Evidence map›Paper›PMID 36138320›Full record

ArticleEuropean journal of cancer care2022

Social ecological influences on treatment decision-making in men diagnosed with low risk, localised prostate cancer.

Megan McIntosh, Melissa J Opozda, Camille E Short, Daniel A Galvão, Rebecca Tutino, Michael Diefenbach, Behfar Ehdaie, Christian Nelson

Abstract read
In one paragraph

Article in European journal of cancer care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The interplay and influence of anxiety and depression among men with early-stage prostate cancer and their close allies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Review
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Megan McIntoshSchool of Medicine, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia.ORCID https://orcid.org/0000-0003-0933-6718
Melissa J OpozdaFreemasons Centre for Male Health and Wellbeing, South Australian Health and Medical Research Institute and The University of Adelaide, Adelaide, SA, Australia.
Camille E ShortMelbourne School of Psychological Sciences and Melbourne School of Health Sciences (jointly appointed), The University of Melbourne, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0002-4177-4251
Daniel A GalvãoExercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.
Rebecca TutinoMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Michael DiefenbachNorthwell Health, New Hyde Park, NY, USA.
Behfar EhdaieMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Christian NelsonMemorial Sloan Kettering Cancer Center, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Decision Making For Active Surveillance in Prostate Cancer Patients and SpousesR21CA164807 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DIEFENBACH, MICHAEL A, NELSON, CHRISTIAN J · 2012 to 2013
$412k
NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA164807NCI NIH HHS R21-CA164807
6 · The paper itself

Abstract

objectiveIndividuals diagnosed with low risk, localised prostate cancer (PCa) face a difficult decision between active surveillance (AS) and definitive treatment. We aimed to explore perceived influences on treatment decision-making from the patient and partner's perspectives.

methodsPatients (and partners) who met AS criteria and had chosen their treatment were recruited. Semi-structured individual interviews were conducted via telephone to explore experiences of diagnosis, impact on patient lifestyle, experiences with physicians, treatment preferences/choice, treatment information understanding and needs, and overall decision-making process. Interviews were audio recorded, transcribed verbatim, and analysed using Reflexive Thematic Analysis.

resultsTwenty-four male patients (18 chose AS) and 12 female partners participated. Five themes relating to social-ecological influences on treatment choice were identified: (1) partner support and direct influence on patient treatment choice, (2) patient and partner vicarious experiences may influence treatment decisions, (3) the influence of the patient's life circumstances, (4) disclosing to wider social networks: friends, family, and co-workers, and (5) the importance of a good relationship and experience with physicians. Additionally, two themes were identified relating to information patients and partners received about the treatment options during their decision-making process.

conclusionsA range of individual and social influences on treatment decision-making were reported. Physicians providing treatment recommendations should consider and discuss the patient and partner's existing beliefs and treatment preferences and encourage shared decision-making. Further research on treatment decision-making of partnered and non-partnered PCa patients is required. We recommend research considers social ecological factors across the personal, interpersonal, community, and policy levels.

Indexed as

Decision MakingProstatic NeoplasmsDecision Making, SharedHumansMaleQualitative Researchactive surveillancedecision-makingprostate cancerqualitative researchsupportive caretreatment decision-making

Identifiers

PMID36138320
PMCPMC9786728

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.