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ABSTRACT: Importance
Actinic keratosis (AK) is a skin growth induced by UV light exposure that requires long-term management because a small proportion of the disease can progress to squamous cell carcinoma. The influence of how clinicians frame or present information to patients may affect decision making about AK.Objective
To evaluate the differences in patients' decisions on whether to receive treatment for AK related to information presentation or choice framing.Design, setting, and participants
A prospective survey study was performed from June 1 to July 31, 2016, in participants who were able to read English. Participants were recruited through the Penn State Milton S. Hershey Dermatology Clinic and an online survey site. The survey was conducted through an online portal. A total of 571 individuals were recruited. Regression analysis, correlation coefficient analysis, and test-retest validation were conducted.Main outcomes and measures
The proportions of patients choosing to receive treatment for AK. Analyses were performed to adjust for age, sex, educational level, history of skin cancer, and history of AK.Results
Of the 571 recruited participants, 539 (94.4%) returned completed surveys. The mean (SD) age of respondents was 42.9 (17.8) years; 306 (56.8%) were women. The decision to receive treatment for AK varied from 57.7% (n?=?311) to 92.2% (n?=?497) for the 5 scenarios presented in the questions (P?Conclusions and relevanceThis study found that patients' decisions on whether to receive treatment for AK is significantly affected by physician wording, especially with alterations in the presentation of risk of malignant transformation.
SUBMITTER: Berry K
PROVIDER: S-EPMC5817494 | biostudies-literature | 2017 May
REPOSITORIES: biostudies-literature
Berry Katherine K Butt Melissa M Kirby Joslyn S JS
JAMA dermatology 20170501 5
<h4>Importance</h4>Actinic keratosis (AK) is a skin growth induced by UV light exposure that requires long-term management because a small proportion of the disease can progress to squamous cell carcinoma. The influence of how clinicians frame or present information to patients may affect decision making about AK.<h4>Objective</h4>To evaluate the differences in patients' decisions on whether to receive treatment for AK related to information presentation or choice framing.<h4>Design, setting, an ...[more]