The current evidence for factors that influence treatment decision making in localized kidney cancer: a mixed methods systematic review
Open accessAbstract
Purpose With a growing number of treatment options for localized kidney cancer, patients and health care professionals have both the opportunity and the burden of selecting the most suitable management option. This mixed method systematic review aims to understand the barriers and facilitators of the treatment decision making process in localized kidney cancer. Materials and methods We searched PubMed®, Embase® and Cochrane Central databases between January 1, 2004 and April 23, 2020 using the Joanna Briggs Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Review and Meta-analysis statement. We identified 553 unique citations; of these, 511 were excluded resulting in 42 articles included for synthesis. The Purpose, Respondents, Explanation, Findings and Significance and the Strengthening the Reporting of Observational Studies in Epidemiology checklist was applied. Results The key themes describing barriers and facilitators to treatment decision making were identified and categorized into 3 domains: 1) kidney cancer specific characteristics, 2) decision maker related criteria and 3) contextual factors. The main facilitators identified within these domains were size at diagnosis, age, comorbidities, body mass index, gender, nephrometry scoring systems, biopsy, socioeconomic status, family history of cancer, year of diagnosis, geographic region and practice pattern. The key barriers were race, gender, patient anxiety, low confidence in diagnostic and…
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Beyer et al found that education and SES were identified as barriers to HP making equitable treatment decisions.
“Beyer et al 20 explored factors that influence treatment decisions in localised kidney cancer and found that education and SES, were identified as barriers to HP making equitable treatment decisions.”
From Health professionals implicit bias of patients with low socioeconomic status (SES) and its effects on clinical decision-making: a scoping review (2024) · cites this paper as [20]
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“Beyer et al 20 explored factors that influence treatment decisions in localised kidney cancer and found that education and SES, were identified as barriers to HP making equitable treatment decisions.”
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- Authors
- Beyer, K., Barod, R., Fox, L., Van Hemelrijck, M., & Kinsella, N.
- Affiliations
- King's College London (GB)
- The Royal Free Hospital (GB)
- Translational Oncology and Urology Research (TOUR), King's College London, London, UK
- Venue
- Journal of Urology
- Published
- 2021-10
- Volume
- 206
- Issue
- 4
- Pages
- 827-839
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W3167420072
- Cited by
- 19
- References
- 0
- Citations by year
- 2026: 6 · 2025: 1 · 2024: 8 · 2023: 2 · 2022: 2
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- The Journal of Urology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal cell carcinoma treatment
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Surgery › Bladder and Urothelial Cancer Treatments
- Keywords
- localized renal cell carcinoma, treatment decision-making, barriers and facilitators, partial nephrectomy, patient anxiety, socioeconomic status, comorbidities, clinical practice patterns, patient experience
- MeSH terms
- Clinical Decision-Making, Decision Making, Shared, Biopsy, Communication, Decision Making, Humans, Kidney, Kidney Neoplasms, Medical History Taking, Nephrectomy, Physician-Patient Relations, Socioeconomic Factors, Tumor Burden, Observational Studies as Topic
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