Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jan;33(12):2242-2256.
doi: 10.1007/s12325-016-0436-0. Epub 2016 Nov 2.

Preferences Regarding Shared Decision-Making in Japanese Inflammatory Bowel Disease Patients

Ryuji Morishige  1 , Hiroshi Nakajima  1 , Kazutake Yoshizawa  1 , Jörg Mahlich  2   3 , Rosarin Sruamsiri  4   5
Affiliations

Preferences Regarding Shared Decision-Making in Japanese Inflammatory Bowel Disease Patients

Ryuji Morishige et al. Adv Ther. 2017 Jan.

Abstract

Introduction: Recent studies have indicated that patients are showing increased interest in playing a larger role in making decisions regarding their medical treatment. Inflammatory bowel disease (IBD) is a chronic disease that manifests either as Crohn's disease (CD) or ulcerative colitis (UC). IBD treatment is multifaceted and dependent on patient-specific factors. The selection of treatment options is mostly driven by physicians, and it is unclear to what degree patients are involved in shared decision-making (SDM). The objective of the current study is to assess preferences among Japanese patients with IBD in regard to SDM during their treatment for IBD.

Methods: A nationwide web-based survey was performed in Japan during February 2016. The patients were asked for their basic clinical characteristics, socioeconomic status, medical history, treatment details, and preferences regarding SDM in IBD treatment. Differences were analyzed by chi-square, t tests, a multiple regression analysis, and ordered logistic regression analysis.

Results: In response to the screening survey, a total of 1068 Japanese nationals met the inclusion criteria for this study of being patients diagnosed with IBD who are currently receiving treatment. Of these, 235 had CD and 800 UC; 33 were not specified. Overall, the majority of these patients felt that SDM was very important. Furthermore, interest in SDM was strongly associated with certain disease comorbidities, surgical history, and current treatment, although there were some differences in the results between CD and UC.

Conclusion: The present study found that the majority of IBD patients in Japan wanted to have a role in their treatment plan. The results indicate that the patient's preference in regard to SDM was driven by their perception of the severity or progression of their disease.

Funding: Janssen Pharmaceuticals.

Keywords: Gastroenterology; Inflammatory bowel disease; Japan; Patient preferences; Shared decision making.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Patient flow in this study. IBD inflammatory bowel disease, UC ulcerative colitis, CD Crohn’s disease
Fig. 2
Fig. 2
Distribution of the patients’ preferences regarding shared decision making; a patients’ preferences with three levels of discrimination and b patients’ preferences with two levels of discrimination
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Alden DLMM, Akashi J. Young adult preferences for physician decision-making style in Japan and the United States. Asia Pac J Public Health. 2012;24(1):173–184. doi: 10.1177/1010539510365098. - DOI - PubMed
    1. Cella D, Nichol MB, Eton D, Nelson JB, Mulani P. Estimating clinically meaningful changes for the functional assessment of cancer therapy—prostate: results from a clinical trial of patients with metastatic hormone-refractory prostate cancer. Value Health J Int Soc Pharmacoecon Outcomes Res. 2009;12(1):124–129. doi: 10.1111/j.1524-4733.2008.00409.x. - DOI - PubMed
    1. Chan CM, Ahmad WA. Differences in physician attitudes towards patient-centredness: across four medical specialties. Int J Clin Pract. 2012;66(1):16–20. doi: 10.1111/j.1742-1241.2011.02831.x. - DOI - PubMed
    1. Degner LFSJ, Venkatesh P. The control preferences scale. Can J Nurs Res. 1997;29(3):21–43. - PubMed
    1. Flynn KE, Smith MA, Vanness D. A typology of preferences for participation in healthcare decision making. Soc Sci Med (1982). 2006;63(5):1158–1169. doi: 10.1016/j.socscimed.2006.03.030. - DOI - PMC - PubMed