Donna L. Berry|Fangxin Hong|Traci M. Blonquist|Barbara Halpenny|Christopher P. Filson|Viraj A. Master|Martin G. Sanda|Peter Chang|Gary W. Chien|Randy Jones|Tracey L. Krupski|Seth Wolpin|Leslie Wilson|Julia H. Hayes|Quoc Dien Trinh|Mitchell Sokoloff|Prabhakara Somayaji
Decision Support with the Personal Patient Profile-Prostate: A Multicenter Randomized Trial
St. Elizabeth's Medical Center|Dana-Farber Cancer Institute|St. Elizabeth's Medical Center|Dana-Farber Cancer Institute|St. Elizabeth's Medical Center|Dana-Farber Cancer Institute|St. Elizabeth's Medical Center|Dana-Farber Cancer Institute|Emory University|Emory University|Emory University|Beth Israel Deaconess Medical Center|Kaiser Permanente|Los Angeles Medical Center|University of Virginia|University of Washington|University of California, San Francisco|St. Elizabeth's Medical Center|Dana-Farber Cancer Institute|Brigham and Women's Hospital|Worcester Memorial Hospital
accessjournal urologyadult urology1 jan 2018decision support personal patient profileprostate multicenter randomized trial donna l berry fangxin hong traci blonquist barbara halpenny christopher p filson viraj master martin g sanda peter chang gary w chien randy jones tracey l krupski seth wolpin leslie wilson julia h hayes quocdien trinh mitchell sokoloff prabhakara somayaji donna l berrydonna l berry danafarber cancer institute st elizabeths medical center boston massachusetts articles author fangxin hongfangxin hong danafarber cancer institute st elizabeths medical center boston massachusetts articles author traci blonquisttraci blonquist danafarber cancer institute st elizabeths medical center boston massachusetts financial interest andor relationship pfizer johnson johnson articles author barbara halpennybarbara halpenny danafarber cancer institute st elizabeths medical center boston massachusetts articles author christopher p filsonchristopher p filson department urology emory university school medicine atlanta georgia articles author viraj masterviraj master department urology emory university school medicine atlanta georgia articles author martin g sandamartin g sanda department urology emory university school medicine atlanta georgia articles author peter changpeter chang department urology beth israel deaconess medical center boston massachusetts articles author gary w chiengary w chien department urology kaiser permanente los angeles medical center los angeles california articles author randy jonesrandy jones university virginia schools nursing charlottesville virginia articles author tracey l krupskitracey l krupski department urology school medicine charlottesville virginia articles author seth wolpinseth wolpin university washington school nursing seattle washington articles author leslie wilsonleslie wilson department clinical pharmacy university californiasan francisco san francisco california articles author julia h hayesjulia h hayes danafarber cancer institute st elizabeths medical center boston massachusetts articles author quocdien trinhquocdien trinh department urology brigham womens hospital boston massachusetts articles author mitchell sokoloffmitchell sokoloff department urology university massachusetts memorial healthcare worcester massachusetts articles author prabhakara somayajiprabhakara somayaji private practice niagara falls new york articles author view author informationhttpsdoiorg101016jjuro201707076aboutfull textpdf toolsadd favoritesdownload citationstrack citationspermissionsreprints sharefacebooklinked intwitteremail abstract purpose evaluated efficacy web based p3p personal patient profileprostate decision aid vs usual care regard decisional conflict men localized prostate cancer materials methods randomized 11 controlled parallel group nonblinded trial performed 4 regions united states eligible men clinically localized prostate cancer upcoming consultation spoke read english spanish participants answered questionnaires report decision making stage personal characteristics concerns preferences plus baseline symptoms decisional conflict randomization algorithm allocated participants receive tailored education communication coaching generic teaching sheets external websites plus 1page summary clinicians intervention links plus materials provided clinic usual care conflict outcomes number consultations measured 1 month univariate multivariable models used analyze outcomes results total 392 men randomized including 198 intervention 194 usual care 152 153 respectively returned 1month outcomes mean sd 1month decisional conflict scale score range 0 100 109 167 intervention 99 180 usual care multivariable model revealed significantly reduced conflict intervention group 500 95 ci 940059 predictors conflict included income marital partner status decision status number consultations clinical site damico risk classification conclusions multicenter trial decision aid significantly reduced decisional conflict variables impacted conflict modified effect decision aid notably risk classification consultations resources p3p effective adjunct shared decision making men localized prostate cancer references 1 clinically localized prostate cancer auaastrosuo guideline linthicum american urological association education research2017 google scholar 2 trends management patients localized prostate cancer 19902013 jama2015 314 80 google scholar 3 use predictors expectant management low intermediate risk localized prostate cancer elderly men urol pract2017 4 132 link google scholar 4 variations quality care men earlystage prostate cancer j clin oncol2008 26 3735 google scholar 5 perceptions urologists conversational elements leading treatment decisionmaking among newly diagnosed prostate cancer patients j cancer educ2017 32 580 google scholar 6 treatment decisionmaking men localized prostate cancer influence personal factors urol oncol2003 21 93 google scholar 7 watching waiting uncertainty 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google scholar 22 integrating patient preference treatment decisions men prostate cancer point care j urol2016 196 1640 link google scholar 23 managing uncertainty treatment decision making early stage prostate cancer randomized clinical trial patient educ couns2009 77 349 google scholar 24 impact explicit values clarification exercises patient decision aid emerges decision actually made evidence randomized controlled trial med decis making2012 32 616 google scholar 25 study site contributes outcomes multicenter randomized trial secondary analysis decisional conflict men localized prostate cancer health qual life outcomes2014 12 159 google scholar 26 comparison patient reported quality life outcome questionnaire response rates patients treated surgically renal cell carcinoma prostate carcinoma bmc urol2015 15 58 google scholar 2018 american urological association education research incfiguresreferencesrelateddetailscited bylane g dupati qi j ferrante dunn r paudel r wittmann wallner l berry ellimoottil c montie j clemens j 2021 factors associated decision aid use localized prostate cancerurology practice vol 9 1 108115 online publication date 1jan2022berry hong f halpenny b sanda master v filson c chang p chien g underhill fox e mcreynolds j wolpin 2018 evaluating clinical implementation approaches prostate cancer decision supporturology practice vol 6 2 9399 online publication date 1mar2019 volume 199issue 1january 2018page 8997supplementary materials advertisement copyright permissions 2018 american urological association education research inckeywordsprostatic neoplasmsmedical informaticsdecision support techniquessurveys questionnairesplanning techniquesacknowledgmentstaylor hendel assisted manuscriptmetricsauthor information donna l berry danafarber cancer institute st elizabeths medical center boston massachusetts articles author fangxin hong danafarber cancer institute st elizabeths medical center boston massachusetts articles author traci blonquist danafarber cancer institute st elizabeths medical center boston massachusetts financial interest andor relationship pfizer johnson johnson articles author barbara halpenny danafarber cancer institute st elizabeths medical center boston massachusetts articles author christopher p filson department urology emory university school medicine atlanta georgia articles author viraj master department urology emory university school medicine atlanta georgia articles author martin g sanda department urology emory university school medicine atlanta georgia articles author peter chang department urology beth israel deaconess medical center boston massachusetts articles author gary w chien department urology kaiser permanente los angeles medical center los angeles california articles author randy jones university virginia schools nursing charlottesville virginia articles author tracey l krupski department urology school medicine charlottesville virginia articles author seth wolpin university washington school nursing seattle washington articles author leslie wilson department clinical pharmacy university californiasan francisco san francisco california articles author julia h hayes danafarber cancer institute st elizabeths medical center boston massachusetts articles author quocdien trinh department urology brigham womens hospital boston massachusetts articles author mitchell sokoloff department urology university massachusetts memorial healthcare worcester massachusetts articles author prabhakara somayaji private practice niagara falls new york articles author expand advertisement pdf downloadloading