Insert Figure 1 PRISMA Flow chart of the study selection and review process about here
Characteristics of the participants
Eight patients were observed at the outpatient clinic: four patients during their option talk and four patients during their decision talk (see Table 1). Of these patients, four had finished their chemotherapy treatment before surgery, two had no medical history and two also had another oncological disease. Eight healthcare professionals working in the pancreas center at the Radboud University Medical Center were interviewed: four clinicians (an oncologist, a physician assistant, a pancreas surgeon, and a geriatrician), three case managers and one GP (for more details see Table 1). At this outpatient clinic, the surgeon, case manager and GP had supporting roles at the pancreas center, and the oncologist and geriatrician had an advisory role in SDM. Two patients, one female of 53 years and one male of 67 years (with spouse), were interviewed (see Table 1).