ArticleCancer2013
Who makes the decision regarding the treatment of clinically localized prostate cancer--the patient or physician?: results from a population-based study.
Article in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Pooled it
- Examining the impact of a multimedia intervention on treatment decision-making among newly diagnosed prostate cancer patients: results from a nationwide RCT.Translational behavioral medicine · 2018Trial
- Trial
- Factors influencing patient involvement in treatment decision-making for diabetic retinopathy: a mixed methods study protocol.BMJ open · 2026Article
- Men's experiences of decision-making in life-prolonging treatments of metastatic castration-resistant prostate cancer - wishing for a process adapted to personal preferences: a prospective interview study.BMC medical informatics and decision making · 2025Article
- Treatment decision-making and treatment experiences in men with metastatic castration-resistant prostate cancer.Acta oncologica (Stockholm, Sweden) · 2025Article
- Article
- Diabetes mellitus lowers the chance of short-term urinary continence recovery in prostate cancer patients undergoing radical prostatectomy.Central European journal of urology · 2022Article
- Timing and delay of radical prostatectomy do not lead to adverse oncologic outcomes: results from a large European cohort at the times of COVID-19 pandemic.World journal of urology · 2021Article
- Fifteen year quality of life outcomes in men with localised prostate cancer: population based Australian prospective study.BMJ (Clinical research ed.) · 2020Article
- Health Related Quality of Life in Japanese Patients with Localized Prostate Cancer: Comparative Retrospective Study of Robot-Assisted Laparoscopic Radical Prostatectomy Versus Radiation Therapy.Yonago acta medica · 2020Article
- Impact of "Time-From-Biopsy-to-Prostatectomy" on Adverse Oncological Results in Patients With Intermediate and High-Risk Prostate Cancer.Frontiers in surgery · 2020Article
- Factors underlying treatment decision-making for localized prostate cancer in the U.S. and Canada: A scoping review using principal component analysis.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019Article
- Prostate cancer navigation: initial experience and association with time to care.World journal of urology · 2019Article
- Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer.Arab journal of urology · 2018Review
- Physician Recommendations Trump Patient Preferences in Prostate Cancer Treatment Decisions.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Article
- Treatment decisions for localized prostate cancer: a concept mapping approach.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Patient-physician communication about early stage prostate cancer: analysis of overall visit structure.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Long-term functional outcomes after treatment for localized prostate cancer.The New England journal of medicine · 2013Article
- Healthcare Provider Communication Patterns during Consultations about Treating Localized Prostate Cancer.Journal of best practices in health professions diversity : research, education and policy · 2013Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe current study examined how patients' sociodemographic, cancer-related, and subjective affective factors impacted their role in treatment decision-making.
methodsThe patient sample (N = 788) was taken from a prospective follow-up study of a population-based cohort. Participants included 343 African American and 445 Caucasian-American patients with clinically localized prostate cancer. Multinomial logistic regression was used to investigate relations between the explanatory variables and the nominal 3-level decision-making variable: patient-only, patient-physician shared, and physician-only.
resultsApproximately 41% of patients reported patient-only decision-making, 45% reported shared decision-making, and 13% reported physician-only decision-making. The odds of patient-only over physician-only decision-making were greater for younger men (vs those aged ≥ 65 years) (odds ratio [OR], 1.68; 95% confidence interval [95% CI], 1.03-2.74), and were less for men with high (vs low) cancer aggressiveness (OR,0.29; 95% CI, 0.15-0.55). The odds of shared over physician-only decision-making were less for men with high (vs low) cancer aggressiveness (OR, 0.40; 95% CI, 0.22-0.73). Greater odds of patient-only and shared decision-making also were found to be associated with greater concerns about the physical impact of treatment and having enough time for decision-making and lower scores of receiving advice from others.
conclusionsThe findings of the current study indicate that, to facilitate a more patient-oriented decision-making process regarding treatment in those with clinically localized prostate cancer, clinicians need to tailor their interventions according to patient age and cancer aggressiveness, help reduce patient concerns and misconceptions regarding the physical impact of treatments, allow sufficient time for patients to consider treatment options, and assist patients in balancing advice and information received from different sources.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.