Treatment decision making in prostate cancer: patients' participation in complex decisions

Patient Educ Couns. 2006 Nov;63(3):308-13. doi: 10.1016/j.pec.2006.07.009. Epub 2006 Sep 11.


Objective: (1) To explore to what degree prostate cancer (PC) patients felt they had participated in treatment decision making (TDM). (2) To determine whether perceived roles during TDM were associated with medical and sociodemographic variables. (3) To examine to what extent satisfaction with TDM was related to perceived role or medical and sociodemographic variables.

Methods: Patients (n=126) were recruited in hospitals and from the Dutch PC patient organization. The relationship between patients' role and stage of disease, treatment modality, age, social status and education was determined, as well as patients' satisfaction with TDM.

Results: Most patients felt they had participated in TDM (autonomous 18%, collaborative 60%). Older patients and those with advanced disease more frequently reported not having been involved in decision making. Satisfaction with TDM was related to age and role in TDM but not to stage of disease or treatment modality. Younger men were least content when they had not been involved in decision making.

Conclusion: Patients' level of participation and satisfaction with TDM appears to be related to medical and sociodemographic variables.

Practice implications: Satisfaction with TDM may be related to patients' age and assumed role. It is recommended to take this into account when planning treatment for prostate cancer patients.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Decision Making*
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Netherlands
  • Patient Participation*
  • Patient Satisfaction*
  • Physician-Patient Relations*
  • Prostatic Neoplasms / therapy*
  • Socioeconomic Factors
  • Statistics, Nonparametric