Sticks and stones can break your bones, and words can really hurt you

Smart physicians have always been extremely conscious that how they present information can have a profound impact on exactly how patients will react to that information. … READ MORE …

A guide to PSA screening guidelines

For those who would like to have access to a sound summary of the recommendations of groups around the world on screening for prostate cancer, we can recommend a recent, relatively brief, and straightforward review article recently published in BJU International. … READ MORE …

Seven critical prostate cancer controversies

Long-time prostate cancer advocates (and of course all members of the clinical treatment community) are well aware of the controversies that complicate testing for, diagnosing, and managing prostate cancer. However, for men approaching their mid 40s and early 50s and newly diagnosed patients this can come as a major shock. … READ MORE …

The less you know, the harder the decisions about treatment …

In one more of those utterly unsurprising research findings, a study of newly diagnosed patients has shown that poor patient knowledge about the nature of prostate cancer is associated with “decisional conflict” leading to stress and anxiety given the uncertainty associated with the relative “value” of the many possible management options. … READ MORE …

Shared and emotion-free decision-making with respect to PSA-based screening

The following is (slightly edited) report by Jeffrey J. Tomaszewski, MD, on behalf of UroToday.com, of a state-of-the-art lecture by David Penson, MD, presented at the annual meeting of the American Urological Association (AUA) in Orlando. We hope that UroToday will forgive us for this direct “theft”, but the topic is one of enormous relevance to the patient community. … READ MORE …

Improving diagnosis, prognosis, and treatment decision-making

Whatever one’s views on the relative merits of mass screening or carefully targeted, risk-based testing, there is little doubt that we need to do better in deciding who to biopsy once prostate cancer is suspected and who to treat when it is identified. … READ MORE …

Patient satisfaction during and after the decision to undergo radical prostatectomy for localized prostate cancer

A paper to be presented at the upcoming AUA annual meeting from what appears to be an ex-US group of clinicians continues to demonstrate the fact that many men get surgical treatment for prostate cancer without anything like a full appreciation of the clinical problem, their treatment options, or the potential consequences. … READ MORE …

Prostate cancer web sites for the “reading challenged”

A new paper in the Journal of Urology has criticized most prostate cancer web sites written for patients because they are not written at an 8th or 9th grade reading skill level (a skill level considered to be available to most American males). … READ MORE …

Treatment decision-making and subsequent outcomes: a survey among African American survivors

The degree to which individual patients with prostate cancer wish to participate in making decisions about their treatment varies considerably, and it is important for health professionals to understand the degree to which each individual patient wants to be an active participant in these decisions. … READ MORE …

Patient tools to assist decision-making about PSA tests for risk of prostate cancer

As previously discussed on this blog, on July 16 the American Society of Clinical Oncology (ASCO) issued a provisional clinical opinion or PCO on the merits of screening for prostate cancer (see prior commentary on this PCO). … READ MORE …

Beyond the Abstract — Treatment options for localized prostate cancer

The following article, by Ravinder Mohan, MD, PhD, is reproduced from the UroToday web site with kind permission of Dr. Mohan and the publishers of UroToday. We had previously commented on the original article, published last month in American Family Physician. … READ MORE …

Patients’ decisions, patients’ expectations, and surgery for localized prostate cancer

Two articles and an associated editorial, currently in press in the Journal of Urology, offer insight into the pre-treatment expectations and the post-treatment realities of men who decide to have surgical treatment for localized prostate cancer. … READ MORE …

How young men have thought about treatment options for Gleason 6 prostate cancer

A new study based on data from nearly 500 patients gives us some insight into how a selected group of men less than 50 years of age were thinking about treatment for prostate cancer between 2001 and 2005. Whether one would get the same results for a similar group of patient diagnosed today is a good question. … READ MORE …

PCPs’ opinions about PSA testing and “shared decision-making”

A report in Family Medicine gives us some insight into the views of primary care physicians (PCPs) with respect to PSA testing for prostate cancer risk and the appropriate roles of the patient and the physician in the decision to have or not have PSA tests. … READ MORE …

Prostate cancer treatment in southwestern Georgia: race and a rural environment

A new study just published in Urology seems to confirm facts that have previously been identified in earlier studies of how men elect to get treated for localized prostate cancer in parts of the USA with a high proportion of African American residents and relatively low income levels. … READ MORE …