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Background: Shared decision-making (SDM) is becoming increasingly important in medical care. The relevance of SDM after diagnosis is especially noticeable in the care of prostate cancer patients, since affected patients can choose from different treatment strategies.

Objectives: What are the experiences of patients regarding SDM in the treatment of prostate cancer?

Methods: Interviews with qualitative-exploratory study design were carried out and evaluated. The interviews were recorded with the help of audio tapes and literally transcribed and pseudonymized based on Kuckartz. The evaluation was done by theoretical coding according to Glaser and Strauss. This enabled the development of an object-based theory of interview data.

Results: The study shows that all interviewees experienced SDM and were able to reflect on this process. The interviewed patients had a high level of information regarding their disease status and treatment options, in which individual preferences played a key role. Some patients saw potential for optimization in the physician-patient conversation, taking personal preferences into account.

Conclusions: Patients are not limited to medical information only, but have taken an active role in their treatment decision. Many of the participants consulted several physicians to obtain second opinions. Since the survey focuses on the patients' perspective, it remains unclear whether a joint exchange of information and decision-making has taken place from a medical point of view.

Titel:	[Shared decision-making in prostate cancer patients].
Autor/in / Beteiligte Person:	Gröger, S ; Mäder-Porombka, C ; Stang, C ; Wallacher, S
Zeitschrift:	Der Urologe. Ausg. A, Jg. 58 (2019-11-01), Heft 11, S. 1324-1330
Veröffentlichung:	Berlin, New York, Springer-Verlag., 2019
Medientyp:	academicJournal
ISSN:	1433-0563 (electronic)
DOI:	10.1007/s00120-018-0774-4
Schlagwort:	Attitude of Health Personnel Humans Interviews as Topic Male Physician-Patient Relations Prostatic Neoplasms diagnosis Prostatic Neoplasms therapy Qualitative Research Decision Making Patient Participation Patient Preference Prostatic Neoplasms psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: German Transliterated Title: Partizipative Entscheidungsfindung bei Prostatakrebspatienten. Publication Type: Journal Article Language: German [Urologe A] 2019 Nov; Vol. 58 (11), pp. 1324-1330. MeSH Terms: Decision Making* ; Patient Participation* ; Patient Preference* ; Prostatic Neoplasms / *psychology ; Attitude of Health Personnel ; Humans ; Interviews as Topic ; Male ; Physician-Patient Relations ; Prostatic Neoplasms / diagnosis ; Prostatic Neoplasms / therapy ; Qualitative Research References: CA Cancer J Clin. 2010 Mar-Apr;60(2):70-98. (PMID: 20200110) ; Soc Sci Med. 1997 Mar;44(5):681-92. (PMID: 9032835) ; Urologe A. 2013 Jun;52(6):847-52. (PMID: 23328778) ; Z Arztl Fortbild Qualitatssich. 2004 Mar;98(2):89-92. (PMID: 15106486) ; JAMA. 2000 Jun 28;283(24):3217-22. (PMID: 10866869) ; Gesundheitswesen. 2014 Apr;76(4):187-92. (PMID: 24408309) ; Can Urol Assoc J. 2008 Jun;2(3):197-203. (PMID: 18682773) ; Cien Saude Colet. 2012 May;17(5):1225-33. (PMID: 22634815) ; Psychother Psychosom. 2008;77(4):219-26. (PMID: 18418028) ; Eur Urol. 2014 Jan;65(1):124-37. (PMID: 24207135) ; J Clin Oncol. 2006 Oct 1;24(28):4581-6. (PMID: 17008699) ; Urol Nurs. 1997 Jun;17(2):58-66. (PMID: 9239139) ; Cancer Epidemiol Biomarkers Prev. 2010 Sep;19(9):2172-86. (PMID: 20716619) ; Int J Urol. 2014 Dec;21(12):1227-33. (PMID: 25056284) ; J Urol. 2013 Aug;190(2):419-26. (PMID: 23659877) ; Urologe A. 2016 Dec;55(12):1586-1594. (PMID: 27826660) ; Lancet. 1996 Aug 10;348(9024):383-6. (PMID: 8709739) ; Eur Urol. 2015 Feb;67(2):273-80. (PMID: 25217421) ; Br J Cancer. 2014 May 13;110(10):2396-404. (PMID: 24736585) ; BJU Int. 2003 Nov;92(7):736-40. (PMID: 14616457) Contributed Indexing: Keywords: Cancer; Doctor-patient-communication; Health service research; Patient experience; Prostate cancer Entry Date(s): Date Created: 20180922 Date Completed: 20191112 Latest Revision: 20200108 Update Code: 20231215

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[Shared decision-making in prostate cancer patients].