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  1. Assessment of the feasibility and impact of shared decision making in prostate cancer.

    Article - En anglais

    Objectives

    To assess the feasibility and patient impact of using standardized video presentations concerning alternative treatments for managing localized prostate cancer.

    Methods

    One hundred eleven men with newly diagnosed localized prostate cancer were shown a video tape concerning the risks and benefits of four treatment options : radical surgery, external beam radiation, hormonal therapy, and watchful waiting.

    The impact of the video presentation was assessed using a questionnaire completed by the patient before and after viewing the video and again following a discussion with his treating physician.

    Results

    Patients demonstrated significant increases in their understanding of treatment options to manage prostate cancer after viewing the video presentation.

    Treating physicians confirmed the increased sophistication of their patients'knowledge of their disease and the potential outcomes associated with alternative treatments.

    Conclusions

    Standardized video presentations of treatment alternatives for prostate cancer can be incorporated into busy office practices.

    Both patients and physicians benefit from the increased level of understanding that allows physician/patient discussions to focus on the critical risk/benefit tradeoffs rather than simply describing treatment alternatives.

    Mots-clés Pascal : Adénocarcinome, Prostate, Traitement, Eclairement, Malade, Documentation médicale, Technique vidéo, Partage, Prise décision, Implémentation, Evaluation performance, Homme, Tumeur maligne, Appareil urinaire pathologie, Appareil génital mâle pathologie, Prostate pathologie, Déontologie

    Mots-clés Pascal anglais : Adenocarcinoma, Prostate, Treatment, Illumination, Patient, Medical documentation, Video technique, Sharing, Decision making, Implementation, Performance evaluation, Human, Malignant tumor, Urinary system disease, Male genital diseases, Prostate disease, Deontology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0113892

    Code Inist : 002B14D02. Création : 22/06/1998.