Physician Recommendations Trump Patient Preferences in Prostate Cancer Treatment Decisions
| Autor: | Timothy P. Hofer, Karen A. Scherr, Peter A. Ubel, Kirsten L. Greene, Valerie C. Kahn, Lillie D. Williamson, Laura D. Scherer, Angela Fagerlin, Margaret Holmes-Rovner, Jeffrey S. Montgomery, Biqi Zhang |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Decision Making Anxiety urologic and male genital diseases Logistic regression Gleason Score 6 Article 03 medical and health sciences Prostate cancer 0302 clinical medicine Physicians medicine Humans 030212 general & internal medicine Veterans Affairs Aged Gynecology Physician-Patient Relations business.industry Communication Health Policy Age Factors Coitus Prostatic Neoplasms Patient Preference Middle Aged medicine.disease Patient preference 030220 oncology & carcinogenesis Family medicine Treatment decision making Active treatment Neoplasm Grading Patient Participation medicine.symptom business |
| Zdroj: | Medical Decision Making. 37:56-69 |
| ISSN: | 1552-681X 0272-989X |
| Popis: | Objective. To assess the influence of patient preferences and urologist recommendations in treatment decisions for clinically localized prostate cancer. Methods. We enrolled 257 men with clinically localized prostate cancer (prostate-specific antigen 2(4) = 3.67, P = 0.45. Instead, receipt of active treatment was predicted primarily by urologists’ recommendations, Δχ2(2) = 32.81, P < 0.001. Urologists’ recommendations, in turn, were influenced heavily by medical factors (age and Gleason score) but were unrelated to patient preferences, Δχ2(6) = 0, P = 1. Urologists rarely discussed patients’ interest in sex ( |
| Databáze: | OpenAIRE |
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