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40
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Text
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URL Address
<a href="http://doi.org/10.1186/1748-5908-6-26" target="_blank" rel="noreferrer">http://doi.org/10.1186/1748-5908-6-26</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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How can we improve guideline use? A conceptual framework of implementability
Publisher
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Implementation Science
Date
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2011
Creator
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Gagliardi AR; Brouwers MC; Palda VA; Lemieux-Charles L; Grimshaw J
Identifier
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<a href="http://doi.org/10.1186/1748-5908-6-26" target="_blank" rel="noreferrer">10.1186/1748-5908-6-26</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2011
Backlog
Brouwers MC
Gagliardi AR
Grimshaw J
Implementation Science
Journal Article
Lemieux-Charles L
Palda VA
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1200/jco.1997.15.10.3192" target="_blank" rel="noreferrer">http://doi.org/10.1200/jco.1997.15.10.3192</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Breast cancer patients' attitudes about rationing postlumpectomy radiation therapy: applicability of trade-off methods to policy-making
Publisher
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Journal Of Clinical Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
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Female; Humans; Adult; Canada; Aged; Middle Aged; Attitude; Patient Acceptance of Health Care; Risk Factors; Patient Satisfaction; Time Factors; Combined Modality Therapy; 80 and over; Non-U.S. Gov't; Research Support; Policy Making; Waiting Lists; Breast Neoplasms/psychology/radiotherapy/surgery; Health Care Rationing; Mastectomy; Segmental
Creator
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Palda VA; Llewellyn-Thomas HA; Mackenzie RG; Pritchard KI; Naylor CD
Description
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PURPOSE: Along with evidence, clinical policies must take patients' values into account. Particularly where evidence is limited and where assumptions of utility-maximizing behavior may not be valid, new methods such as trade-off techniques (TOTs), which allow elicitation of patients' treatment alternatives, might be useful in policy formulation. We used TOTs to assess breast cancer patients' attitudes toward two clinical policies designed to ration adjuvant postlumpectomy breast radiation therapy. METHODS: Cross-sectional interviews were performed in a tertiary cancer center. A total of 102 patients were presented with information about the side effects and benefits associated with two hypothetical decisions: (1) willingness to receive treatment elsewhere to shorten the wait for radiation therapy, and (2) foregoing radiation therapy in the face of small marginal benefits. For each scenario, a TOT was used to identify the maximal acceptable wait time (MAWT) for therapy and the benefit threshold at which the patient would forego therapy. Associations of clinical and demographic factors with these decisions were determined by regression analysis. RESULTS: Patients would be willing to wait, on average, 7 weeks before wanting to leave their city for radiation therapy, less than the 13-week delay our patients actually faced. Older patients were less willing to wait (P = .013); 46% of patients would not give up radiation therapy, even in the face of no stated benefit. Willingness to give up radiation therapy was predicted by willingness to accept delay (odds ratio [OR], 1.84; 95% confidence interval [CI], 1.05 to 3.37) and being employed (OR, 2.61; 95% CI, 1.08 to 6.54). Patients with larger tumors were less willing to give up radiation therapy (OR, 0.57; 95% CI, 0.31 to 0.97). CONCLUSION: Even in difficult decisions such as rationing postlumpectomy breast cancer radiation therapy, TOTs can inform policy formulation by indicating the distributions of patients' preferences.
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1200/jco.1997.15.10.3192" target="_blank" rel="noreferrer">10.1200/jco.1997.15.10.3192</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
80 And Over
Adult
Aged
Attitude
Backlog
Breast Neoplasms/psychology/radiotherapy/surgery
Canada
Combined Modality Therapy
Female
Health Care Rationing
Humans
Journal Article
Journal Of Clinical Oncology
Llewellyn-Thomas HA
Mackenzie RG
Mastectomy
Middle Aged
Naylor CD
Non-U.S. Gov't
Palda VA
Patient Acceptance of Health Care
Patient Satisfaction
Policy Making
Pritchard KI
Research Support
Risk Factors
Segmental
Time Factors
Waiting Lists