Online decision aid for patients with prostate cancer evaluated by 11 290 patients and 91 urologists in Germany
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View abstract on PubMed
Summary
This summary is machine-generated.This study evaluated an online prostate cancer decision aid, finding high patient and urologist satisfaction. The tool aids shared decision-making and may increase active surveillance adoption for non-metastatic prostate cancer.
Area Of Science
- Urology
- Health Informatics
- Patient Decision Aids
Background
- Non-metastatic prostate cancer (PCa) management involves complex decisions.
- Online decision aids can support patients in understanding treatment options.
- The 'Entscheidungshilfe Prostatakrebs' tool was developed to aid patients with PCa.
Purpose Of The Study
- To evaluate the nationwide online decision aid 'Entscheidungshilfe Prostatakrebs' for non-metastatic prostate cancer patients.
- To assess patient and urologist perspectives on the tool's utility and satisfaction.
- To determine the tool's impact on shared decision-making and treatment choices.
Main Methods
- Utilized data from 11,290 patients who used the PCa decision aid between June 2016 and December 2020.
- Collected patient data including demographics, diagnosis timelines, preferences, and satisfaction ratings.
- Surveyed 194 urologists regarding their opinions and clinical implementation of the decision aid.
Main Results
- High patient satisfaction (87.7%) was reported with the decision aid.
- Key predictors for choosing observation included higher knowledge and personal preferences.
- Urologists showed high satisfaction (mean score 1.45/6) and 92% recommended the tool; 47% implemented it in practice.
- Half of urologists reported time savings.
Conclusions
- The online prostate cancer decision aid demonstrates high acceptance and satisfaction among both patients and urologists.
- The tool facilitates shared decision-making and offers time efficiency benefits.
- Increased use of this decision aid may promote the adoption of active surveillance and watchful waiting when appropriate.
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