The 'roulette wheel': A new tool to help patients make difficult treatment decisions

Researchers at the University of California have developed an innovative new visual tool to help patients decide among different treatment options.

The new tool, described in PLoS Medicine, presents the risks and benefits of these different options in the form of a roulette wheel. The patient spins the wheel, and can then directly visualize the chances of a particular treatment leading to benefit or harm.

The researchers, led by Jerome Hoffman, show how the roulette wheel could help a healthy 65-year old man decide whether or not to be screened for prostate cancer (the screening test is a blood test called the PSA).

By spinning the roulette wheel, the man sees that if he decides to get a PSA test, he may slightly lower his risk of dying from prostate cancer but he also greatly increases the chances of becoming incontinent and/or impotent from prostate cancer treatment. The roulette wheel shows him that his chances of developing symptoms of prostate cancer are very small, whether or not he gets screened.

"Shared decision making has largely been adopted as an ideal way for physicians and patients to join together whenever there are decisions that need to be made about management of health care issues," say the researchers.

But one of the problems with shared decision making, they say, is that physicians have traditionally presented the risks and benefits of different treatments in the form of numbers, which many people have trouble understanding. "It is hard for anyone to comprehend the difference between a 7% chance and an 8% chance," they say, "and this is exacerbated when we try to deal in more extreme probabilities, such as 3 in 10,000."

The researchers believe that the roulette wheel could be an important advance in shared decision making because patients are offered visual--rather than numerical--displays of the probability of benefits and harms.


Contact: Andrew Hyde
Public Library of Science

Page: 1

Related medicine news :

1. Fluctuating eye pressure associated with visual field deterioration in glaucoma patients
2. Comparison of obstetric outcomes between on-call and patients own obstetricians
3. Researchers find vitamin B1 deficiency key to vascular problems for diabetic patients
4. Stem cell transplantation procedure results in long-term survival for amyloidosis patients
5. Happier hospitals means healthier patients
6. Many heart attack patients still not getting emergency clot-busting treatment
7. HealthGrades study: Bariatric surgery patients have fewer complications at high-volume hospitals
8. 6 out of 10 doctors arent frustrated that patients cant lower cholesterol
9. Program announced to improve care in developing areas for patients with blood disorders
10. When minority patients have insurance and a medical home, their health care improves
11. Intensive-care patients with alcohol problems are more likely to require mechanical ventilation

Post Your Comments:

(Date:6/27/2016)... ... 27, 2016 , ... "FCPX editors can now reveal their media with growing ... said Christina Austin - CEO of Pixel Film Studios. , ProSlice Color brings ... users can now reveal the media of their split screens with growing colorful panels. ...
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating ... many ways they remain in the eye of the beholder, according to experts who ... of The American Journal of Managed Care. For the full issue, click here ...
(Date:6/26/2016)... Orion, Clarkston, Michigan (PRWEB) , ... June 26, ... ... with respect to fertility once they have been diagnosed with endometriosis. These women ... intercourse but they also require a comprehensive approach that can help for preservation ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... ... the United States, named Dr. Sesan Ogunleye, as the Medical Director of its new ... the facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published ... unfamiliar with. The article goes on to state that individuals are now more comfortable ... less common operations such as calf and cheek reduction. The Los Angeles area medical ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016  In a startling report released today, National Safety ... lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... how states are tackling the worst drug crisis in recorded U.S. ... Kentucky , New Mexico , ... Of the 28 failing states, three – Michigan ...
(Date:6/23/2016)... June 23, 2016 Capricor ... ), a biotechnology company focused on the discovery, ... that patient enrollment in its ongoing randomized HOPE-Duchenne ... exceeded 50% of its 24-patient target. Capricor expects ... third quarter of 2016, and to report top ...
(Date:6/23/2016)... , June 23, 2016 , ... on Thursday, July 7, 2016 , , , , LOCATION: ... , , , , EXPERT PANELISTS:  , , , ... Senior Industry Analyst, Christi Bird; Senior Industry Analyst, Divyaa Ravishankar and ... The global pharmaceutical industry is witnessing an exceptional era. ...
Breaking Medicine Technology:
Cached News: