Abstract
Clinicians often fail to adequately meet prostate cancer patients’ information needs, and patients may receive different kinds of information from their doctors. This study aims to describe urologists’ attitudes regarding information sharing with prostate cancer patients and to compare these findings with the previously published attitudes of Israeli family physicians. A questionnaire (11 items) was mailed to 87 board-certified practicing urologists. Fifty-four physicians (66%) completed the questionnaires. Sixty-one percent of respondents stated that patients should be told the complete truth about their disease. Ninety-six percent of respondents felt competent at breaking bad news and stated they would discuss emotions with patients. The majority of physicians would provide general information when referring for a medical procedure, discussing treatment options or a patient’s prognosis. Fifty-seven percent of respondents preferred that patients be autonomous in their decision making. Only 26% of respondents believed that family physicians should communicate medical information to patients at the preliminary diagnostic stages. There was no significant difference in the attitudes expressed by urologists and family physicians towards the amount of information they would share with prostate cancer patients and in their preferences regarding treatment decision making. Urologists in Israel recognize the importance of sharing information with prostate cancer patients. Although urologists share similar attitudes with family physicians, they do not recognize the role that family physicians play in caring for prostate cancer patients. Further studies are needed to design and implement effective ways to improve the communication and collaboration between urologists and family physicians for the benefit of prostate cancer patients.
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References
Espey DK, Wu XC, Swan J et al (2008) Annual report to the nation on the status of cancer, 1975–2005, featuring trends in lung cancer, tobacco use, and tobacco control. J Natl Cancer Inst 100:1672–1694
Berry DL, Ellis WJ, Woods NF et al (2003) Treatment decision making by men with localized prostate cancer: the influence of personal factors. Urol Oncol 21:93–100
Holmes-Rovner M, Stableford S, Fagerlin A et al (2005) Evidence-based patient choice: a prostate cancer decision aid in plain language. BMC Med Inform Decis Mak 5:16
Schostak M, Wiegel T, Muller M et al (2004) Shared decision-making results from an interdisciplinary consulting service for prostate cancer. World J Urol 22:441–448
Echlin KN, Rees CE (2002) Information needs and information-seeking behaviors of men with prostate cancer and their partners: a review of the literature. Cancer Nurs 25:35–41
Holmboe ES, Contaco J (2000) Treatment decision for localized prostate cancer. Asking man what’s important. J Gen Intern Med 15:694–701
Steginga SK, Occhipinti S (2004) The application of the heuristic–systematic processing model to treatment decision making about prostate cancer. Med Decis Mak 24:573–583
Wong F, Stewart DE, Dancey J et al (2000) Men with prostate cancer: influence of psychological factors on informational needs and decision making. J Psychosom Res 49:13–19
Michie A, Rosebert C, Heaversedge J et al (1996) The effects of different kinds of information on women attending an outpatient breast clinic. Psychol Health Med 1:285–296
Harrison-Woermke DE, Graydon JE (1993) Perceived informational needs of breast cancer patients receiving radiation therapy after excisional biopsy and axillary node dissection. Cancer Nurs 16:449–455
Derdiarian AK (1989) Effects of information on recently diagnosed cancer patients’ and spouses’ satisfaction with care. Cancer Nurs 12:285–292
Wilson J, Kennedy K, Ewings P, Macdonagh R (2008) Analysis of consultant decision making in the management of prostate cancer. Prostate Cancer Prostatic Dis 11:288–293
Davison BJ, Kirk P, Degner LF et al (1999) Information and patient participation in screening for prostate cancer. Patient Educ Couns 37:255–263
Ford ME, Vernon SW, Havstad SL et al (2006) Factors influencing behavioral intention regarding prostate cancer screening among older African-American men. J Natl Med Assoc 98:505–514
Cohen H, Britten N (2003) Who decides about prostate cancer treatment? A qualitative study. Fam Pract 20:724–729
Basler JW, Jenkins C, Swanson G (2005) Multidisciplinary management of prostate malignancy. Curr Urol Rep 6(3):228–234
Sternberg CN, Krainer M, Oh WK et al (2006) The medical management of prostate cancer: a multidisciplinary team approach. BJU Int 99:22–17
Cohen Castel O, Ungar L, Alperin M et al (2008) Family physicians’ perceptions, beliefs, and attitudes regarding information sharing with prostate cancer patients throughout the course of the disease. Support Care Cancer 16:955–961
Charles C, Gafni A, Whelan T (1997) Shared decision making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med 44:681–692
Parker PA, Baile WF, de Moor C et al (2001) Breaking bad news about cancer: patient’s preferences for communication. J Clin Oncol 19:2049–2056
Roter LA, Hall JA, Aoki Y (2002) Physician gender effects in medical communication: a meta-analytic review. JAMA 288:756–764
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Cohen Castel, O., Alperin, M., Ungar, L. et al. Urologists’ Attitudes Regarding Information Sharing with Prostate Cancer Patients—Is There a Common Ground for Collaboration with Family Physicians?. J Canc Educ 26, 315–321 (2011). https://doi.org/10.1007/s13187-010-0171-1
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DOI: https://doi.org/10.1007/s13187-010-0171-1