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Clinical Impact of the Predict Prostate Risk Communication Tool in Men Newly Diagnosed with Nonmetastatic Prostate
David Thurtle1, Val Jenkins2, Alex Freeman3
1Department of Surgery, University of Cambridge School of Clinical Medicine, Cambridge, UK.
European Urology
|September 8, 2021
Summary
The Predict Prostate tool significantly reduces decisional conflict and uncertainty for men with nonmetastatic prostate cancer. This personalized risk communication improves prognosis perception, aiding informed treatment decisions.
Area of Science:
- Urology
- Medical Informatics
- Patient Decision Making
Background:
- Predict Prostate is a validated online tool for personalized risk communication in nonmetastatic prostate cancer.
- Its clinical impact on patient decision-making has not been previously assessed.
Purpose of the Study:
- To evaluate the effect of the Predict Prostate tool on patient decision-making and disease perception.
- To assess its impact on decisional conflict, uncertainty, anxiety, and survival perception.
Main Methods:
- A multicenter randomized controlled trial involving 145 men with newly diagnosed nonmetastatic prostate cancer.
- Participants were randomized to standard of care (SOC) or SOC plus the Predict Prostate tool.
- Outcomes were assessed using validated questionnaires on decisional conflict, uncertainty, anxiety, and survival perception.
Main Results:
- The Predict Prostate group showed a 26% reduction in decisional conflict scores (p=0.027).
- Patients using the tool had more accurate and realistic perceptions of survival outcomes (p<0.001).
- Over 90% of users found the tool useful and would recommend it.
Conclusions:
- Predict Prostate effectively reduces decisional conflict and uncertainty in prostate cancer patients.
- The tool fosters more realistic patient perceptions of prognosis and treatment impact.
- It serves as a valuable aid in the complex decision-making process for prostate cancer treatment.
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