scholarly journals Development and pilot evaluation of a personalized decision support intervention for low risk prostate cancer patients

2019 ◽  
Vol 9 (1) ◽  
pp. 125-132 ◽  
Author(s):  
Jeffrey Belkora ◽  
June M. Chan ◽  
Matthew R. Cooperberg ◽  
John Neuhaus ◽  
Lauren Stupar ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Support ◽  
Cancer Patients ◽  
Low Risk ◽  
Support Intervention ◽  
Decision Support Intervention ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer

Development and pilot testing of a decision support intervention for men with prostate cancer.

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 132-132
Author(s):  
June M. Chan ◽  
Matthew R. Cooperberg ◽  
John Neuhaus ◽  
Mark Bridge ◽  
Lauren Stupar ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Clinical Trial ◽  
Decision Support ◽  
Decision Aid ◽  
Decision Quality ◽  
Support Intervention ◽  
Decision Support Intervention ◽  
Before And After ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer

132 Background: We evaluated the feasibility and efficacy of a decision support intervention designed to help men with low-risk prostate cancer consider active surveillance and standard treatments. The intervention incorporated a decision aid with coaching and question-listing. Our decision aid is the first to include data on long-term survival and side effects from men with prostate cancer undergoing active surveillance, surgery, and radiation. Methods: To develop the intervention, we conducted focus groups using the Nominal Group Technique. We used a survey instrument from the International Patient Decision Aids Standards to measure the stakeholder endorsement of our intervention. To test the intervention, we administered it to newly diagnosed men with low-risk prostate cancer (Gleason sum < = 3+4, stage < = T2N0M0, PSA < = 10 ng/ml) seen at UCSF. Before and after the intervention, we administered a survey with questions from the Decision Quality Instrument for Prostate Cancer. Our primary outcome was change in knowledge as assessed by two multiple-choice items: How many men diagnosed with early stage prostate cancer will eventually die of prostate cancer? How much would waiting 3 months to make a treatment decision affect chances of survival? Correct answers were: “Most will die of something else” and “A little or not at all.” Results: The development phase involved 6 patients, 1 family member, 2 physicians, and 5 other health care providers and four iterations of the intervention until consensus endorsement was reached. In the pilot test, 57 men consented, and 44 received the decision support intervention and completed surveys at both timepoints. Before the intervention, 30/44 (68%) got both questions right, compared to 36/44 (82%) after the intervention. 82% maintained or achieved perfect scores; 16% answered 1 or more incorrectly both before and after the intervention; and 2% answered both items correctly before, but 1 wrong after. Conclusions: This novel decision support intervention was feasible, and appeared to improve knowledge and informed decision-making. Data will guide the development of a larger scale randomized clinical trial to improve decision quality in men with prostate cancer, in the community. Clinical trial information: NCT02451345.

PELVIC LYMPH NODE DISSECTION SHOULD BE OMITTED IN LOW RISK PROSTATE CANCER PATIENTS. RESULTS OF A MATCHED ANALYSIS

2009 ◽  
Vol 181 (4S) ◽  
pp. 756-757
Author(s):  
Alberto Briganti ◽  
Alexander Haese ◽  
Umberto Capitanio ◽  
Andrea Gallina ◽  
Felix K h Chun ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Lymph Node ◽  
Cancer Patients ◽  
Lymph Node Dissection ◽  
Pelvic Lymph Node Dissection ◽  
Low Risk ◽  
Pelvic Lymph Node ◽  
Node Dissection ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer

A proposal of a new nomogram for predicting upstaging in contemporary D’Amico low-risk prostate cancer patients

2016 ◽  
Vol 35 (2) ◽  
pp. 189-197 ◽  
Author(s):  
Sami-Ramzi Leyh-Bannurah ◽  
Paolo Dell’Oglio ◽  
Zhe Tian ◽  
Jonas Schiffmann ◽  
Shahrokh F. Shariat ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Patients ◽  
Low Risk ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer

Neutrophil, Platelets, and Eosinophil to Lymphocyte Ratios Predict Gleason Score Upgrading in Low-Risk Prostate Cancer Patients

2018 ◽  
Vol 102 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Matteo Ferro ◽  
Gennaro Musi ◽  
Alessandro Serino ◽  
Gabriele Cozzi ◽  
Francesco Alessandro Mistretta ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Patients ◽  
Gleason Score ◽  
Low Risk ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer

Perioperative patient education improves long-term satisfaction rates of low-risk prostate cancer patients after radical prostatectomy

2017 ◽  
Vol 35 (8) ◽  
pp. 1205-1212 ◽  
Author(s):  
Alexander Kretschmer ◽  
Alexander Buchner ◽  
Markus Grabbert ◽  
Anne Sommer ◽  
Annika Herlemann ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Patient Education ◽  
Radical Prostatectomy ◽  
Cancer Patients ◽  
Low Risk ◽  
Risk Prostate Cancer ◽  
Low Risk Prostate Cancer ◽  
Satisfaction Rates
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