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Title: Do prostate cancer patients want to choose their own radiation treatment?

Abstract

Purpose: The aims of this study were to investigate whether prostate cancer patients want to be involved in the choice of Radiation dose, and which patients want to be involved. Methods and Materials: This prospective study involved 150 patients with localized prostate cancer treated with three-dimensional conformal radiotherapy. A decision aid was used to explain the effects of two alternative radiation doses (70 and 74 Gy) in terms of cure and side effects. Patients were then asked whether they wanted to choose their treatment (accept choice), or leave the decision to the physician (decline choice). The treatment preference was carried out. Results: Even in this older population (mean age, 70 years), most patients (79%) accepted the option to choose. A lower score on the designations Pre-existent bowel morbidity, Anxiety, Depression, Hopelessness and a higher score on Autonomy and Numeracy were associated with an increase in choice acceptance, of which only Hopelessness held up in multiple regression (p < 0.03). The uninformed participation preference at baseline was not significantly related to choice acceptance (p = 0.10). Conclusion: Uninformed participation preference does not predict choice behavior. However, once the decision aid is provided, most patients want to choose their treatment. It should,more » therefore, be considered to inform patients first and ask participation preferences afterwards.« less

Authors:
 [1];  [1];  [2];  [1];  [1]
  1. Department of Radiation Oncology, Radboud University Nijmegen Medical Center, Nijmegen (Netherlands)
  2. Arnhems Radiotherapeutic Institute, Arnhem (Netherlands)
Publication Date:
OSTI Identifier:
20850227
Resource Type:
Journal Article
Journal Name:
International Journal of Radiation Oncology, Biology and Physics
Additional Journal Information:
Journal Volume: 66; Journal Issue: 4; Other Information: DOI: 10.1016/j.ijrobp.2006.07.001; PII: S0360-3016(06)01135-7; Copyright (c) 2006 Elsevier Science B.V., Amsterdam, Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0360-3016
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARCINOMAS; DISEASE INCIDENCE; PATIENTS; PROSTATE; RADIATION DOSES; RADIOTHERAPY; SIDE EFFECTS

Citation Formats

Tol-Geerdink, Julia J. van ., Stalmeier, Peep F.M., Department of Medical Technology Assessment, Radboud University Nijmegen Medical Center, Nijmegen, Lin, Emile N.J.T. van, Schimmel, Erik C, Huizenga, Henk, Daal, Wim A.J. van, and Leer, Jan-Willem. Do prostate cancer patients want to choose their own radiation treatment?. United States: N. p., 2006. Web. doi:10.1016/j.ijrobp.2006.07.001.
Tol-Geerdink, Julia J. van ., Stalmeier, Peep F.M., Department of Medical Technology Assessment, Radboud University Nijmegen Medical Center, Nijmegen, Lin, Emile N.J.T. van, Schimmel, Erik C, Huizenga, Henk, Daal, Wim A.J. van, & Leer, Jan-Willem. Do prostate cancer patients want to choose their own radiation treatment?. United States. https://doi.org/10.1016/j.ijrobp.2006.07.001
Tol-Geerdink, Julia J. van ., Stalmeier, Peep F.M., Department of Medical Technology Assessment, Radboud University Nijmegen Medical Center, Nijmegen, Lin, Emile N.J.T. van, Schimmel, Erik C, Huizenga, Henk, Daal, Wim A.J. van, and Leer, Jan-Willem. 2006. "Do prostate cancer patients want to choose their own radiation treatment?". United States. https://doi.org/10.1016/j.ijrobp.2006.07.001.
@article{osti_20850227,
title = {Do prostate cancer patients want to choose their own radiation treatment?},
author = {Tol-Geerdink, Julia J. van . and Stalmeier, Peep F.M. and Department of Medical Technology Assessment, Radboud University Nijmegen Medical Center, Nijmegen and Lin, Emile N.J.T. van and Schimmel, Erik C and Huizenga, Henk and Daal, Wim A.J. van and Leer, Jan-Willem},
abstractNote = {Purpose: The aims of this study were to investigate whether prostate cancer patients want to be involved in the choice of Radiation dose, and which patients want to be involved. Methods and Materials: This prospective study involved 150 patients with localized prostate cancer treated with three-dimensional conformal radiotherapy. A decision aid was used to explain the effects of two alternative radiation doses (70 and 74 Gy) in terms of cure and side effects. Patients were then asked whether they wanted to choose their treatment (accept choice), or leave the decision to the physician (decline choice). The treatment preference was carried out. Results: Even in this older population (mean age, 70 years), most patients (79%) accepted the option to choose. A lower score on the designations Pre-existent bowel morbidity, Anxiety, Depression, Hopelessness and a higher score on Autonomy and Numeracy were associated with an increase in choice acceptance, of which only Hopelessness held up in multiple regression (p < 0.03). The uninformed participation preference at baseline was not significantly related to choice acceptance (p = 0.10). Conclusion: Uninformed participation preference does not predict choice behavior. However, once the decision aid is provided, most patients want to choose their treatment. It should, therefore, be considered to inform patients first and ask participation preferences afterwards.},
doi = {10.1016/j.ijrobp.2006.07.001},
url = {https://www.osti.gov/biblio/20850227}, journal = {International Journal of Radiation Oncology, Biology and Physics},
issn = {0360-3016},
number = 4,
volume = 66,
place = {United States},
year = {Wed Nov 15 00:00:00 EST 2006},
month = {Wed Nov 15 00:00:00 EST 2006}
}