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Topic Mapping to Inform Content to Discuss in Shared Decision-Making for Prostate Cancer.

Nadine A Friedrich1, Paul Kokorowski2, Michael Luu3

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Summary
This summary is machine-generated.

This study identifies key topics for shared decision-making (SDM) in prostate cancer (PC) care. A new framework, including describing the decision process, can improve SDM discussions and patient understanding.

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Area of Science:

  • Urology
  • Oncology
  • Health Services Research

Background:

  • Shared decision-making (SDM) is the standard of care for prostate cancer (PC) treatment.
  • Current SDM content in PC consultations is highly variable.
  • A standardized framework for SDM discussions is lacking.

Purpose of the Study:

  • To develop a framework for SDM in prostate cancer (PC) by identifying key discussion topics.
  • To establish a consensus on essential content for SDM consultations.

Main Methods:

  • Transcribed 50 consultations of men with localized PC.
  • Extracted and thematically coded quotes related to SDM.
  • Aggregated themes into categories and calculated content frequency.

Main Results:

  • SDM-related content was present in 78% of consultations.
  • Three primary themes emerged: decision-making process (90%), patient preferences (79%), and physician preferences (77%).
  • The decision-making process theme, absent in current guidelines, includes describing SDM, roles, decision order, and potential hazards.

Conclusions:

  • A topic-mapped framework for PC SDM content has been developed.
  • This framework can guide providers in SDM discussions.
  • Including the description of the decision-making process is crucial for future SDM guidelines.