癌症患者有相似的偏好。
