Miles, Anne and Campbell Steele, R.J. and Hutton, G. and Morris, S. (2025) Preferences for treatment outcomes in rectal cancer: a discrete choice experiment among patients and healthy volunteers. Colorectal Disease 27 (2), e70021. ISSN 1462-8910.
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Abstract
Aim: Treatment for rectal cancer can leave patients with a permanent stoma or bowel dysfunction. We examined preferences for treatment outcomes among people with and without rectal cancer. Methods: Our discrete choice experiment examined the effect of risk of cancer recurrence, presence of a stoma, and bowel dysfunction on treatment preferences in 372 rectal cancer patients without a stoma, 269 with a stoma, and 204 people without cancer. Results: Predictors of treatment preferences differed significantly between all groups (p<0.0001). Avoiding a stoma was more important to stoma-naïve groups, while avoiding bowel dysfunction was more important to those with superior function. Reducing risk of recurrence was valued highly, and equally, across the groups. Conclusions: Experience of a stoma or bowel dysfunction resulted in higher tolerance of those treatment outcomes. Hearing from patients living with different treatment outcomes could help prepare newly diagnosed patients, and facilitate informed decision-making, where patients have a choice.
Metadata
| Item Type: | Article |
|---|---|
| School: | Birkbeck Faculties and Schools > Faculty of Science > School of Psychological Sciences |
| Depositing User: | Anne Miles |
| Date Deposited: | 12 Dec 2024 14:04 |
| Last Modified: | 14 Jun 2025 01:51 |
| URI: | https://eprints.bbk.ac.uk/id/eprint/54710 |
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