Multiple physician recommendations for prostate cancer treatment

A Pandora's box for patients?

Willie Underwood, Heather Orom, Michael Poch, Brady T. West, Paula M. Lantz, Sam S. Chang, Jay Fowke

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: Patients turn to their physicians for information and guidance when making a prostate cancer treatment decision. The objectives of this study were to determine the likelihood of men consulting with and receiving treatment recommendations from different providers (urologists, radiation oncologists, and primary care physicians), the content of these recommendations, the perceived influence of recommendations and which recommendations, if any, were associated with prostate cancer treatment decisions. Methods: One hundred and fifty-eight participants with localized prostate cancer completed a survey regarding their treatment decision-making process. Associations between treatment choice and urologist recommendations, consultations with radiation oncologists and primary care physicians, potential side effects and other factors were examined using regression analysis. Results: Among men consulting multiple providers, more than half received at least one treatment recommendation. Most men chose a treatment recommended by at least one provider. The likelihood of choosing a treatment increased when the urologist recommended it. Consulting a radiation oncologist decreased and increased likelihood of choosing a radical prostatectomy and radiation, respectively. Conclusion: Most men consulted multiple providers and received multiple treatment recommendations. Recommendations appear to play a significant role in prostate cancer treatment decision-making.

Original languageEnglish (US)
Pages (from-to)5346-5354
Number of pages9
JournalCanadian Journal of Urology
Volume17
Issue number5
StatePublished - Oct 1 2010
Externally publishedYes

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Prostatic Neoplasms
Physicians
Therapeutics
Primary Care Physicians
Decision Making
Prostatectomy
Referral and Consultation
Regression Analysis
Radiation
Urologists
Radiation Oncologists

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Underwood, W., Orom, H., Poch, M., West, B. T., Lantz, P. M., Chang, S. S., & Fowke, J. (2010). Multiple physician recommendations for prostate cancer treatment: A Pandora's box for patients? Canadian Journal of Urology, 17(5), 5346-5354.

Multiple physician recommendations for prostate cancer treatment : A Pandora's box for patients? / Underwood, Willie; Orom, Heather; Poch, Michael; West, Brady T.; Lantz, Paula M.; Chang, Sam S.; Fowke, Jay.

In: Canadian Journal of Urology, Vol. 17, No. 5, 01.10.2010, p. 5346-5354.

Research output: Contribution to journalArticle

Underwood, W, Orom, H, Poch, M, West, BT, Lantz, PM, Chang, SS & Fowke, J 2010, 'Multiple physician recommendations for prostate cancer treatment: A Pandora's box for patients?', Canadian Journal of Urology, vol. 17, no. 5, pp. 5346-5354.
Underwood W, Orom H, Poch M, West BT, Lantz PM, Chang SS et al. Multiple physician recommendations for prostate cancer treatment: A Pandora's box for patients? Canadian Journal of Urology. 2010 Oct 1;17(5):5346-5354.
Underwood, Willie ; Orom, Heather ; Poch, Michael ; West, Brady T. ; Lantz, Paula M. ; Chang, Sam S. ; Fowke, Jay. / Multiple physician recommendations for prostate cancer treatment : A Pandora's box for patients?. In: Canadian Journal of Urology. 2010 ; Vol. 17, No. 5. pp. 5346-5354.
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