scholarly journals Treatment decision-making in men with localized prostate cancer living in remote area: A cross-sectional observational study

2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Abir El-Haouly ◽  
Alice Dragomir ◽  
Hares El-Rami ◽  
Frédéric Liandier ◽  
Anaïs Lacasse
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Multiple Logistic Regression Analysis ◽  
Treatment Decision ◽  
Treatment Choice ◽  
Localized Prostate Cancer ◽  
Cancer Stage ◽  
Cross Sectional ◽  
Remote Areas ◽  
Treatment Decision Making

Introduction: For the management of localized prostate cancer, patient treatment choice is poorly documented among people living in remote areas where access to certain treatments offered in large centres involves travelling several hundred kilometres. This study aimed to describe and identify the determinants of treatment decision-making in men with localized prostate cancer living in remote areas. Methods: In this cross-sectional study, patients with prostate cancer were recruited from Rouyn-Noranda’s urology clinic (Quebec, Canada) between 2017 and 2019. Results: A total of 127 men (mean age 68.34±7.23 years) constituted the study sample. Radiotherapy, a treatment not available locally, was chosen most frequently (67.7%), followed by options available locally, such as surgery (22.8%) and active surveillance (9.4%). Most patients preferred to play an active role in this choice (53.5%) and agreed with the statement, “I chose that treatment because it gives the best chance for a cure” (86.6%). Multiple logistic regression analysis revealed that cancer stage (odds ratio [OR] 10.15; 95% confidence interval [CI] 3.18–32.40) was the only factor associated with radiotherapy choice (patients with lower stage cancer were more likely to choose radiotherapy). The socioeconomic status was not associated with treatment choice. Conclusions: While radiotherapy was not available locally, it was the most frequently chosen treatment, even though the available literature suggests that no one treatment option is superior in terms of cancer control. The choice of radiotherapy is not associated with patient income, but rather the cancer stage. This result could be explained by the patients’ desire to avoid surgery and its adverse effects.

scholarly journals Influence of Men’s Personality and Social Support on Treatment Decision-Making for Localized Prostate Cancer

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Elyse Reamer ◽  
Felix Yang ◽  
Margaret Holmes-Rovner ◽  
Joe Liu ◽  
Jinping Xu
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Treatment Decision ◽  
Population Based ◽  
Treatment Choice ◽  
Localized Prostate Cancer ◽  
Curative Treatment ◽  
Risk Level ◽  
Treatment Decision Making ◽  
Choice Decision

Background. Optimal treatment for localized prostate cancer (LPC) is controversial. We assessed the effects of personality, specialists seen, and involvement of spouse, family, or friends on treatment decision/decision-making qualities. Methods. We surveyed a population-based sample of men ≤ 75 years with newly diagnosed LPC about treatment choice, reasons for the choice, decision-making difficulty, satisfaction, and regret. Results. Of 160 men (71 black, 89 white), with a mean age of 61 (±7.3) years, 59% chose surgery, 31% chose radiation, and 10% chose active surveillance (AS)/watchful waiting (WW). Adjusting for age, race, comorbidity, tumor risk level, and treatment status, men who consulted friends during decision-making were more likely to choose curative treatment (radiation or surgery) than WW/AS (OR = 11.1, p<0.01; 8.7, p<0.01). Men who saw a radiation oncologist in addition to a urologist were more likely to choose radiation than surgery (OR = 6.0, p=0.04). Men who consulted family or friends (OR = 2.6, p<0.01; 3.7, p<0.01) experienced greater decision-making difficulty. No personality traits (pessimism, optimism, or faith) were associated with treatment choice/decision-making quality measures. Conclusions. In addition to specialist seen, consulting friends increased men’s likelihood of choosing curative treatment. Consulting family or friends increased decision-making difficulty.

scholarly journals Factors underlying treatment decision-making for localized prostate cancer in the U.S. and Canada: A scoping review using principal component analysis

2018 ◽  
Vol 13 (7) ◽  
Author(s):  
Mustafa Andkhoie ◽  
Desneige Meyer ◽  
Michael Szafron
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Principal Component Analysis ◽  
Scoping Review ◽  
Principal Component ◽  
Treatment Decision ◽  
Localized Prostate Cancer ◽  
Key Factors ◽  
Treatment Decision Making ◽  
Word Cloud

Introduction: The purpose of this research is to gather, collate, and identify key factors commonly studied in localized prostate cancer (LPC) treatment decision-making in Canada and the U.S.Methods: This scoping review uses five databases (Medline, EMBASE, CINAHL, AMED, and PsycInfo) to identify relevant articles using a list of inclusion and exclusion criteria applied by two reviewers. A list of topics describing the themes of the articles was extracted and key factors were identified using principal component analysis (PCA). A word cloud of titles and abstracts of the relevant articles was created to identify complementary results to the PCA.Results: This review identified 77 relevant articles describing 32 topics related to LPC treatment decision-making. The PCA grouped these 32 topics into five key factors commonly studied in LPC treatment decision-making: 1) treatment type; 2) socioeconomic/demographic characteristics; 3) personal reasons for treatment choice; 4) psychology of treatment decision experience; and 5) level of involvement in the decision-making process. The word cloud identified common phrases that were complementary to the factors identified through the PCA.Conclusions: This research identifies several possible factors impacting LPC treatment decision-making. Further research needs to be completed to determine the impact that these factors have in the LPC treatment decision-making experience.

scholarly journals To Share or Not to Share: Malaysian Healthcare Professionals' Views on Localized Prostate Cancer Treatment Decision Making Roles

PLoS ONE ◽  
2015 ◽  
Vol 10 (11) ◽  
pp. e0142812 ◽  
Author(s):  
Yew Kong Lee ◽  
Ping Yein Lee ◽  
Ai Theng Cheong ◽  
Chirk Jenn Ng ◽  
Khatijah Lim Abdullah ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Cancer Treatment ◽  
Healthcare Professionals ◽  
Treatment Decision ◽  
Localized Prostate Cancer ◽  
Prostate Cancer Treatment ◽  
Treatment Decision Making

Treatment decision-making by men with localized prostate cancer: the influence of personal factors

2003 ◽  
Vol 21 (2) ◽  
pp. 93-100 ◽  
Author(s):  
Donna L Berry ◽  
William J Ellis ◽  
Nancy Fugate Woods ◽  
Christina Schwien ◽  
Kristin H Mullen ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Treatment Decision ◽  
Localized Prostate Cancer ◽  
Personal Factors ◽  
Treatment Decision Making
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