A longitudinal study of changes in provider–patient interaction in treatment of localized prostate cancer

Ernstmann, Nicole; Ommen, Oliver; Kowalski, Christoph; Neumann, Melanie; Visser, Adriaan; Pfaff, Holger; Weißbach, L.

doi:10.1007/s00520-011-1151-7

Cited by 6 publications

(7 citation statements)

References 28 publications

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“…urinary incontinence, LUTS or sexual dysfunction. Those symptoms and side‐effects might cause decisional regret about the RP and might lead to a more critical appraisal of physicians’ communication behaviour . Differences in the baseline scores between subscales continued over time, with information having the highest scores and devotion having the lowest scores.…”

Section: Discussionmentioning

confidence: 99%

“…urinary incontinence, LUTS or sexual dysfunction. Those symptoms and side-effects might cause decisional regret about the RP and might lead to a more critical appraisal of physicians' communication behaviour [38]. Differences in the baseline scores between subscales continued According to communication theories, the most probable explanation for such associations would be the 'cognitive pathway' linking aspects of communication to patients' outcomes [35].…”

Section: Discussionmentioning

confidence: 99%

“…Agreement with all items was measured by four answer categories, ranging from totally disagree (i), rather disagree (ii), rather agree (iii), to totally agree (iv). The items have been described in prior HAROW publications . As an indicator for risk of progression D'Amico risk categories were defined based on PSA level, tumour staging, and Gleason Score .…”

Section: Methodsmentioning

confidence: 99%

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Patient–physician communication and health‐related quality of life of patients with localised prostate cancer undergoing radical prostatectomy – a longitudinal multilevel analysis

Ernstmann

Weißbach²,

Herden

et al. 2016

BJU International

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Patient–physician communication and health‐related quality of life of patients with localised prostate cancer undergoing radical prostatectomy – a longitudinal multilevel analysis

Ernstmann

Weißbach²,

Herden

et al. 2016

BJU International

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“…Most studies looking at how prostate cancer treatment decisions are made have focused on the process between the patient and the health care provider (Davison et al, 2009; Ernstmann et al, 2012; Underwood et al, 2010; Zikmund-Fisher et al, 2010). Fewer studies have looked at the decision process of patients and their partners (Boehmer & Clark, 2001; Schumm et al, 2010; Zeliadt et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Is “Active Surveillance” an Acceptable Alternative?: A Qualitative Study of Couples’ Decision Making about Early-Stage, Localized Prostate Cancer

Le¹,

McFall²,

Byrd³

et al. 2016

Narrative Inquiry in Bioethics

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The objective of our study was to describe decision making by men and their partners regarding active surveillance (AS) or treatment for early-stage, localized prostate cancer. Fifteen couples were recruited from a Cancer center multispecialty clinic, which gave full information about all options, including AS. Data were collected via individual, semi-structured telephone interviews. Most patients were white, non-Hispanic, had private insurance, had completed at least some college, and were aged 49–72 years. Ten chose AS. All partners were female, and couples reported strong marital satisfaction and cohesion. All couples described similar sequences of a highly emotional initial reaction and desire to be rid of the cancer, information seeking, and decision making. The choice of AS was built on a nuanced evaluation of the man's condition in which the couple differentiated prostate cancer from other cancers and early stage from later stages, wanted to avoid/delay side effects, and trusted the AS protocol to identify negative changes in time for successful treatment. Treated couples continued to want immediate treatment to remove the cancer. We concluded that having a partner's support for AS may help a man feel more comfortable with choosing and adhering to AS. Using decision aids that address both a man's and his partner's concerns regarding AS may increase its acceptability. Our research shows that some patients want to and do involve their partners in the decision-making process. Ethical issues are related to the tension between desire for partner involvement and the importance of the patient as autonomous decision-maker. The extended period of decision making, particularly for AS, is also an ethical issue that requires additional support for patients and couples in the making of fully informed choices that includes AS.

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“…, and informed consent. For each patient, the initial information is documented (t 0 ); every 6 months thereafter, a follow-up documentation is then conducted, in which data are collected again regarding the general health of the participant, tumor stage, quality of life, doctor-patient interaction, and treatment satisfaction [31]. Four questions measure patient information about possible treatment options, rehabilitation options, self-help groups, and obtaining a second medical opinion.…”

Section: Research Questionmentioning

confidence: 99%

Localized Prostate Cancer Patients’ Information in Urology Outpatient Practice—Results of a Nationwide Prospective Study in Germany

Jaeger¹,

Weißbach²,

Pfaff³

et al. 2013

JCT

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Purpose: Many studies demonstrate the importance of an empathic communication with prostate cancer patients and show various information needs. Most of the studies are cross sectional. The present analysis aims to 1) provide detailed prospective data on the actual quality of patient information provided by urologists in private practice in Germany; and 2) explore sociodemographic, communicative, and health-and treatment related determinants of the quality of provider-patient-communication. Methods: HAROW is a prospective, observational study designed to collect clinical data and patient reported outcomes of different treatment options (hormonal therapy, active surveillance, radiation, operation, watchful waiting) for newly diagnosed patients with localized prostate cancer under real conditions. At 6-month intervals, general clinical data, patient reported outcomes and patients' assessment of patient-physician-communication are documented. A total of 1893 questionnaires at t 0 (initial diagnosis) and t 1 (six months after diagnosis) were analyzed. A linear regression model was estimated. Results: The mean age of the men was 68.38 years, and most lived with their spouse or partner (94.1%). Most patients were informed about treatment options (t 0 96%, t 1 93.2%), but much fewer received information about self-help groups (t 0 36.4%, t 1 45.8%), rehabilitation (t 0 59.9%, t 1 68%), and second medical opinion (t 0 57.2%, t 1 59.3%). Older men (p = 0.02) and men living alone (p = 0.048) received less information than others. Physician empathy (p = 0.000) and prostatectomy treatment (p = 0.020) were positively associated with receiving more information. Conclusion: There is room for improvement in terms of informing prostate cancer patients about rehabilitation, second medical opinion and self-help groups. Urologists being empathetic share more information with their patients. Some patients receive less information than others, especially older patients living alone.

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A longitudinal study of changes in provider–patient interaction in treatment of localized prostate cancer

Abstract: Future research from both, the providers' and the patients' perspective, will have to clarify if we can interpret our results as change in the communication behaviour once the treatment decision for prostatectomy or hormonal therapy is made.

Cited by 6 publications

References 28 publications

Patient–physician communication and health‐related quality of life of patients with localised prostate cancer undergoing radical prostatectomy – a longitudinal multilevel analysis

Patient–physician communication and health‐related quality of life of patients with localised prostate cancer undergoing radical prostatectomy – a longitudinal multilevel analysis

Is “Active Surveillance” an Acceptable Alternative?: A Qualitative Study of Couples’ Decision Making about Early-Stage, Localized Prostate Cancer

Localized Prostate Cancer Patients’ Information in Urology Outpatient Practice—Results of a Nationwide Prospective Study in Germany

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