Robot or radiation? A qualitative study of the decision support needs of men with localised prostate cancer choosing between robotic prostatectomy and radiotherapy treatment

Smith, Allan Ben; Rincones, Orlando; Sidhom, Mark; Mancuso, Pascal; Wong, Karen; Berry, Megan; Forstner, Dion; Bokey, Les; Girgis, Afaf

doi:10.1016/j.pec.2019.02.017

Cited by 16 publications

(24 citation statements)

References 37 publications

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“…Our findings also suggest that patients do not typically consult both urologists and radiation oncologists about treatment choices; several uro-oncology specialist clinics have been established in Australia to help overcome this problem. 22 We need education programs to ensure that patients, their partners and caregivers, and their physicians are fully informed about all treatment options. Finally, associations between socio-economic factors and treatment received suggest the need to review policies that affect access to the different treatment options for men with prostate cancer in Australia.…”

Section: Resultsmentioning

confidence: 99%

“…This suggests that most patients who have radical prostatectomies do so without being advised by radiation oncologists about EBRT, an equally effective alternative. A recent NSW study found that deciding between radical prostatectomy and EBRT by prostate cancer patients largely depended on their urologists’ recommendations 22 . In addition, patients erroneously believe that radical prostatectomy provides a greater chance of cure than EBRT 22 .…”

Section: Discussionmentioning

confidence: 99%

“…22 In addition, patients erroneously believe that radical prostatectomy provides a greater chance of cure than EBRT. 22 A Canadian study found that patients who saw both a urologist and a radiation oncologist were more likely to undergo radiotherapy than those who saw only a urologist. 23 We found that having private health insurance was associated with undergoing radical prostatectomy, and patients without insurance were more likely to receive EBRT.…”

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confidence: 99%

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Patterns of care for men with prostate cancer: the 45 and Up Study

Bartoň

O’Connell

Goldsbury

et al. 2021

Medical Journal of Australia

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rostate cancer is the most frequently diagnosed cancer in Australian men; about 19 508 cases were diagnosed in 2019. 1 Treatment options include surgery, radiotherapy, and active surveillance. Survival rates for men with localised prostate cancer are similar with all options, but the side effects profiles differ markedly, including higher rates of urinary incontinence and sexual dysfunction after surgery and of rectal bleeding after radiotherapy. 2,3 Population-based studies of patterns of care in Victoria and South Australia (2016) 4 and Victoria alone (2020) 5 have been published, but the only recent population-based study of factors associated with prostate cancer treatment types in New South Wales investigated the treatment of Aboriginal men. 6 Further, the factors that determine the type of treatment received by men with prostate cancer, and the consequent costs, have been subjects of controversy. 7,8 The aims of our study were therefore to describe the patterns of care for men in the NSW 45 and Up Study with prostate cancer, and to ascertain the factors associated with receiving different types of treatment. MethodsA total of 267 153 NSW men and women aged 45 years or more were enrolled in the 45 and Up Study of the Sax Institute, Sydney, during January 2006 -December 2009. 9 The 45 and Up Study is a large cohort study of people aged 45 or more investigating exposures and outcomes of public health importance for older people. Prospective participants were randomly selected from the Services Australia (formerly the Australian Department of Human Services) enrolment database. Enrolled participants completed a postal baseline questionnaire comprising 58 questions about health, lifestyle, and socio-demographic characteristics and consented to linkage of their data with administrative health datasets. Data collection and linkageThe record linkage undertaken has been described previously. 10 The datasets linked to the 45 and Up Study baseline questionnaire data were:• Medicare Benefits Schedule (MBS) claims, to June 2016; • Pharmaceutical Benefits Scheme (PBS) claims, to June 2016; • the NSW Cancer Registry, to December 2013; • the NSW Admitted Patient Data Collection (APDC; public and private hospital inpatient services), to June 2016; and• the NSW Register of Births, Deaths and Marriages, for deaths to June 2016.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Patterns of care for men with prostate cancer: the 45 and Up Study

Bartoň

O’Connell

Goldsbury

et al. 2021

Medical Journal of Australia

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“…His choice may be influenced by how the information is presented, and not all patients receive information adequate for making a fully informed decision. 9 This can lead to decision regret, increased treatment costs, and psychological problems. [10][11][12] With our ageing population and the increasing costs of prostate cancer treatment, these factors also have health economic implications.…”

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confidence: 99%

“…The treatment preferred by a patient depends on his understanding of the prognosis and the risks and benefits of the options. His choice may be influenced by how the information is presented, and not all patients receive information adequate for making a fully informed decision 9 . This can lead to decision regret, increased treatment costs, and psychological problems 10,11,12 .…”

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confidence: 99%

Differences in treatment choices for localised prostate cancer diagnosed in private and public health services

Marvelde

Milne

Hornby³

et al. 2020

Medical Journal of Australia

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Objective: To compare treatments for localised prostate cancer for men diagnosed in private and public health services in Victoria. Design: Retrospective analysis of Victorian Cancer Registry data linked to population-based administrative health datasets. Setting, participants: 29 325 Victorian men diagnosed with prostate cancer during 2011-2017. Main outcome measures: Proportions of men in private and public health services receiving radical prostatectomy (with or without curative radiation therapy) or curative external beam radiation therapy alone within 12 months of diagnosis.

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Meta-synthesis of qualitative studies on patient perceptions and requirements during the perioperative period of robotic surgery

Wu,

Yang,

et al. 2024

J Robotic Surg

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Robot or radiation? A qualitative study of the decision support needs of men with localised prostate cancer choosing between robotic prostatectomy and radiotherapy treatment

Cited by 16 publications

References 37 publications

Patterns of care for men with prostate cancer: the 45 and Up Study

Patterns of care for men with prostate cancer: the 45 and Up Study

Differences in treatment choices for localised prostate cancer diagnosed in private and public health services

Meta-synthesis of qualitative studies on patient perceptions and requirements during the perioperative period of robotic surgery

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