Alan L. Kaplan|Catherine M. Crespi|Josemanuel Saucedo|Sarah E. Connor|Mark S. Litwin|Christopher S. Saigal
Decisional conflict in economically disadvantaged men with newly diagnosed prostate cancer: Baseline results from a shared decision?making trial
University of California, Los Angeles|University of California, Los Angeles|University of California, Los Angeles|University of California, Los Angeles|UCLA Health|University of California, Los Angeles
background decisional conflict source anxiety stress men diagnosed prostate cancer given uncertainty surrounding myriad treatment options data exist help clinicians identify patients risk decisional conflict purpose study examine factors associated decisional conflict economically disadvantaged men diagnosed prostate cancer treatment choices made methods total 70 men surveyed veterans administration clinic newly diagnosed localized prostate cancer enrolled randomized trial testing novel shared decisionmaking tool baseline demographic clinical functional data collected independent variables included age race education comorbidity relationship status urinarysexual dysfunction prostate cancer knowledge tested outcomes decisional conflict scale uncertainty subscale perceived effectiveness subscale multiple linear regression modeling used identify factors associated decisional conflict results mean age 63 years 49 african american 70 reported income less 30000 poor prostate cancer knowledge associated increased decisional conflict higher uncertainty p lt 001 p 0001 respectively poor knowledge also associated lower perceived effectiveness p 0003 whereas relationship associated higher decisional conflict p 003 conclusions decreased patient knowledge prostate cancer associated increased decisional conflict lower perceived effective decisionmaking interventions increase comprehension prostate cancer treatments may reduce decisional conflict work needed better characterize relationship identify effective targeted interventions cancer 201412027212727 2014 american cancer society