As surgery being the primary mode of treatment for most of the cancers (e.g. breast cancer), surgeons play an important role in referring those patients to oncologists. This study examine decision making process of surgeons.
Methods: A qualitative study, grounded theory. In-depth, semi structured interviews. Interviews of 34 surgeons, audio taped and transcribed. It is filled by the process of coding and analyzing.
Decisions related to (neo)adjuvant treatment are somehow related to patient factors (e.g., functional status/comorbidities, life expectancy, and risk of disease recurrence), surgeon factors (e.g., level of training/specialization, personal beliefs [52,83]), considerations of treatment benefits and risks, and the broader health system in which they operate.
Qualitative data “document the world from the point of view of the people studied”. Grounded theory is “grounded” in the sense that findings tend to be inductively derived from the data and the participants themselves.
Theory building is entirely inductive (or deductive); instead, theory building occurs in an ongoing dialogue between pre-existing theory and new observations/insights generated from empirical research. The Penchanksy and Thomas model for open ended questions. (continues..)
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