Related Experiment Video
Updated: Jan 7, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
8.9K
Shared Decision-Making in Curative Uro-Oncology: A Systematic Review
Line Bentsen1, Trine Lund-Jacobsen2, Christina Bøgh Jakobsen1
1Department of Oncology, Centre for Cancer and Organ Diseases, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Seminars in Oncology Nursing
|January 3, 2026
Summary
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.
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.
More Related Videos
05:19A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
628
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
8.1K
Related Concept Videos
01:21Cancer Survival Analysis
626
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
626
01:25Urinary Tract Calculi VI: Surgical Management
328
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
328
02:56Treatment Resistant Cancers
3.7K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.7K
02:50Combination Therapies and Personalized Medicine
5.8K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.8K
01:30Urinary Tract Calculi III: Medical Management
170
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
170
01:27Nursing Ethical Principles II
2.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.0K