eprintid: 10045712
rev_number: 30
eprint_status: archive
userid: 608
dir: disk0/10/04/57/12
datestamp: 2018-03-27 08:40:08
lastmod: 2021-12-02 00:22:28
status_changed: 2018-03-27 08:40:08
type: article
metadata_visibility: show
creators_name: Vallejo-Torres, L
creators_name: Melnychuk, M
creators_name: Vindrola-Padros, C
creators_name: Aitchison, M
creators_name: Clarke, CS
creators_name: Fulop, NJ
creators_name: Hines, J
creators_name: Levermore, C
creators_name: Maddineni, SB
creators_name: Perry, C
creators_name: Pritchard-Jones, K
creators_name: Ramsay, AIG
creators_name: Shackley, DC
creators_name: Morris, S
title: Discrete-choice experiment to analyse preferences for centralizing specialist cancer surgery services
ispublished: pub
subjects: RFH
subjects: UCH
divisions: UCL
divisions: B02
divisions: C10
divisions: D16
divisions: G88
divisions: D12
divisions: G21
divisions: G20
divisions: D13
divisions: G22
note: Copyright © 2018 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in
any medium, provided the original work is properly cited and is not used for commercial purposes.
abstract: BACKGROUND: Centralizing specialist cancer surgery services aims to reduce variations in quality of care and improve patient outcomes, but increases travel demands on patients and families. This study aimed to evaluate preferences of patients, health professionals and members of the public for the characteristics associated with centralization. METHODS: A discrete-choice experiment was conducted, using paper and electronic surveys. Participants comprised: former and current patients (at any stage of treatment) with prostate, bladder, kidney or oesophagogastric cancer who previously participated in the National Cancer Patient Experience Survey; health professionals with experience of cancer care (11 types including surgeons, nurses and oncologists); and members of the public. Choice scenarios were based on the following attributes: travel time to hospital, risk of serious complications, risk of death, annual number of operations at the centre, access to a specialist multidisciplinary team (MDT) and specialist surgeon cover after surgery. RESULTS: Responses were obtained from 444 individuals (206 patients, 111 health professionals and 127 members of the public). The response rate was 52·8 per cent for the patient sample; it was unknown for the other groups as the survey was distributed via multiple overlapping methods. Preferences were particularly influenced by risk of complications, risk of death and access to a specialist MDT. Participants were willing to travel, on average, 75 min longer in order to reduce their risk of complications by 1 per cent, and over 5 h longer to reduce risk of death by 1 per cent. Findings were similar across groups. CONCLUSION: Respondents' preferences in this selected sample were consistent with centralization.
date: 2018-03-07
date_type: published
official_url: http://doi.org/10.1002/bjs.10761
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1541638
doi: 10.1002/bjs.10761
lyricists_name: Clarke, Caroline
lyricists_name: Fulop, Naomi
lyricists_name: Morris, Stephen
lyricists_name: Pritchard-Jones, Kathryn
lyricists_name: Ramsay, Angus
lyricists_name: Vindrola, Cecilia
lyricists_id: CSCLA53
lyricists_id: NJFUL94
lyricists_id: SMORR08
lyricists_id: KPPRI20
lyricists_id: ARAMS39
lyricists_id: CVIND44
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: British Journal of Surgery
event_location: England
issn: 1365-2168
citation:        Vallejo-Torres, L;    Melnychuk, M;    Vindrola-Padros, C;    Aitchison, M;    Clarke, CS;    Fulop, NJ;    Hines, J;                             ... Morris, S; + view all <#>        Vallejo-Torres, L;  Melnychuk, M;  Vindrola-Padros, C;  Aitchison, M;  Clarke, CS;  Fulop, NJ;  Hines, J;  Levermore, C;  Maddineni, SB;  Perry, C;  Pritchard-Jones, K;  Ramsay, AIG;  Shackley, DC;  Morris, S;   - view fewer <#>    (2018)    Discrete-choice experiment to analyse preferences for centralizing specialist cancer surgery services.                   British Journal of Surgery        10.1002/bjs.10761 <https://doi.org/10.1002/bjs.10761>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10045712/1/Vallejo-Torres_et_al-2018-BJS.pdf