Podium Session

Poster, Podium & Video Sessions

PD06-04: Feasibility and initial report of incorporating a shared decision making metric at point of service in men with localized prostate cancer

Friday, May 12
10:00 AM - 10:10 AM
Location: BCEC: Room 161

Presentation Authors: Patrick Murray*, Paul Han, Gregory Mills, Stephen Prato, Caitlin Gutheil, Leo Waterston, Jesse Sammon, Moritz Hansen, Portland, ME

Introduction: Multiple treatment options exist for men with localized prostate cancer. Shared decision making (SDM), a process in which clinicians and patients collaborate to make decisions that are well informed and consistent with patients&[prime] preferences and values, helps guide patients through this decision making process and improves patient satisfaction. The objective of this study was to evaluate the feasibility and initial outcomes of measuring SDM among men with newly diagnosed localized prostate cancer, and to assess patients&[prime] perceptions of the value of existing decision support resources.

Methods: Over a one year period, all men with newly diagnosed localized prostate cancer were enrolled prospectively in this pilot study at an academic tertiary care center. All men were referred for nurse navigation, were offered referral to urology and radiation oncology, and were provided access to a prostate cancer educational website. At the time of informed consent for their chosen managment option (surveillance, surgery, radiation), men were invited to complete CollaboRATE, a validated 3-question survey measuring perceptions of SDM, along with measures assessing the perceived value of available decision support resources. Descriptive and correlational analyses were conducted to examine the prevalence of SDM and its associations with the perceived value of decision support resources.

Results: Annualized volume of prostate cancer diagnosis within our medical center was 249 per year, and 132 patients (53%) completed CollaboRATE. Descriptive frequencies of perceived value and CollaboRATE scores are reported in Table 1. Correlations between CollaboRATE and perceived value scores were non-significant.

Conclusions: Routine measurement of SDM and patient perceptions of the value of decision support resources is feasible but challenging, and though the prevalence of SDM was high it was not optimal. Physicians represent the most highly valued decision support resource. Measuring SDM and the value of decision support services from the patient perspective provides useful information to improve the quality of care for patients with newly diagnosed localized prostate cancer.

Source Of Funding: None

Patrick Murray

Maine Medical Center

Patrick William Murray is a PGY 4 Urology resident at Maine Medical Center. He recieved his medical degree from Virginia Commonwealth School of Medicine in 2013 after graduating the University of Oregon where he majored in Biology. He is interested in General Urology and hopes to return to the Pacific Northwest to after graduation to practice.

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