ArticleBJU international2017
Qualitative study on decision-making by prostate cancer physicians during active surveillance.
Article in BJU international, 2017. 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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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Factors Influencing Men's Choice of and Adherence to Active Surveillance for Low-risk Prostate Cancer: A Mixed-method Systematic Review.European urology · 2018Pooled it
- Patient Interest in Exploring Nonsurgical Treatment Approaches for Early-Stage Breast Cancer: A Qualitative Study.International journal of radiation oncology, biology, physics · 2024Article
- Risk of progression following a negative biopsy in prostate cancer active surveillance.Prostate cancer and prostatic diseases · 2023Article
- Patient participation in treatment decision-making of prostate cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
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- Article
- Understanding Active Surveillance for Prostate Cancer.JCO oncology practice · 2021Article
- Perceived barriers to the adoption of active surveillance in low-risk prostate cancer: a qualitative analysis of community and academic urologists.BMC cancer · 2021Article
- Adoption of Active Surveillance for Very Low-Risk Differentiated Thyroid Cancer in the United States: A National Survey.The Journal of clinical endocrinology and metabolism · 2021Article
- Views of healthcare professionals about the role of active monitoring in the management of ductal carcinoma in situ (DCIS): Qualitative interview study.Breast (Edinburgh, Scotland) · 2020Article
- Article
- Resisting recommended treatment for prostate cancer: a qualitative analysis of the lived experience of possible overdiagnosis.BMJ open · 2019Article
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study.PloS one · 2019Article
- Describing perspectives of health care professionals on active surveillance for the management of prostate cancer.BMC health services research · 2018Article
- Article
- Which Patients Report That Their Urologists Advised Them to Forgo Initial Treatment for Prostate Cancer?Urology · 2018Article
- Informational needs during active surveillance for prostate cancer: A qualitative study.Patient education and counseling · 2018Article
- Biomarkers in active surveillance.Translational andrology and urology · 2018Review
- Active surveillance for prostate cancer: a systematic review of contemporary worldwide practices.Translational andrology and urology · 2018Review
- Article
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8 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo explore and identify factors that influence physicians' decisions while monitoring patients with prostate cancer on active surveillance (AS). SUBJECTS AND
methodsA purposive sampling strategy was used to identify physicians treating prostate cancer from diverse clinical backgrounds and geographic areas across the USA. We conducted 24 in-depth interviews from July to December 2015, until thematic saturation was reached. The Applied Thematic Analysis framework was used to guide data collection and analysis. Interview transcripts were reviewed and coded independently by two researchers. Matrix analysis and NVivo software were used for organization and further analysis.
resultsEight key themes emerged to explain variation in AS monitoring: (i) physician comfort with AS; (ii) protocol selection; (iii) beliefs about the utility and quality of testing; (iv) years of experience and exposure to AS during training; (v) concerns about inflicting 'harm'; (vi) patient characteristics; (vii) patient preferences; and (viii) financial incentives.
conclusionThese qualitative data reveal which factors influence physicians who manage patients on AS. There is tension between providing standardized care while also considering individual patients' needs and health status. Additional education on AS is needed during urology training and continuing medical education. Future research is needed to empirically understand whether any specific protocol is superior to tailored, individualized care.
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