What do patients and dermatologists prefer regarding low-risk basal cell carcinoma follow-up care? A discrete choice experiment

Background Follow-up after low-risk basal cell carcinoma (BCC) is being provided more frequently than recommended by guidelines. To design an acceptable strategy to successfully reduce this ‘low-value’ care, it is important to obtain insights into the preferences of patients and dermatologists. Objective To determine the preferences and needs of patients and dermatologists to reduce low-risk BCC follow-up care, and the trade-offs they are willing to make. Methods A questionnaire including a discrete choice experiment was created, containing attributes regarding amount of follow-up, continuity of care, method of providing addition information, type of healthcare provider, duration of follow-up visits and skin examination. In total, 371 BCC patients and all Dutch dermatologists and dermatology residents (n = 620) were invited to complete the questionnaire. A panel latent class model was used for analysis. Results Eighty-four dermatologists and 266 BCC patients (21% and 72% response rates respectively) completed the discrete choice experiment. If the post-treatment visit was performed by the same person as treatment provider and a hand-out was provided to patients containing personalised information, the acceptance of having no additional follow-up visits (i.e. following the guidelines) would increase from 55% to 77% by patients. Female patients and older dermatologists, however, are less willing to accept the guidelines and prefer additional follow-up visits. Limitations The low response rate of dermatologists. Conclusion This discrete choice experiment revealed a feasible strategy to substantially reduce costs, while maintaining quality of care, based on the preferences and needs of BCC patients, which is supported by dermatologists.

• Autores: van EgmondI, Sven; De Vries, Esther; Hollestein, Loes; Bastiaens, Maarten; De Roos, Peter; Kuijpers, Danielle; Steyerberg, Ewout; Wakkee, Marlies; Mosterd, Klara; Nijsten, Tamar; de Bekker-Grob, Esther W.
• Tipo de recurso: Article of investigation
• Fecha de publicación: 2021
• Institución: Pontificia Universidad Javeriana
• Repositorio: Repositorio Universidad Javeriana
• Idioma: eng
• OAI Identifier: oai:repository.javeriana.edu.co:10554/59674
• Acceso en línea: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0249298; http://hdl.handle.net/10554/59674; https://doi.org/10.1371/journal.pone.0249298
• Palabra clave: Pacientes; Dermatólogos; Carcinoma; Experimento de elección discreta; Carcinoma; A discrete choice experiment; Dermatologists
• License: Atribución-NoComercial 4.0 Internacional