Physician-Centered Outcomes for Skin Cancer Treatment: A Single-Day Modified Delphi Process to Assess the Importance of Themes in Skin Cancer Management

Anthony M. Rossi, Joseph Sobanko, Naomi Lawrence, Jeremy Bordeaux, Todd Cartee, Eric S. Armbrecht, Anit Behera, Christian L. Baum, Murad Alam, Ian A. Maher

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUNDSuccess in skin cancer treatment is determined through outcome measurement. Patients and physicians may prioritize different outcomes of care, and identification of such may enhance patient-centered care.OBJECTIVETo identify gaps between patient and physician attitudes toward skin cancer outcomes.MATERIALS AND METHODSA single-day, 21-patient, modified, in-person Delphi process to solicit and rate the importance of skin cancer-related outcomes was conducted. Twelve masked dermatologic surgeons rated patient-generated outcomes in a 2-round modified Delphi process. Each item was rated on a 1 to 9 scale (1, least important; 9, most important) using the Qualtrics web platform (Qualtrics, Provo, UT). Results of the physician ratings were compared with the patient ratings.RESULTSA list of 53 skin cancer treatment-related themes and outcomes was generated. Eight items were ranked by physicians as "very high" (>80% importance), 5 as "high" (>70% importance), 19 as intermediate, and 21 as low. The physician and patient panels' ratings were concordant for 56% of items, whereas 7 outcome items showed a 2-category discordance.CONCLUSIONPhysicians and patients were concordant regarding skin cancer treatment on multiple spheres. Areas of discordance include patient fear of unknown future risk, recurrence, or empowering patients to make treatment choices, and may be areas of continued improvement for delivery of patient-centered care.

Original languageEnglish (US)
Pages (from-to)869-874
Number of pages6
JournalDermatologic Surgery
Volume45
Issue number7
DOIs
StatePublished - Jul 1 2019

Fingerprint

Skin Neoplasms
Physicians
Patient-Centered Care
Therapeutics
Fear
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology

Cite this

Rossi, Anthony M. ; Sobanko, Joseph ; Lawrence, Naomi ; Bordeaux, Jeremy ; Cartee, Todd ; Armbrecht, Eric S. ; Behera, Anit ; Baum, Christian L. ; Alam, Murad ; Maher, Ian A. / Physician-Centered Outcomes for Skin Cancer Treatment : A Single-Day Modified Delphi Process to Assess the Importance of Themes in Skin Cancer Management. In: Dermatologic Surgery. 2019 ; Vol. 45, No. 7. pp. 869-874.
@article{b0074ee358284d86881e11056eab1cf5,
title = "Physician-Centered Outcomes for Skin Cancer Treatment: A Single-Day Modified Delphi Process to Assess the Importance of Themes in Skin Cancer Management",
abstract = "BACKGROUNDSuccess in skin cancer treatment is determined through outcome measurement. Patients and physicians may prioritize different outcomes of care, and identification of such may enhance patient-centered care.OBJECTIVETo identify gaps between patient and physician attitudes toward skin cancer outcomes.MATERIALS AND METHODSA single-day, 21-patient, modified, in-person Delphi process to solicit and rate the importance of skin cancer-related outcomes was conducted. Twelve masked dermatologic surgeons rated patient-generated outcomes in a 2-round modified Delphi process. Each item was rated on a 1 to 9 scale (1, least important; 9, most important) using the Qualtrics web platform (Qualtrics, Provo, UT). Results of the physician ratings were compared with the patient ratings.RESULTSA list of 53 skin cancer treatment-related themes and outcomes was generated. Eight items were ranked by physicians as {"}very high{"} (>80{\%} importance), 5 as {"}high{"} (>70{\%} importance), 19 as intermediate, and 21 as low. The physician and patient panels' ratings were concordant for 56{\%} of items, whereas 7 outcome items showed a 2-category discordance.CONCLUSIONPhysicians and patients were concordant regarding skin cancer treatment on multiple spheres. Areas of discordance include patient fear of unknown future risk, recurrence, or empowering patients to make treatment choices, and may be areas of continued improvement for delivery of patient-centered care.",
author = "Rossi, {Anthony M.} and Joseph Sobanko and Naomi Lawrence and Jeremy Bordeaux and Todd Cartee and Armbrecht, {Eric S.} and Anit Behera and Baum, {Christian L.} and Murad Alam and Maher, {Ian A.}",
year = "2019",
month = "7",
day = "1",
doi = "10.1097/DSS.0000000000001835",
language = "English (US)",
volume = "45",
pages = "869--874",
journal = "Dermatologic Surgery",
issn = "1076-0512",
publisher = "Wiley-Blackwell",
number = "7",

}

Physician-Centered Outcomes for Skin Cancer Treatment : A Single-Day Modified Delphi Process to Assess the Importance of Themes in Skin Cancer Management. / Rossi, Anthony M.; Sobanko, Joseph; Lawrence, Naomi; Bordeaux, Jeremy; Cartee, Todd; Armbrecht, Eric S.; Behera, Anit; Baum, Christian L.; Alam, Murad; Maher, Ian A.

In: Dermatologic Surgery, Vol. 45, No. 7, 01.07.2019, p. 869-874.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Physician-Centered Outcomes for Skin Cancer Treatment

T2 - A Single-Day Modified Delphi Process to Assess the Importance of Themes in Skin Cancer Management

AU - Rossi, Anthony M.

AU - Sobanko, Joseph

AU - Lawrence, Naomi

AU - Bordeaux, Jeremy

AU - Cartee, Todd

AU - Armbrecht, Eric S.

AU - Behera, Anit

AU - Baum, Christian L.

AU - Alam, Murad

AU - Maher, Ian A.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - BACKGROUNDSuccess in skin cancer treatment is determined through outcome measurement. Patients and physicians may prioritize different outcomes of care, and identification of such may enhance patient-centered care.OBJECTIVETo identify gaps between patient and physician attitudes toward skin cancer outcomes.MATERIALS AND METHODSA single-day, 21-patient, modified, in-person Delphi process to solicit and rate the importance of skin cancer-related outcomes was conducted. Twelve masked dermatologic surgeons rated patient-generated outcomes in a 2-round modified Delphi process. Each item was rated on a 1 to 9 scale (1, least important; 9, most important) using the Qualtrics web platform (Qualtrics, Provo, UT). Results of the physician ratings were compared with the patient ratings.RESULTSA list of 53 skin cancer treatment-related themes and outcomes was generated. Eight items were ranked by physicians as "very high" (>80% importance), 5 as "high" (>70% importance), 19 as intermediate, and 21 as low. The physician and patient panels' ratings were concordant for 56% of items, whereas 7 outcome items showed a 2-category discordance.CONCLUSIONPhysicians and patients were concordant regarding skin cancer treatment on multiple spheres. Areas of discordance include patient fear of unknown future risk, recurrence, or empowering patients to make treatment choices, and may be areas of continued improvement for delivery of patient-centered care.

AB - BACKGROUNDSuccess in skin cancer treatment is determined through outcome measurement. Patients and physicians may prioritize different outcomes of care, and identification of such may enhance patient-centered care.OBJECTIVETo identify gaps between patient and physician attitudes toward skin cancer outcomes.MATERIALS AND METHODSA single-day, 21-patient, modified, in-person Delphi process to solicit and rate the importance of skin cancer-related outcomes was conducted. Twelve masked dermatologic surgeons rated patient-generated outcomes in a 2-round modified Delphi process. Each item was rated on a 1 to 9 scale (1, least important; 9, most important) using the Qualtrics web platform (Qualtrics, Provo, UT). Results of the physician ratings were compared with the patient ratings.RESULTSA list of 53 skin cancer treatment-related themes and outcomes was generated. Eight items were ranked by physicians as "very high" (>80% importance), 5 as "high" (>70% importance), 19 as intermediate, and 21 as low. The physician and patient panels' ratings were concordant for 56% of items, whereas 7 outcome items showed a 2-category discordance.CONCLUSIONPhysicians and patients were concordant regarding skin cancer treatment on multiple spheres. Areas of discordance include patient fear of unknown future risk, recurrence, or empowering patients to make treatment choices, and may be areas of continued improvement for delivery of patient-centered care.

UR - http://www.scopus.com/inward/record.url?scp=85069211802&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069211802&partnerID=8YFLogxK

U2 - 10.1097/DSS.0000000000001835

DO - 10.1097/DSS.0000000000001835

M3 - Article

C2 - 30807387

AN - SCOPUS:85069211802

VL - 45

SP - 869

EP - 874

JO - Dermatologic Surgery

JF - Dermatologic Surgery

SN - 1076-0512

IS - 7

ER -