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Designing Visual Tools to Enhance Cancer Surgeon Decision-making
Sponsor: UNC Lineberger Comprehensive Cancer Center
Summary
This prospective study will compare pre-post pilot test of surgeon-facing, visual decision support among urologists seeing patients with newly diagnosed localized prostate and kidney cancer. Up to 20 urologists (10 academic and 10 community) will be enrolled. The goal will be to capture up to 10 pre- and 10 post-intervention patient encounters for each urologist with an accrual target of 200 unique patient visits (100 pre and 100 post-intervention) over a half-year period. Patient encounters pre- and post-intervention will be audio recorded, transcribed, and coded for discussion of risks/benefits of surgery and strength of recommendation. Patients and urologists will complete additional surveys on their perceptions of patient-provider communication. Urologists will further describe their experience and rate their satisfaction with visual decision support. Communication (content and perceived) will be compared pre- and post-intervention with secondary comparisons by race and care setting. It was hypothesized that the discussion of risks and benefits of cancer surgery will increase post-intervention and that the strength of recommendation and perceptions of patient-provider communication will change. The secondary hypothesis is that these changes will differ by patient race and care setting.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
220
Start Date
2025-04-24
Completion Date
2028-01-30
Last Updated
2025-12-05
Healthy Volunteers
No
Conditions
Interventions
Visual
Physician participants will view the visual decision support before entering the patient's room during the intervention period, with the option to share with the patient.
No intervention
No intervention
Locations (2)
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, United States
New Hanover Regional Medical Center
Wilmington, North Carolina, United States