Mp12-13 What Would You Do if It Were You, Doc?: Patient and Physician Perspectives on Why Prostate Cancer Patients Seek “Personal Advice” From Providers and How Physicians Respond

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making I (MP12)1 May 2024MP12-13 WHAT WOULD YOU DO IF IT WERE YOU, DOC?: PATIENT AND PHYSICIAN PERSPECTIVES ON WHY PROSTATE CANCER PATIENTS SEEK "PERSONAL ADVICE" FROM PROVIDERS AND HOW PHYSICIANS RESPOND Aurash Naser-Tavakolian, Rebecca Gale, Michael Luu, Stephen J. Freedland, Brennan Spiegel, and Timothy J. Daskivich Aurash Naser-TavakolianAurash Naser-Tavakolian , Rebecca GaleRebecca Gale , Michael LuuMichael Luu , Stephen J. FreedlandStephen J. Freedland , Brennan SpiegelBrennan Spiegel , and Timothy J. DaskivichTimothy J. Daskivich View All Author Informationhttps://doi.org/10.1097/01.JU.0001009376.16371.fb.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Patients often ask their doctor that if they (the physician) or a loved one had similar disease, what would they do? We evaluated patient / physician perspectives on this question and characterize its frequency during prostate cancer treatment consultations. METHODS: We recorded and transcribed 50 consultations of men with low/intermediate-risk prostate cancer across 10 multidisciplinary providers (4 urologists, 2 radiation oncologists, and 4 medical oncologists). After consultations, patients underwent semi-structured interviews to inquire if they asked their physician what they would do if they or a loved one had similar disease and their goals in doing so. Consultation transcripts were evaluated to identify the frequency of this question in practice and to qualitatively analyze physician replies. Physician replies were analyzed using an inductive coding approach, with attention to whether physicians narrowed their treatment recommendation or reinforced shared decision making. Upon completing recordings, semi-structured interviews of physicians asked their opinions on how they would reply if asked this question and why. RESULTS: Among 50 consultations, 24 patients (48%) completed semi-structured interviews. In interviews, 12 of 24 men (50%) reported seeking the opinion of their doctor if they were in the same situation. The most common goal was to obtain an opinion that was better informed from a professional standpoint (50%). In consultations, 6 of 50 men (12%) asked their physician which treatment they would choose if they or a loved one had identical disease. Subsequently, 4 of 6 physicians narrowed their treatment recommendation while 2 of 6 reinforced shared decision making. 14 multidisciplinary physicians participated in semi-structured interviews. When asked "what they would do", 6 of 14 (43%) physicians said that they would explain that individual preferences should drive treatment choice, 6 of 14 (43%) physicians would provide their choice but explain how their individual preferences support that choice, 4 of 14 (29%) physicians would try not to answer and reiterate appropriate treatment options, and 3 of 14 (21%) physicians would give an honest answer for what they would do. CONCLUSIONS: Prostate cancer patients ask personal advice of their physicians to gain more professional reassurance about treatment decisions. When responding, best practices would involve reiterating viable treatment options and reminding patients that their preferences should fuel medical decisions. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e205 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Aurash Naser-Tavakolian More articles by this author Rebecca Gale More articles by this author Michael Luu More articles by this author Stephen J. Freedland More articles by this author Brennan Spiegel More articles by this author Timothy J. Daskivich More articles by this author Expand All Advertisement PDF downloadLoading ...