Patient-Centered Preference Assessment to Improve Satisfaction With Care Among Patients With Localized Prostate Cancer: A Randomized Controlled Trial

Published on Apr 20, 2019in Journal of Clinical Oncology28.245
· DOI :10.1200/jco.18.01091
Ravishankar Jayadevappa21
Estimated H-index: 21
(UPenn: University of Pennsylvania),
Sumedha Chhatre15
Estimated H-index: 15
(UPenn: University of Pennsylvania)
+ 11 AuthorsAlan J. Wein82
Estimated H-index: 82
(UPenn: University of Pennsylvania)
PURPOSETo study the effectiveness of the Patient Preferences for Prostate Cancer Care (PreProCare) intervention in improving the primary outcome of satisfaction with care and secondary outcomes of satisfaction with decision, decision regret, and treatment choice among patients with localized prostate cancer.METHODSIn this multicenter randomized controlled study, we randomly assigned patients with localized prostate cancer to the PreProCare intervention or usual care. Outcomes were satisfaction with care, satisfaction with decision, decision regret, and treatment choice. Assessments were performed at baseline and at 3, 6, 12, and 24 months, and were analyzed using repeated measures. We compared treatment choice across intervention groups by prostate cancer risk categories.RESULTSBetween January 2014 and March 2015, 743 patients with localized prostate cancer were recruited and randomly assigned to receive PreProCare (n = 372) or usual care (n = 371). For the general satisfaction subscale, improvement at 24...
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