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This summary is machine-generated.

Shared decision-making (SDM) improves cancer treatment choices for prostate and bladder cancer patients. However, critical aspects like side effect discussions are often missing, highlighting needs for better patient-centered care.

Keywords:
Bladder cancerCurative-intended cancer treatmentProstate cancerShared decision-making

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Area of Science:

  • Oncology
  • Health Services Research
  • Decision Science

Background:

  • Shared decision-making (SDM) is crucial for guiding treatment choices in cancer care.
  • Patients with prostate and bladder cancer face complex curative-intent treatment options.

Purpose of the Study:

  • To synthesize evidence on shared decision-making (SDM) processes in curative-intent treatment selection for prostate and bladder cancer.
  • To identify effective SDM strategies and areas for improvement.

Main Methods:

  • Systematic review following PRISMA 2020 guidelines.
  • Searched seven databases for randomized, observational, and qualitative studies up to November 2024.
  • Independent screening, data extraction, and quality appraisal using the Mixed-Methods Appraisal Tool.

Main Results:

  • Ten studies (n=11,506) included, mostly on prostate cancer; limited evidence for bladder cancer.
  • Structured SDM interventions, decision aids, and joint consultations reduced decisional conflict and improved satisfaction.
  • Gaps identified in discussing long-term side effects and clarifying patient preferences, despite patient value.

Conclusions:

  • Structured SDM and multidisciplinary counseling enhance decision quality for prostate/bladder cancer treatment.
  • Key SDM elements are underutilized; future research should focus on bladder cancer and patient-reported outcomes.
  • Oncology nurses play a vital role in SDM, with potential for expanded nurse-led interventions.