2. Factors That Affect Patients' Choice of Treatment

  1. Hashim U Ahmed MRCS, BM, BCh, BA(Hons)5,
  2. Manit Arya FRCS, FRCS(Urol)6,
  3. Peter Carroll MD, MPH7 and
  4. Mark Emberton FRCS (Urol), FRCS, MD, MBBS, BSc5,8
  1. Deb Feldman-Stewart PhD1,2 and
  2. Michael D. Brundage MSc, FRCPC, MD1,2,3,4

Published Online: 10 NOV 2011

DOI: 10.1002/9781444346893.ch2

Focal Therapy in Prostate Cancer

Focal Therapy in Prostate Cancer

How to Cite

Feldman-Stewart, D. and Brundage, M. D. (2011) Factors That Affect Patients' Choice of Treatment, in Focal Therapy in Prostate Cancer (eds H. U. Ahmed, M. Arya, P. Carroll and M. Emberton), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444346893.ch2

Editor Information

  1. 5

    Division of Surgery and Interventional Sciences, University College London, London, UK

  2. 6

    Department of Urology, University College London, London, UK

  3. 7

    Department of Urology, UCSF Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, USA

  4. 8

    NIHR UCL/UCH Comprehensive Biomedical Research Centre, London, UK

Author Information

  1. 1

    Division of Cancer Care and Epidemiology, Cancer Research Institute, Queen's University, Kingston, ON, Canada

  2. 2

    Department of Oncology, Queen's University, Kingston, ON, Canada

  3. 3

    Department of Community Health and Epidemiology, Queen's University, Kingston, ON, Canada

  4. 4

    Cancer Centre of Southeastern Ontario, Kingston, ON, Canada

Publication History

  1. Published Online: 10 NOV 2011
  2. Published Print: 2 OCT 2011

ISBN Information

Print ISBN: 9781405196499

Online ISBN: 9781444346893

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Keywords:

  • decision-making;
  • decision analysis;
  • decision aids;
  • treatment choice;
  • radical therapy side effects;
  • cancer control efficacy

Summary

Clinicians have an intuitive understanding that the chances of cure, balanced against the risks to bladder, bowel, and sexual function, are powerful factors influencing treatment choices of both patients and clinicians. In this chapter, we review this common medical paradigm of factors that relate to balancing potential benefit against potential harm, and highlight complexities related to this seemingly straightforward consideration of competing outcomes. We then go on to show that this common paradigm (even acknowledging the complexities) is too limited in its approach to the decision, by identifying additional factors that patients often consider in making their choices.