Grace Lin|David S. Aaronson|Sara J. Knight|Peter R. Carroll|R. Adams Dudley
Patient Decision Aids for Prostate Cancer Treatment: A Systematic Review of the Literature
University of California, San Francisco
treatment decisionmaking difficult complex patients lowrisk prostate cancer authors knowledge consensus regarding optimal treatment strategy choice therapy involves tradeoffs differing harms benefits sensitive patient values situations patients often asked participate actively decisionmaking process highquality decisions require wellinformed patient whose values preferences taken consideration prior studies indicated patients poor knowledge unrealistic expectations regarding treatment physician judgments concerning patient preferences often inaccurate decision aids das developed help inform patients lowrisk prostate cancer treatment options assist decisionmaking process however little currently known regarding effects programs population thirteen studies das patients prostate cancer reviewed found use das improve knowledge encourage active patient involvement decisionmaking decrease levels anxiety distress effect das treatment choice less clear although fewer patients chose surgery compared historical controls particularly europe studies needed determine best implement das practice whether improve consistency patient preferences treatment choice