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Counseling the prostate cancer patient
European Urology Supplements, 10/20/08

Sartor O et al. – Current clinical practice should enhance the pt–physician dialogue and consider pts' preferences in decision-making to improve treatment decisions and pt satisfaction

Methods

Summary focusing on the process of shared medical decision making and importance of pt–physician communication about prostate cancer
Presentation at the European Association of Urology (EAU) 2008 annual meeting satellite symposium
Literature review

Results

Pt involvement in medical decision-making is critical for cases in which data do not clearly differentiate treatment alternatives
Pt–physician communication should be emphasized with a focus on potential treatment options and expected consequences
Increasing a pt's input contributes to a well-considered decision and may minimize future regret
Misleading Internet information and poor literacy skills can hamper pt decision-making
Pts are often dissatisfied with inadequate time at physician visits and often perceive that the physician offers fewer than optimal treatment choices

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