The evolution of uncertainty in second opinions about prostate cancer treatment

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Marij A HillenPaul K J Han

Abstract

People who have cancer increasingly seek second opinions. Yet, we know little about what motivates patients to seek them and how beneficial they are. Uncertainty-experienced by patients or communicated by physician and patient-may be crucial throughout the second opinion process. This study sought to investigate (1) how uncertainty influences men with prostate cancer to seek second opinions and (2) how second opinions may affect these patients' sense of uncertainty and subsequent experiences with their care. A qualitative study using semi-structured interviews was performed. Men with localized or advanced prostate cancer (n=23) were interviewed by telephone about their motivations and experiences with seeking second opinions and the uncertainties they experienced. Analysis was performed using the constant comparative method. Patients sought second opinions because they were uncertain about receiving too little or biased information, experienced insufficient support in coming to a treatment decision, or because physicians expressed different levels of uncertainty than they did ("unshared uncertainty"). Uncertainty was reduced by the second opinion process for most patients, whereas for others, it increased or was sustained. This...Continue Reading

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Citations

Jan 22, 2020·PloS One·Leonie N C VisserEllen M A Smets
Oct 23, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Leonie N C VisserMarij A Hillen
Jun 14, 2017·The Oncologist·Marij A HillenEllen M A Smets
Feb 29, 2020·Diseases of the Colon and Rectum·Ana C De RooSamantha Hendren
Jan 27, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Ting GuanLixin Song
Feb 2, 2021·Frontiers in Psychology·Paul K J HanJason A LaChance
Jun 3, 2021·International Journal of Environmental Research and Public Health·N C A van der VeldenM A Hillen
Aug 28, 2021·Journal of Medical Internet Research·Loïs F van de WaterHanneke W M van Laarhoven

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Methods Mentioned

BETA
biopsy
biopsies

Software Mentioned

MAXQDA12

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