Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer

Decision-making in the management of organ-confined prostate cancer is complex as it is based on multi-factorial considerations. It is complicated by a multitude of issues, which are related to the patient, treatment, disease, availability of equipment(s), expertise, and physicians. Combination of a...

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Autores principales:	Syed M. Nazim, Mohamed Fawzy, Christian Bach, M. Hammad Ather
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/553fc657d77d46c48eb040e3d8e9acb0
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spelling	oai:doaj.org-article:553fc657d77d46c48eb040e3d8e9acb02021-12-02T10:23:51ZMulti-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer2090-598X10.1016/j.aju.2018.06.008https://doaj.org/article/553fc657d77d46c48eb040e3d8e9acb02018-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300718https://doaj.org/toc/2090-598XDecision-making in the management of organ-confined prostate cancer is complex as it is based on multi-factorial considerations. It is complicated by a multitude of issues, which are related to the patient, treatment, disease, availability of equipment(s), expertise, and physicians. Combination of all these factors play a major role in the decision-making process and provide for an interactive decision-making preferably in the multi-disciplinary team (MDT) meeting. MDT decisions are comprehensive and are often based on all factors including patients’ biological status, disease and its aggressiveness, and physician and centres’ expertise. However, one important and often under rated factor is patient-related factors. There is considerable evidence that patients and physicians have different goals for treatment and physicians’ understanding of their own patients’ preferences is not accurate. Several patient-related key factors have been identified such as age, religious beliefs, sexual health, educational background, and cognitive impairment. We have focused on these areas and highlight some key factors that need to be taken considered whilst counselling a patient and understanding his choice of treatment, which might not always be match with the clinicians’ recommendation. Keywords: Prostate cancer, Decision-making, Multi-disciplinary team (MDT), Patients’ preferencesSyed M. NazimMohamed FawzyChristian BachM. Hammad AtherTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 4, Pp 367-377 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Syed M. Nazim Mohamed Fawzy Christian Bach M. Hammad Ather Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
description	Decision-making in the management of organ-confined prostate cancer is complex as it is based on multi-factorial considerations. It is complicated by a multitude of issues, which are related to the patient, treatment, disease, availability of equipment(s), expertise, and physicians. Combination of all these factors play a major role in the decision-making process and provide for an interactive decision-making preferably in the multi-disciplinary team (MDT) meeting. MDT decisions are comprehensive and are often based on all factors including patients’ biological status, disease and its aggressiveness, and physician and centres’ expertise. However, one important and often under rated factor is patient-related factors. There is considerable evidence that patients and physicians have different goals for treatment and physicians’ understanding of their own patients’ preferences is not accurate. Several patient-related key factors have been identified such as age, religious beliefs, sexual health, educational background, and cognitive impairment. We have focused on these areas and highlight some key factors that need to be taken considered whilst counselling a patient and understanding his choice of treatment, which might not always be match with the clinicians’ recommendation. Keywords: Prostate cancer, Decision-making, Multi-disciplinary team (MDT), Patients’ preferences
format	article
author	Syed M. Nazim Mohamed Fawzy Christian Bach M. Hammad Ather
author_facet	Syed M. Nazim Mohamed Fawzy Christian Bach M. Hammad Ather
author_sort	Syed M. Nazim
title	Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
title_short	Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
title_full	Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
title_fullStr	Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
title_full_unstemmed	Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
title_sort	multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/553fc657d77d46c48eb040e3d8e9acb0
work_keys_str_mv	AT syedmnazim multidisciplinaryandshareddecisionmakingapproachinthemanagementoforganconfinedprostatecancer AT mohamedfawzy multidisciplinaryandshareddecisionmakingapproachinthemanagementoforganconfinedprostatecancer AT christianbach multidisciplinaryandshareddecisionmakingapproachinthemanagementoforganconfinedprostatecancer AT mhammadather multidisciplinaryandshareddecisionmakingapproachinthemanagementoforganconfinedprostatecancer
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Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer

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