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What Questions Do Patients with Curable Prostate Cancer Want Answered?

Author

Listed:
  • Deb Feldman-Stewart
  • Michael D. Brundage
  • Charles Hayter
  • Patti Groome
  • J. Curtis Nickel
  • Heather Downes
  • William J. Mackillop

Abstract

Purpose. To determine the questions that recently diagnosed early-stage prostate cancer patients think should be addressed with patients like themselves. Study population. 56 patients diagnosed as having early-stage prostate cancer within the previous year. Methods. Surveys distributed to the patients included 93 questions that might be considered important. Respondents judged the importance (essential / desired / no opinion / avoid) of addressing each question, and indicated why those "essential" or "desired" were important. Results. 38 patients (68%) responded. Agreement on question importance, overall, was rather poor (mean 41.6%, kappa 0.17). There were, however, 20 questions that at least 67% of the respondents agreed were essential to address and 12 that they agreed were not essential. No question was relevant to the treatment decisions of more than 50% of respondents, but 91 questions were relevant to at least one respondent's decision. Conclusions. Although there was enough agreement to define a core set of questions that should be addressed with most patients, each of the remaining questions was also considered essential to some people. The core set, therefore, would not be adequate to satisfy any one patient's essential information needs. Whereas most questions would be needed to cover all patients' decision needs, only some are needed for any given patient. Such variability in information needs means that the subjective standard is the only viable legal standard for judging the adequacy of provision of information for the treatment decision. Key words: information needs; informed consent; prostate cancer; patient participation; patient education. (Med Decis Making 2000;20:7-19)

Suggested Citation

  • Deb Feldman-Stewart & Michael D. Brundage & Charles Hayter & Patti Groome & J. Curtis Nickel & Heather Downes & William J. Mackillop, 2000. "What Questions Do Patients with Curable Prostate Cancer Want Answered?," Medical Decision Making, , vol. 20(1), pages 7-19, January.
  • Handle: RePEc:sae:medema:v:20:y:2000:i:1:p:7-19
    DOI: 10.1177/0272989X0002000102
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    References listed on IDEAS

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    1. Wallace, Louise M., 1986. "Informed consent to elective surgery: The 'therapeutic' value?," Social Science & Medicine, Elsevier, vol. 22(1), pages 29-33, January.
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    Cited by:

    1. Pieterse, Arwen H. & de Vries, Marieke & Kunneman, Marleen & Stiggelbout, Anne M. & Feldman-Stewart, Deb, 2013. "Theory-informed design of values clarification methods: A cognitive psychological perspective on patient health-related decision making," Social Science & Medicine, Elsevier, vol. 77(C), pages 156-163.
    2. Steven Zeliadt & Scott Ramsey & Arnold Potosky & Neeraj Arora & David Blough & Ingrid Oakley-Girvan & Ann Hamilton & Stephen Eeden & David Penson, 2008. "Association of Pre-Existing Symptoms with Treatment Decisions among Newly Diagnosed Prostate Cancer Patients," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(3), pages 189-200, July.

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