Department of Psychosocial Resources, Tom Baker Cancer Center, Calgary, AB T2S 3C1.
Can Fam Physician. 2010 Feb;56(2):137-41.
To highlight the role of psychosocial variables in treatment decision making for patients with localized prostate cancer and how family physicians can be of most help to such patients in facilitating good treatment choices.
PubMed was searched, and articles relevant to the psychosocial aspects of localized prostate cancer treatment decision making were included. Articles were excluded when they clearly specified inclusion of men with metastatic disease. This is not a systematic review, and recommendations made are drawn from studies of level II or III evidence.
The optimal strategy for managing localized prostate cancer has not been established and currently includes a number of potential options: active surveillance, radical prostatectomy, external beam radiotherapy, brachytherapy, and cryoablation. Consequently, men often struggle during the decision-making process, and some later regret their decisions. With an increased awareness of the psychosocial aspects of patient decision making, family physicians can help patients make better decisions.
Family physicians can help minimize the decisional regret experienced by patients after treatment by encouraging patients to consider their values and social supports, as well as the accuracy and appropriateness of the information used in the decision-making process.
强调心理社会变量在局部前列腺癌患者治疗决策中的作用，以及家庭医生如何在促进患者做出良好治疗选择方面为其提供最大帮助。
检索了 PubMed，并纳入了与局部前列腺癌治疗决策的心理社会方面相关的文章。当文章明确规定纳入转移性疾病患者时，将其排除在外。这不是系统评价，建议是根据 II 级或 III 级证据的研究得出的。
局部前列腺癌的最佳治疗策略尚未确定，目前包括多种潜在选择：主动监测、根治性前列腺切除术、外照射放疗、近距离放射治疗和冷冻消融。因此，男性在决策过程中经常感到挣扎，有些人后来对自己的决定感到后悔。随着对患者决策心理社会方面认识的提高，家庭医生可以帮助患者做出更好的决策。
家庭医生可以通过鼓励患者考虑自己的价值观和社会支持，以及决策过程中使用的信息的准确性和适当性，帮助患者最大限度地减少治疗后产生的决策后悔。
