Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA;
Int J Gen Med. 2011;4:481-6. doi: 10.2147/IJGM.S19609. Epub 2011 Jun 17.
Prostate cancer is the most commonly diagnosed cancer among American men. The multiple treatment options for localized prostate cancer and potential side effects can complicate the decision-making process. We describe the level of engagement and communication among the patient, family member, and physician (the decision-making "triad") in the decision process prior to treatment. Using the Family and Cancer Therapy Selection (FACTS) study baseline survey data, we note racial/ethnic variations in communication among the triad. Sensitivity to and awareness of decision-making styles of both the patient and their family member (or caregiver) may enable clinicians to positively influence communication exchanges about important clinical decisions.
前列腺癌是美国男性中最常见的癌症。局部前列腺癌的多种治疗选择和潜在的副作用可能会使决策过程复杂化。我们描述了治疗前患者、家庭成员和医生(决策“三方”)在决策过程中的参与度和沟通程度。利用家庭与癌症治疗选择(FACTS)研究基线调查数据,我们注意到三方之间沟通的种族/民族差异。对患者及其家庭成员(或照顾者)的决策风格的敏感性和认识,可能使临床医生能够积极影响有关重要临床决策的沟通交流。