Treatment decision-making process of men with newly diagnosed localized PCa: the role of multidisciplinary approach in patient engagement

Lara Bellardita, Silvia Villa, Letizia De Luca, Simona Donegani, Tiziana Magnani, Roberto Salvioni, Riccardo Valdagni

Abstract


The diagnosis of prostate cancer (PCa) often represents a stressful event. In addition to the psychological distress related to the diagnosis, patients face challenging health decisions: in fact, besides radical  treatments, Active Surveillance may represent an option for patients with diagnosis of localized PCa. A multidisciplinary clinical approach seems to represent the suitable organizational model to meet such a requirement, optimising the therapeutic outcome for PCa patients.The present study is a qualitative examination of the treatment decision-making process of men with a newly diagnosed localized PCa who received a multidisciplinary clinical consultation. Results suggest that a multidisciplinary approach may satisfy patients’ need to be comprehensively informed about all their chances and options of curing and managing the disease. Together with information, patients need to build a therapeutic relationship with the physicians in order to share their treatment decision-making experience. If this does not occur, frustration, confusion and other negative emotions may emerge.


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DOI: https://doi.org/10.6092/2282-1619/2019.7.1997

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