ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Patient-physician communication about early stage prostate cancer: analysis of overall visit structure.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Prostate Cancer Patient Perspectives on the Use of Information in Treatment Decision-Making: A Systematic Review and Qualitative Meta-synthesis.Ontario health technology assessment series · 2017Pooled it
- Preparing Patients with Early Stage Prostate Cancer to Participate in Clinical Appointments Using a Shared Decision Making Training Video.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Patient and family communication during consultation visits: The effects of a decision aid for treatment decision-making for localized prostate cancer.Patient education and counseling · 2017Trial
- Effectiveness of the SHARE Approach for Improving Clinician Shared Decision Making Skills: A Trial in 12 Practices Located in Colorado, USA.Journal of general internal medicine · 2025Article
- Philosophy leading the way: An interdisciplinary approach to study communication of severe diagnoses.PloS one · 2024Article
- Article
- Visit Linearity in Primary Care Visits for Patients with Chronic Pain on Long-term Opioid Therapy.Journal of general internal medicine · 2022Article
- The Challenge of Coming Out to Providers by Gay and Bisexual Men With Prostate Cancer: Qualitative Results from theInternational journal of sexual health : official journal of the World Association for Sexual Health · 2021Article
- Utilizing Digital Health to Collect Electronic Patient-Reported Outcomes in Prostate Cancer: Single-Arm Pilot Trial.Journal of medical Internet research · 2020Article
- Decision aid use during post-biopsy consultations for localized prostate cancer.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- A Qualitative Investigation on Patient Empowerment in Prostate Cancer.Frontiers in psychology · 2017Article
- A diagnosis of chronic kidney disease: despite fears patients want to know early.Clinical nephrology · 2016Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundWe know little about patient-physician communication during visits to discuss diagnosis and treatment of prostate cancer.
objectiveTo examine the overall visit structure and how patients and physicians transition between communication activities during visits in which patients received new prostate cancer diagnoses.
participantsForty veterans and 18 urologists at one VA medical centre.
methodsWe coded 40 transcripts to identify major communication activities during visits and used empiric discourse analysis to analyse transitions between activities.
resultsWe identified five communication activities that occurred in the following typical sequence: 'diagnosis delivery', 'risk classification', 'options talk', 'decision talk' and 'next steps'. The first two activities were typically brief and involved minimal patient participation. Options talk was typically the longest activity; physicians explicitly announced the beginning of options talk and framed it as their professional responsibility. Some patients were unsure of the purpose of visit and/or who should make treatment decisions.
conclusionVisits to deliver the diagnosis of early stage prostate cancer follow a regular sequence of communication activities. Physicians focus on discussing treatment options and devote comparatively little time and attention to discussing the new cancer diagnosis. Towards the goal of promoting patient-centred communication, physicians should consider eliciting patient reactions after diagnosis delivery and explaining the decision-making process before describing treatment options.
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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.