Low conflict and high satisfaction: Decisional outcomes after attending a combined clinic to choose between robotic prostatectomy and radiotherapy for prostate cancer.

Urologic Oncology
Allan 'Ben' SmithAfaf Girgis

Abstract

Decisional conflict and post-treatment decisional regret have been documented in men with localised prostate cancer (LPC). However, there is limited evidence regarding decisional outcomes associated with the choice between robotic-assisted radical prostatectomy (RARP) and radiotherapy, when both treatment options are available in the public health system. There is increasing support for multidisciplinary approaches to guide men with LPC in their decision-making process. This study assessed decisional outcomes in men deciding between RARP or radiotherapy treatment before and after attending a LPC combined clinic (CC). Quantitative longitudinal data were collected from 52 men who attended a LPC CC, where they saw both a urologist and radiation oncologist. Patients completed questionnaires assessing involvement in decision-making, decisional conflict, satisfaction and regret before and after the CC, three months, six months and 12 months post-treatment. Urologists and radiation oncologists also reported their perceptions regarding patients' suitability for, openness to, perceived preferences and appropriateness for each treatment. Data was analysed using paired/independent samples t-tests and McNemar's tests. Most participants (n ...Continue Reading

References

Jan 1, 1995·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M O'Connor
Jan 1, 1996·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M Holmes-RovnerG Talarczyk
May 29, 2003·The Journal of Urology·Jim C HuMark S Litwin
Aug 21, 2003·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Jamie C BrehautDeb Feldman-Stewart
Jan 10, 2008·Research in Nursing & Health·Melody A Hertzog
Mar 2, 2011·Journal of Oncology Practice·Leonard G GomellaEdouard J Trabulsi
Jul 16, 2013·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Montse FerrerUNKNOWN Clinically Localized Prostate Cancer
Dec 21, 2013·Journal of Clinical Nursing·Ching-Hui ChienHsueh-Erh Liu
Mar 10, 2016·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Heather OromD Lynn Homish
Mar 16, 2016·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Maria Margarita Becerra PérezFrance Légaré
Aug 12, 2016·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Karen A ScherrPeter A Ubel
Aug 26, 2016·American Journal of Clinical Oncology·Amar U KishanChristopher R King
Jun 15, 2017·Psycho-oncology·Richard M HoffmanKathryn L Taylor
May 13, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Maarten CuypersMarieke de Vries
Aug 11, 2018·Clinical and Translational Radiation Oncology·Anna PatrikidouPierre Blanchard
Oct 24, 2018·International Journal of Cancer. Journal International Du Cancer·J FerlayF Bray
Dec 18, 2019·The Journal of Urology·Leilei XiaThomas J Guzzo

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