Shared Decision-Making in Patients With Prostate Cancer in Japan: Patient Preferences Versus Physician Perceptions

Journal of Global Oncology
Ulrike SchaedeKazutake Yoshizawa

Abstract

This article adds the Japanese perspective to our knowledge of shared decision-making (SDM) preferences by surveying patients with prostate cancer (PCA) and physicians in Japan. In 2015, 103 Japanese patients with PCA were asked about their SDM preferences by using an Internet-based 5-point-scale questionnaire. Concurrently, 127 Japanese physicians were surveyed regarding their perceptions of patient preferences on SDM. Drivers of preferences and perceptions were analyzed using univariable ordinal logistic regression and graphing the fitted response probabilities. Although 41% of both patients and physicians expressed and expected a desire for active involvement in treatment decisions (a higher rate than in a similar study for the United States in 2001), almost half the Japanese patients preferred SDM, but only 33% of physicians assumed this was their choice. That is, 29% of Japanese physicians underestimated patients' preference for involvement in making treatment decisions. Patients with lower health-related quality of life (as measured by the Functional Assessment of Cancer Therapy-Prostate [FACT-P]) expressed a stronger preference for SDM. The study shows that the worse the medical situation, the more patients with PCA pref...Continue Reading

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Citations

Sep 18, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Andreas IhrigJ Huber
May 19, 2018·American Journal of Men's Health·Masahiko NakayamaJörg Mahlich
Dec 16, 2020·BMC Medical Informatics and Decision Making·Kazuhiro NakayamaHiroji Uemura

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Methods Mentioned

BETA
PCA

Software Mentioned

Intage
FACIT
FACT
JMP

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