The accuracy of patients’ perceptions of the risks associated with localised prostate cancer treatments

Stam, Marie-Anne van; Poel, Henk G. van der; Zyp, Jochem R.N. van der Voort van; Tillier, Corinne; Horenblas, Simon; Aaronson, Neil K.; Bosch, Jackie

doi:10.1111/bju.14034

Cited by 15 publications

(14 citation statements)

References 33 publications

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“…However, insights from health communication research suggest that individualized information is more likely to be considered as personally relevant (and hence, to be read) compared to generic and static information [20,21] This in-depth processing of information can lead to higher levels of engagement, which potentially encourages patients to actively participate in SDM [50]. Recent technological developments in data science and artificial intelligence offer promise for the generation of individualized risks and benefits of treatment options, and future studies should determine whether this personalized approach of DAs would also lead to improvements in LPC patients' understanding of risks [51,52].…”

Section: Discussionmentioning

confidence: 99%

Communicative aspects of decision aids for localized prostate cancer treatment – A systematic review

Vromans

Eenbergen

Pauws

et al. 2019

Urologic Oncology: Seminars and Original Investigations

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Section: Discussionmentioning

confidence: 99%

Communicative aspects of decision aids for localized prostate cancer treatment – A systematic review

Vromans

Eenbergen

Pauws

et al. 2019

Urologic Oncology: Seminars and Original Investigations

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“…There was a nearly similar study, but it was conducted among different populations, e.g., patients with localized prostate cancer. 25 The study assessed the risk perception to develop ED due to various prostate cancer treatments. An inaccurate perception of susceptibility was found to be expected, which was thought to be due to the lack of information provided during counseling.…”

Section: Discussionmentioning

confidence: 99%

Risk Perception for Developing Erectile Dysfunction among Malaysian Men with Type 2 Diabetes Mellitus

Mohamad

Tohid

Ahmad

et al. 2021

Kesmas: National Public Health Journal

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Risk perception for developing erectile dysfunction (ED) is an appreciation of the susceptibility to having ED and its severity. This study examined this risk perception and its associated factors among 180 men with type 2 diabetes mellitus (T2DM), who claimed not to have ED. This cross sectional study was conducted at a public health clinic using a validated self-administered questionnaire, which assessed participant characteristics, perceived susceptibility to developing ED, perceived severity of ED, and knowledge on risk factors for ED. About 71.1% had an inaccurate perception of susceptibility to developing ED and their perception on its severity was moderate (median (IQR) score: 10.0 (6.0); range score: 3–15; midpoint: 9). In multiple linear regression, having ED symptoms (p-value < 0.001) and secondary (p-value = 0.045) or tertiary education (p-value: 0.022) significantly contributed to a higher perception of susceptibility. A higher perception of severity was significantly found in Malays (p-value < 0.001), the employed (p-value = 0.026), and those with better knowledge on risk factors for ED (p-value < 0.001). Risk perception for developing ED among men with T2DM appears poor and it was significantly influenced by sociocultural factors, educational attainment, ED symptoms, and knowledge on risk factors for ED. Thus, to improve their risk perception, they should be provided appropriate counseling and education.

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“…All of this can be extraordinarily difficult for patients to grasp and navigate, particularly in the face of multiple and often mutually exclusive treatment options. 12 Furthermore, while patient-centred risk stratification aims to tailor treatment options to patient characteristics, aspects of patients' lives well beyond observable 'risk factors' can be critically relevant. Importantly, men with low-risk PCa (which may never be life-threatening) can be told that they have cancer which does not require immediate treatment.…”

Section: Introductionmentioning

confidence: 99%

“…All of this can be extraordinarily difficult for patients to grasp and navigate, particularly in the face of multiple and often mutually exclusive treatment options. 12 …”

Section: Introductionmentioning

confidence: 99%

Ethnographic investigation of patient–provider communication among African American men newly diagnosed with prostate cancer: a study protocol

et al. 2020

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IntroductionIn the USA, African American men bear a disproportionate burden of prostate cancer (PCa) compared with all other groups, having a higher incidence and mortality, poorer quality of life and higher dissatisfaction with care. They are also less likely to receive guideline-concordant treatment (eg, undertreatment of aggressive disease). Inadequate patient–provider communication contributes to suboptimal care, which can be exacerbated by patients’ limited health literacy, providers’ lack of communication skills and time constraints in low-resource, safety net settings. This study is designed to examine the communication experiences of African American patients with PCa as they undertake treatment decision-making.Methods and analysisUsing an ethnographic approach, we will follow 25 African American men newly diagnosed with PCa at two public hospitals, from diagnosis through treatment decision. Data sources include: (1) audio-recorded clinic observations during urology, radiation oncology, medical oncology and primary care visits, (2) field notes from clinic observations, (3) patient surveys after clinic visits, (4) two in-depth patient interviews, (5) a provider survey, and (6) in-depth interviews with providers. We will explore patients’ understanding of their diagnoses and treatment options, sources of support in decision-making, patient–provider communication and treatment decision-making processes. Audio-recorded observations and interviews will be transcribed verbatim. An iterative process of coding and team discussions will be used to thematically analyse patients’ experiences and providers’ perspectives, and to refine codes and identify key themes. Descriptive statistics will summarise survey data.Ethics and disseminationTo our knowledge, this is the first study to examine in-depth patient–provider communication among African American patients with PCa. For a population as marginalised as African American men, an ethnographic approach allows for explication of complex sociocultural and contextual influences on healthcare processes and outcomes. Study findings will inform the development of interventions and initiatives that promote patient-centred communication, shared decision-making and guideline-concordant care. This study was approved by the University of California San Francisco and the Alameda Health System Institutional Review Boards.

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The accuracy of patients’ perceptions of the risks associated with localised prostate cancer treatments

Abstract: Prior to choosing treatment, most patients with prostate cancer poorly understood the differences in treatment risks. Greater efforts should be made to better understand why these misperceptions occur and, most importantly, how they can be corrected.

Cited by 15 publications

References 33 publications

Communicative aspects of decision aids for localized prostate cancer treatment – A systematic review

Communicative aspects of decision aids for localized prostate cancer treatment – A systematic review

Risk Perception for Developing Erectile Dysfunction among Malaysian Men with Type 2 Diabetes Mellitus

Ethnographic investigation of patient–provider communication among African American men newly diagnosed with prostate cancer: a study protocol

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