title: Stakeholder perspectives on European priorities for comprehensive liver cancer control: a conjoint analysis.
abstract: BACKGROUND
  As liver cancer incidence and mortality remain high in many parts of Europe, a more comprehensive response is required to reduce the burden. Expert stakeholders should be involved in the design of responses because they have important insights about potentially effective responses and will be affected by policy changes. We aimed to prioritize liver cancer control strategies based on European liver cancer stakeholders' views of which strategies would have the greatest impact in a comprehensive liver cancer control plan.
  
  
  METHODS
  One hundred liver cancer clinical, policy and advocacy stakeholders from France, Germany, Italy, Spain and Turkey were surveyed. Respondents completed 12 conjoint choice tasks in which they chose which of two subsets of 11 strategies would have the greatest impact in their country.
  
  
  RESULTS
  All strategies were considered likely to have a positive impact (P < 0.01). The highest priority strategy was monitoring of at-risk populations, followed by centres of excellence, clinical education, multidisciplinary management, national guidelines, measuring social burden, public awareness, risk assessment and referral, research infrastructure and access to treatments.
  
  
  CONCLUSIONS
  Canvassing stakeholder views through a conjoint analysis survey provided a robust quantitative prioritization that can complement traditional qualitative consultation processes. The prioritized strategies provide a logical starting point for decision makers considering developing national plans or collaborative efforts to achieve comprehensive liver cancer control in Europe.
authors.affiliation: 1 Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Joy
authors.forename: Barri M
authors.initials: BM
authors.lastname: Blauvelt
authors.forename: Murat A
authors.initials: MA
authors.lastname: Tuncer
authors.forename: Michel
authors.initials: M
authors.lastname: Beaugrand
authors.forename: Bruno
authors.initials: B
authors.lastname: Sangro
authors.forename: Massimo
authors.initials: M
authors.lastname: Colombo
authors.forename: John F P
authors.initials: JF
authors.lastname: Bridges
mesh_terms: D055088:Early Detection of Cancer / Q000379:methods; D005060:Europe / Q000453:epidemiology; D019538:Health Care Surveys; D006291:Health Policy; D006292:Health Priorities; D006801:Humans; D008113:Liver Neoplasms / Q000517:prevention & control*; D036301:Qualitative Research