Patient-reported factors that influence the vestibular schwannoma treatment decision: a qualitative study

O. M. Neve*, G. Soulier, M. Hendriksma, A. G.L. van der Mey, A. van Linge, P. P.G. van Benthem, E. F. Hensen, A. M. Stiggelbout

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)

Abstract

Purpose: In cases of small- to medium-sized vestibular schwannomas, three management strategies can be opted for: active surveillance, surgery or radiotherapy. In these cases, the patient’s preference is pivotal in decision-making. The aim of this study was to identify factors that influence a patient’s decision for a particular management strategy. Methods: A qualitative inductive thematic analysis was performed based on semi-structured interviews. Eighteen patients with small- to medium-sized vestibular schwannomas were interviewed. All patients were diagnosed or treated at one of the two participating university medical centers in the Netherlands. Results: Ten themes were identified that influenced the decision, classified as either medical or patient-related. The medical themes that emerged were: tumor characteristics, the physician’s recommendation, treatment outcomes and the perceived center’s experience. The patient-related themes were: personal characteristics, anxiety, experiences, cognitions, logistics and trust in the physician. Conclusion: Knowledge of the factors that influence decision-making helps physicians to tailor their consultations to arrive at a true shared decision on vestibular schwannoma management.

Original languageEnglish
Pages (from-to)3237-3244
Number of pages8
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume278
Issue number9
DOIs
Publication statusPublished - 7 Oct 2020

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