ArticleCancer2014
Decisional conflict in economically disadvantaged men with newly diagnosed prostate cancer: baseline results from a shared decision-making trial.
Article in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Evaluation of a Novel Hospice-Specific Patient Decision Aid.The American journal of hospice & palliative care · 2024Trial
- Impact of MyDiabetesPlan, a Web-Based Patient Decision Aid on Decisional Conflict, Diabetes Distress, Quality of Life, and Chronic Illness Care in Patients With Diabetes: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- 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
- Effect of the iChoose Kidney decision aid in improving knowledge about treatment options among transplant candidates: A randomized controlled trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018Trial
- Effects of a case management program on patients with oral precancerous lesions: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Trial
- Clinicians' Perception and Management of Cancer Patients' Decision Making Burden.Journal of general internal medicine · 2026Article
- Prevalence and predictors of decisional conflict among older African Americans with advanced chronic kidney disease.Innovation in aging · 2026Article
- The impact of social determinants of health on Black men at the point of prostate cancer diagnosis: a scoping review.Cancer causes & control : CCC · 2025Article
- Cancer Patients' Experiences of Burden when Involved in Treatment Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Article
- Decisional Conflict Among Patients Newly Diagnosed With Clinical T1 Renal Masses: A Prospective Study.The Journal of urology · 2024Article
- Testing the effects on information use by older versus younger women of modality and narration style in a hospital report card.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Prostate Cancer Patients' Understanding of the Gleason Scoring System: Implications for Shared Decision-Making.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019Article
- Understanding Medical Decision-making in Prostate Cancer Care.American journal of men's health · 2018Article
- Patient-clinician communication among patients with stage I lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- [Evaluation of a prostate cancer E‑health tutorial : Development and testing of the website prostata-information.ch].Der Urologe. Ausg. A · 2018Article
- Article
- Patients' preferences for involvement in the decision-making process for treating diabetic retinopathy.BMC ophthalmology · 2017Article
- Decisional conflict between treatment options among end-stage renal disease patients evaluated for kidney transplantation.Clinical transplantation · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundDecisional conflict is a source of anxiety and stress for men diagnosed with prostate cancer given uncertainty surrounding myriad treatment options. Few data exist to help clinicians identify which patients are at risk for decisional conflict. The purpose of this study was to examine factors associated with decisional conflict in economically disadvantaged men diagnosed with prostate cancer before any treatment choices were made.
methodsA total of 70 men were surveyed at a Veterans Administration clinic with newly diagnosed localized prostate cancer enrolled in a randomized trial testing a novel shared decision-making tool. Baseline demographic, clinical, and functional data were collected. Independent variables included age, race, education, comorbidity, relationship status, urinary/sexual dysfunction, and prostate cancer knowledge. Tested outcomes were Decisional Conflict Scale, Uncertainty Subscale, and Perceived Effectiveness Subscale. Multiple linear regression modeling was used to identify factors associated with decisional conflict.
resultsMean age was 63 years, 49% were African American, and 70% reported an income less than $30,000. Poor prostate cancer knowledge was associated with increased decisional conflict and higher uncertainty (P < .001 and P = 0.001, respectively). Poor knowledge was also associated with lower perceived effectiveness (P = 0.003) whereas being in a relationship was associated with higher decisional conflict (P = 0.03).
conclusionsDecreased patient knowledge about prostate cancer is associated with increased decisional conflict and lower perceived effective decision-making. Interventions to increase comprehension of prostate cancer and its treatments may reduce decisional conflict. Further work is needed to better characterize this relationship and identify effective targeted interventions.
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