IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v33y2013i1p59-70.html
   My bibliography  Save this article

Patients’ Preferences and Priorities Regarding Colorectal Cancer Screening

Author

Listed:
  • James G. Dolan
  • Emily Boohaker
  • Jeroan Allison
  • Thomas F. Imperiale

Abstract

Background . US colorectal cancer screening guidelines for people at average risk for colorectal cancer endorse multiple screening options and recommend that screening decisions reflect individual patient preferences. Methods . The authors used the analytic hierarchy process (AHP) to ascertain decision priorities of people at average risk for colorectal cancer attending primary care practices in Rochester, New York; Birmingham, Alabama; and Indianapolis, Indiana. The analysis included 4 decision criteria, 3 subcriteria, and 10 options. Results . Four hundred eighty-four people completed the study; 66% were female, 49% were African American, 9% had low literacy skills, and 27% had low numeracy skills. Overall, preventing cancer was given the highest priority (mean priority 55%), followed by avoiding screening test side effects (mean priority 17%), minimizing false-positive test results (mean priority 15%), and the combined priority of screening frequency, test preparation, and the test procedure(s) (mean priority 14%). Hierarchical cluster analysis revealed 6 distinct priority groupings containing multiple instances of decision priorities that differed from the average value by a factor of 4 or more. More than 90% of the study participants fully understood the concepts involved, 79% met AHP analysis quality standards, and 88% were willing to use similar methods to help make important health care decisions. Conclusion . These results highlight the need to facilitate incorporation of patient preferences into colorectal cancer screening decisions. The large number of study participants able and willing to perform the complex AHP analysis used for this study suggests that the AHP is a useful tool for identifying the patient-specific priorities needed to ensure that screening decisions appropriately reflect individual patient preferences.

Suggested Citation

  • James G. Dolan & Emily Boohaker & Jeroan Allison & Thomas F. Imperiale, 2013. "Patients’ Preferences and Priorities Regarding Colorectal Cancer Screening," Medical Decision Making, , vol. 33(1), pages 59-70, January.
  • Handle: RePEc:sae:medema:v:33:y:2013:i:1:p:59-70
    DOI: 10.1177/0272989X12453502
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X12453502
    Download Restriction: no

    File URL: https://libkey.io/10.1177/0272989X12453502?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. JosÉ Figueira & Salvatore Greco & Matthias Ehrogott, 2005. "Multiple Criteria Decision Analysis: State of the Art Surveys," International Series in Operations Research and Management Science, Springer, number 978-0-387-23081-8, April.
    2. Liberatore, Matthew J. & Nydick, Robert L., 2008. "The analytic hierarchy process in medical and health care decision making: A literature review," European Journal of Operational Research, Elsevier, vol. 189(1), pages 194-207, August.
    3. Jyrki Wallenius & James S. Dyer & Peter C. Fishburn & Ralph E. Steuer & Stanley Zionts & Kalyanmoy Deb, 2008. "Multiple Criteria Decision Making, Multiattribute Utility Theory: Recent Accomplishments and What Lies Ahead," Management Science, INFORMS, vol. 54(7), pages 1336-1349, July.
    4. Ernest H. Forman & Saul I. Gass, 2001. "The Analytic Hierarchy Process---An Exposition," Operations Research, INFORMS, vol. 49(4), pages 469-486, August.
    5. Vaidya, Omkarprasad S. & Kumar, Sushil, 2006. "Analytic hierarchy process: An overview of applications," European Journal of Operational Research, Elsevier, vol. 169(1), pages 1-29, February.
    6. Thomas L. Saaty, 1994. "How to Make a Decision: The Analytic Hierarchy Process," Interfaces, INFORMS, vol. 24(6), pages 19-43, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Holly O. Witteman & Ruth Ndjaboue & Gratianne Vaisson & Selma Chipenda Dansokho & Bob Arnold & John F. P. Bridges & Sandrine Comeau & Angela Fagerlin & Teresa Gavaruzzi & Melina Marcoux & Arwen Pieter, 2021. "Clarifying Values: An Updated and Expanded Systematic Review and Meta-Analysis," Medical Decision Making, , vol. 41(7), pages 801-820, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. James Dolan, 2010. "Multi-Criteria Clinical Decision Support," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 3(4), pages 229-248, December.
    2. Wenshuai Wu & Gang Kou, 2016. "A group consensus model for evaluating real estate investment alternatives," Financial Innovation, Springer;Southwestern University of Finance and Economics, vol. 2(1), pages 1-10, December.
    3. Zsuzsanna Katalin Szabo & Zsombor Szádoczki & Sándor Bozóki & Gabriela C. Stănciulescu & Dalma Szabo, 2021. "An Analytic Hierarchy Process Approach for Prioritisation of Strategic Objectives of Sustainable Development," Sustainability, MDPI, vol. 13(4), pages 1-26, February.
    4. Hocine, Amine & Kouaissah, Noureddine, 2020. "XOR analytic hierarchy process and its application in the renewable energy sector," Omega, Elsevier, vol. 97(C).
    5. A Ishizaka & D Balkenborg & T Kaplan, 2011. "Influence of aggregation and measurement scale on ranking a compromise alternative in AHP," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 62(4), pages 700-710, April.
    6. Ouesleti, Bilel & Costa-Font, Montserrat & Kallas, Zein & Chema Gil, Jose Maria, 2015. "Determinant Factors Affecting The Point of Purchase Selection: valuation and Perceptions," 2015 Conference, August 9-14, 2015, Milan, Italy 212603, International Association of Agricultural Economists.
    7. Govindan, Kannan & Jepsen, Martin Brandt, 2016. "ELECTRE: A comprehensive literature review on methodologies and applications," European Journal of Operational Research, Elsevier, vol. 250(1), pages 1-29.
    8. Matthew Liberatore & Robert Nydick & Constantine Daskalakis & Elisabeth Kunkel & James Cocroft & Ronald Myers, 2009. "Helping Men Decide About Scheduling a Prostate Cancer Screening Exam," Interfaces, INFORMS, vol. 39(3), pages 209-217, June.
    9. A Ishizaka & D Balkenborg & T Kaplan, 2011. "Does AHP help us make a choice? An experimental evaluation," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 62(10), pages 1801-1812, October.
    10. James G. Dolan & Emily Boohaker & Jeroan Allison & Thomas F. Imperiale, 2014. "Can Streamlined Multicriteria Decision Analysis Be Used to Implement Shared Decision Making for Colorectal Cancer Screening?," Medical Decision Making, , vol. 34(6), pages 746-755, August.
    11. Efthimios Bakogiannis & Thanos Vlastos & Konstantinos Athanasopoulos & Avgi Vassi & Georgia Christodoulopoulou & Christos Karolemeas & Stefanos Tsigdinos & Charalampos Kyriakidis & Maria-Stella Noutso, 2020. "Exploring Motivators and Deterrents of Cycling Tourism Using Qualitative Social Research Methods and Participative Analytical Hierarchy Process (AHP)," Sustainability, MDPI, vol. 12(6), pages 1-15, March.
    12. Wolfgang Ossadnik & Stefanie Schinke & Ralf H. Kaspar, 2016. "Group Aggregation Techniques for Analytic Hierarchy Process and Analytic Network Process: A Comparative Analysis," Group Decision and Negotiation, Springer, vol. 25(2), pages 421-457, March.
    13. Thomas L. Saaty, 2013. "The Modern Science of Multicriteria Decision Making and Its Practical Applications: The AHP/ANP Approach," Operations Research, INFORMS, vol. 61(5), pages 1101-1118, October.
    14. Rubio-Aliaga, Alvaro & García-Cascales, M. Socorro & Sánchez-Lozano, Juan Miguel & Molina-Garcia, Angel, 2021. "MCDM-based multidimensional approach for selection of optimal groundwater pumping systems: Design and case example," Renewable Energy, Elsevier, vol. 163(C), pages 213-224.
    15. J Aznar & J Ferrís-Oñate & F Guijarro, 2010. "An ANP framework for property pricing combining quantitative and qualitative attributes," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(5), pages 740-755, May.
    16. Koray Altintas & Ozalp Vayvay & Sinan Apak & Emine Cobanoglu, 2020. "An Extended GRA Method Integrated with Fuzzy AHP to Construct a Multidimensional Index for Ranking Overall Energy Sustainability Performances," Sustainability, MDPI, vol. 12(4), pages 1-21, February.
    17. Hongxun Xiang & Xia Heng & Boleng Zhai & Lichen Yang, 2024. "Digital and Culture: Towards More Resilient Urban Community Governance," Land, MDPI, vol. 13(6), pages 1-18, May.
    18. Concetta Manuela La Fata & Toni Lupo & Tommaso Piazza, 2019. "Service quality benchmarking via a novel approach based on fuzzy ELECTRE III and IPA: an empirical case involving the Italian public healthcare context," Health Care Management Science, Springer, vol. 22(1), pages 106-120, March.
    19. Xue Ding & Mengling Qin & Linsen Yin & Dayong Lv & Yao Bai, 2023. "Research on FinTech Talent Evaluation Index System and Recruitment Strategy: Evidence From Shanghai in China," SAGE Open, , vol. 13(4), pages 21582440231, November.
    20. Zhu, Bin & Xu, Zeshui, 2014. "Analytic hierarchy process-hesitant group decision making," European Journal of Operational Research, Elsevier, vol. 239(3), pages 794-801.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:33:y:2013:i:1:p:59-70. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.