Comparison of perspectives on prostate cancer: analyses of survey data

Crawford, E. David; Bennett, Charles L.; Stone, Nelson N.; Knight, Sara J.; DeAntoni, Edward P.; Sharp, Lisa K.; Garnick, Marc B.; Porterfield, Harry S.

doi:10.1016/s0090-4295(97)00254-9

Cited by 118 publications

(80 citation statements)

References 24 publications

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“…These included 16 survey studies, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] 16 studies aimed at designing and exploring decision aids, 19 -34 16 focus group studies regarding treatment decision making, [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] 10 studies examining shared decision making between patients and physicians, [51][52][53][54][55][56][57][58][59][60] 6 studies exploring health state preferences associated with treatment decision making, [61][62][63][64][65][66] and 5 review articles related to treatment decision making.…”

Section: Resultsmentioning

confidence: 99%

Why do men choose one treatment over another?

Zeliadt

Ramsey

Penson

et al. 2006

Cancer

228

100

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Section: Resultsmentioning

confidence: 99%

Why do men choose one treatment over another?

Zeliadt

Ramsey

Penson

et al. 2006

Cancer

228

100

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“…Information provides a sense of control, reduces distress, facilitates adaptive coping, and increases participation in shared decision-making (SDM) with physicians (Gregoire et al, 1997;van Wersch et al, 1997a, b;Davison et al, 2003). Effective information provision should enrich doctor -patient interactions by transforming consultations into negotiations between expert patients and expert physicians; however, in reality it is clinicians, not patients, who are in possession of the knowledge required to make an informed decision (Crawford et al, 1997). Despite the general agreement that men should be involved in treatment decisions, the type and amount of information needed for SDM has failed to reach a consensus (Feldman-Stewart et al, 1998).…”

Section: Patient Educationmentioning

confidence: 99%

The utility of a multimedia education program for prostate cancer patients: a formative evaluation

et al. 2004

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A multimedia program (MMP) was developed to educate patients with prostate cancer about their disease. A within-subjects design was used to investigate the changes in levels of cancer-related knowledge, psychosocial functioning, treatment decision-making role and information needs immediately after browsing the MMP. The participants were 67 men recently diagnosed with prostate cancer. Psychosocial functioning was assessed with 20 items describing common emotional states and coping strategies employed by cancer patients. Treatment decision-making role was assessed with the Control Preference Scale. A principle component analysis of the 20 psychosocial items yielded three components: distress, positive approach and nonacceptance. After browsing the MMP significant increases in knowledge and reductions in distress were reported. Marital status was significantly associated with knowledge gain. Married men and those attending the study session with their spouse displayed a significant shift towards a more active role in treatment decisions. The majority of information needs were fulfilled by the MMP; however, information related to the likelihood of a cure, treatment side effects, coping strategies and aetiology were not completely satisfied by the MMP. Implications of the findings and suggestions for future work on the design and evaluation of the MMP are discussed.

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“…[8][9][10] Because of a poor understanding of the disease and treatment options, fear and misconceptions dominate the decision-making process, [11][12][13] and patients often defer treatment decisions to their physician. 9,14 However, evidence suggests that physicians and patients have different goals for prostate cancer care 15 and physicians' perceptions of the preferences of their own patients are not accurate. [16][17][18] The strongest predictor of treatment choice is not patient preference but physician specialty; specialists overwhelmingly recommend the treatment they deliver.…”

Section: Introductionmentioning

confidence: 99%

Patient Decision Aids for Prostate Cancer Treatment: A Systematic Review of the Literature

Lin¹,

Aaronson²,

Knight³

et al. 2009

CA: A Cancer Journal for Clinicians

127

106

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Treatment decision-making can be difficult and complex for patients with low-risk prostate cancer. To the authors' knowledge, there is no consensus regarding an optimal treatment strategy and the choice of therapy involves tradeoffs between differing harms and benefits that are sensitive to patient values. In such situations, patients are often asked to participate actively in the decision-making process, and high-quality decisions require a well-informed patient whose values and preferences have been taken into consideration. Prior studies have indicated that patients have poor knowledge and unrealistic expectations regarding treatment, and physician judgments concerning patient preferences are often inaccurate. Decision aids (DAs) have been developed to help inform patients with low-risk prostate cancer about treatment options and assist in the decision-making process; however, little is currently known regarding the effects of such programs in this population. Thirteen studies of DAs for patients with prostate cancer were reviewed and it was found that the use of DAs can improve knowledge, encourage more active patient involvement in decision-making, and decrease levels of anxiety and distress. The effect of DAs on treatment choice was less clear, although fewer patients chose surgery compared with historical controls, particularly in Europe. Further studies are needed to determine how best to implement DAs into practice, and whether they improve the consistency between patient preferences and treatment choice.

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Comparison of perspectives on prostate cancer: analyses of survey data

Cited by 118 publications

References 24 publications

Why do men choose one treatment over another?

Why do men choose one treatment over another?

The utility of a multimedia education program for prostate cancer patients: a formative evaluation

Patient Decision Aids for Prostate Cancer Treatment: A Systematic Review of the Literature

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