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For men with prostate cancer, treatment information fails to address fears

t patients knew prostate cancer grows slowly, such "abstract knowledge did little to dispel the vividly frightening, yet unlikely prospect of prostate cancer suddenly 'blossoming,'" the researchers write.

After urologists reviewed the risks and benefits of the treatment options, patients had poor recall of the information they were provided, often confused side effects and treatments, and often said that the side effects had no impact on their treatment decision. Sixteen of 20 men did not intend to seek a second opinion, generally because of misconceptions about its purpose.

Dr. Denberg and his colleagues report that "this study illustrates that while attention to health information, outcome preferences, and the framing of numerical risk is necessary, it is hardly sufficient for achieving quality in patient-centered decision-making." It is important to give greater attention to patients' fears, misconceptions, and anecdotal influences.


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Contact: David Greenberg
dgreenbe@wiley.com
201-748-6484
John Wiley & Sons, Inc.
26-Jun-2006


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