Détermination des éléments constitutifs obligatoires, nécessaires et indispensables d’un outil en ligne d’aide à la décision partagée pour le dépistage organisé du cancer du sein destiné aux femmes et aux professionnels de santé (Mammoclic) par méthodes de consensus

Abstract : Objective: The controversial benefits/risks balance of organized breast cancer screening (OBCS) and the lack of information provided to patients on the subject justify the creation of a french Shared Decision Support Tool (SDST) on OBCS. It would deliver complete and objective information on the OBCS. The objective was to determine the constituent and essential elements of a SDST on OBCS accessible to women and healthcare professionals, from a healthcare professionals perspectives. Method: this semi-quantitative study consisted in a mixed consensus methods : nominal group followed by Delphi rounds. The experts were healthcare professionals with recognized legitimacy and different opinions on the OBCS. The propositions deemed relevant without disagreement between the experts were retained. Results: Six experts participated in the 1st vote realized during a nominal group, 2 experts were added to the previous ones for the 2nd and 3rd votes realized in Delphi rounds. Of the 101 propositions, 86 were deemed relevant without disagreement. The propositions concerned the following themes: screening and its modalities, general information on breast cancer, advantages/disadvantages of screening, the various options, scientific uncertainties, quality of the information delivered and features of the tool. Five proposals remained controversial and 9 were eliminated. Conclusion: The validate propositions respect certification criteria of an SDST of the International Patients Aid Standards Collaboration. Further works will be necessary to finalize the OADP. These provisional results do not prejudge the definitive content of Mammoclic.
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Master Thesis
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Marie Amélie Agier, Lucinda das Neves Domingues. Détermination des éléments constitutifs obligatoires, nécessaires et indispensables d’un outil en ligne d’aide à la décision partagée pour le dépistage organisé du cancer du sein destiné aux femmes et aux professionnels de santé (Mammoclic) par méthodes de consensus. Médecine humaine et pathologie. 2018. ⟨dumas-01960732⟩

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