Document Detail

Patient preferences for management of localized prostate cancer.
MedLine Citation:
PMID:  8855681     Owner:  NLM     Status:  MEDLINE    
We designed this study to determine whether patients with early localized prostate cancer prefer surgical intervention over watchful waiting, which aspects of the 2 management strategies influence patient preferences, and whether there are patient characteristics that predict their preferences for 1 strategy over the other. Structured interviews were used with 140 male patients seen consecutively at a university-based Department of Veterans Affairs Medical Center outpatient clinic. The mean age of the patients was 66.3 years. Of the 140 patients, 53% preferred surgical treatment, 42% preferred observation, 4% preferred that their physician make the decision, and 1% preferred radiotherapy. Of 74 patients selecting surgical intervention, 92% (68) reported that the possibility of complete tumor removal was the strongest factor influencing their decision. Of those selecting observation, 80% (47/59) reported being most influenced by the complications of an operation. Older patients were significantly (P < .002) more likely to prefer expectant management. We conclude that tumor excision is an important factor influencing patient preferences for treatment, irrespective of survival benefits. This factor should be considered when designing approaches to providing information to patients about alternative treatments.
D J Mazur; D H Hickam
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Western journal of medicine     Volume:  165     ISSN:  0093-0415     ISO Abbreviation:  West. J. Med.     Publication Date:    1996 Jul-Aug
Date Detail:
Created Date:  1996-11-07     Completed Date:  1996-11-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410504     Medline TA:  West J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  26-30     Citation Subset:  AIM; IM    
Medical Service and Health Services Research and Development, Department of Veterans Affairs Medical Center, Portland, Oregon 97201, USA.
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MeSH Terms
Age Factors
Aged, 80 and over
Attitude to Health*
Decision Making
Interview, Psychological
Middle Aged
Patient Care Planning
Patient Education as Topic
Patient Participation*
Physician-Patient Relations
Postoperative Complications
Prostatic Neoplasms / psychology,  radiotherapy,  surgery,  therapy*
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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