"It Depends on the Situation": Variability in How Surgical Oncologists Elicit and Integrate Patient Values.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	"It Depends on the Situation": Variability in How Surgical Oncologists Elicit and Integrate Patient Values.
Συγγραφείς:	Speer JEF; Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama., Bechthold AC; College of Nursing, University of Tennessee at Knoxville, Knoxville, Tennessee., Monton O; Department of Surgery, McMaster University, Hamilton, Ontario, Canada.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland., Newcomb A; Advanced Surgical Technology and Education Center, Inova Fairfax Medical Campus, Falls Church, Virginia., Odom JN; School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama., Kopecky KE; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Πηγή:	Journal of surgical oncology [J Surg Oncol] 2026 Sep; Vol. 134 (3), pp. 458-465. Date of Electronic Publication: 2026 Jul 01.
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Wiley-Liss Country of Publication: United States NLM ID: 0222643 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-9098 (Electronic) Linking ISSN: 00224790 NLM ISO Abbreviation: J Surg Oncol Subsets: MEDLINE
Imprint Name(s):	Publication: <2005-> : Hoboken, NJ : Wiley-Liss Original Publication: New York, Plenum.
Ιατρικοί όροι (MeSH):	Neoplasms/surgery , Oncologists/psychology , Surgical Oncology*, Humans ; Male ; Female ; Qualitative Research ; Middle Aged ; Decision Making ; Patient-Centered Care ; Adult ; Attitude of Health Personnel
Περίληψη:	Background: Understanding what matters most to patients is central to person-centered care, particularly in surgical oncology, where decisions often involve significant tradeoffs. We explored how surgeons elicit, integrate, document, and support patient values in cancer-related decision-making. Methods: This qualitative descriptive study involved semi-structured interviews with surgical oncologists (June-September 2025). Participants were purposively sampled from a prior international survey to ensure variation in demographics. Interviews were recorded, transcribed, and analyzed using thematic analysis. Participant characteristics were summarized descriptively. Results: Fourteen surgeons participated. Most were male (71%), White (86%), and early-career (43%), practicing primarily in gastrointestinal or hepatobiliary surgery (each 43%) at academic centers (57%) in the U.S. South or Midwest (each 36%). Surgeons described various approaches to eliciting values, including inferring values from contextual clues and clarifying tradeoffs between survival and quality-of-life. Values elicitation was largely situational, occurring in high-risk or preference-sensitive contexts. When values conflicted with recommendations, surgeons adapted plans within oncologic safety. Documentation varied and was shaped by relevance, medicolegal concerns, and workflow. Barriers included time limitations, emotional distress, family dynamics, and limited training. Conclusions: Values elicitation was inconsistent and situational rather than routine. More structured, earlier approaches and system-level support may better align surgical decisions with patient values. (© 2026 The Author(s). Journal of Surgical Oncology published by Wiley Periodicals LLC.)
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Grant Information:	R25 CA278711 United States CA NCI NIH HHS; 1R24CA278711-01 United States CA NCI NIH HHS
Contributed Indexing:	Keywords: Surgical oncology; patient values; person‐centered care; qualitative research; shared decision‐making; values elicitation
Entry Date(s):	Date Created: 20260701 Date Completed: 20260901 Latest Revision: 20260903
Update Code:	20260903
PubMed Central ID:	PMC13532787
DOI:	10.1002/jso.70312
PMID:	42385133
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1096-9098
DOI:	10.1002/jso.70312