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    Improving discussion of surgical treatment options for patients with breast cancer: local medical opinion leaders versus audit and performance feedback.

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    Authors
    Guadagnoli, Edward
    Soumerai, Stephen B.
    Gurwitz, Jerry H.
    Borbas, Catherine
    Shapiro, Charles L.
    Weeks, Jane C.
    Morris, Nora
    UMass Chan Affiliations
    Department of Medicine, Division of Geriatric Medicine
    Meyers Primary Care Institute
    Document Type
    Journal Article
    Publication Date
    2000-05-01
    Keywords
    Adult
    Aged
    Cancer Care Facilities
    Communication
    Feedback
    Female
    General Surgery
    Hospital Bed Capacity
    Hospitals, University
    Hospitals, Urban
    Humans
    Informed Consent
    Mastectomy
    Mastectomy, Segmental
    Medical Audit
    Middle Aged
    Minnesota
    Patient Education as Topic
    Peer Group
    Physician-Patient Relations
    Task Performance and Analysis
    Truth Disclosure
    Health Services Research
    Medicine and Health Sciences
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    Link to Full Text
    http://dx.doi.org/10.1023/A:1006475012861
    Abstract
    We studied whether a hospital intervention utilizing medical opinion leaders and performance feedback reduced the proportion of women who reported that surgeons did not discuss options prior to surgery for early stage breast cancer. Opinion leaders provided clinical education to their peers using a variety of strategies and were selected for their ability to influence their peers. Performance feedback involved distributing performance reports that contained data on the outcomes of interest as well as on other treatment patterns. Twenty-eight hospitals in Minnesota were randomized to the intervention or to a control group that received performance feedback only. The proportion of patients at intervention hospitals who said that their surgeon did not discuss options decreased significantly (p < 0.001) from 33% to 17%, but a similar decrease was observed among control hospitals. Using medical opinion leaders to intervene in hospitals appeared as effective as performance feedback.
    Source
    Breast Cancer Res Treat. 2000 May;61(2):171-5.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37336
    PubMed ID
    10942103; 10942103
    Related Resources
    Link to article in PubMed
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    UMass Chan Faculty and Researcher Publications

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