Lydia Marahrens|Raimar Kern|Tjalf Ziemssen|Andreas Fritsche|Peter Martus|Focke Ziemssen|Daniel Roeck
Patients’ preferences for involvement in the decision-making process for treating diabetic retinopathy
University of Tübingen|University Hospital Carl Gustav Carus|University Hospital Carl Gustav Carus|German Center for Diabetes Research|Heinrich Heine University Düsseldorf|Deutsches Diabetes-Zentrum e.V.|University of Tübingen|University of Tübingen|University of Tübingen
assess factors associated preferred role attending ophthalmologist decisionmaking processes treating diabetic retinopathy drcrosssectional study 810 adults attending secondary diabetes care centers nct02311504 diabetes patients classified using validated questionnaire ophthalmologistdominant decisionmaking odm shared decisionmaking sdm patientdominant decisionmaking pdm style multivariate logistic regression performed determine factors associated decisionmaking processa majority 743 patients preferred sdm ophthalmologist patient 174 patients wanted odm delegating decisionmaking process ophthalmologist 83 preferred autonomous style pdm patients wanting odm older 12 per decade p 0013 lower level education 14 p 0001 higher frequency consultations per year 13 p 0022 patients better basic knowledge dr memorizing hba1c level showed higher propensity sdm 11 p 0037 patients wanting pdm significantly higher education 13 p 0036 greater desire receiving information selfhelp groups 13 p 0015the first evaluation general patient wishes treatment dr confirmed concept sdm favored three quarters particular older patients low educational attainment wanted delegate decisionmaking process ophthalmologist amelioration ophthalmologic education diabetic programs might take patients propensity sdm regardless decisionmaking group nearly patients wanted medical scientific information transferred shared ophthalmologistthe study registered wwwclinicaltrialsgov identifier nct02311504 december 4th 2014