Shared decision-making in patientswith prostate cancer in Japan
- Author(s)
- Ulrike Schaede, Jörg Mahlich, Masahiko Nakayama, Hisanori Kobayashi, Kazutake Yoshizawa, Yuriko Takahashi, Katsuhiko Saito, Hiroji Uemura, Masayuki Tokumitsu
- Abstract
This article adds the Japanese perspective to our knowledge of shared decision-making (SDM) preferences by surveying patients with prostate cancer (PCA) and physicians in Japan. In 2015, 103 Japanese patients with PCA were asked about their SDM preferences by using an Internet-based 5-point-scale questionnaire. Concurrently, 127 Japanese physicians were surveyed regarding their perceptions of patient preferences on SDM. Drivers of preferences and perceptions were analyzed using univariable ordinal logistic regression and graphing the fitted response probabilities. Although 41% of both patients and physicians expressed and expected a desire for active involvement in treatment decisions (a higher rate than in a similar study for the United States in 2001), almost half the Japanese patients preferred SDM, but only33% of physicians assumed this was their choice. That is,29%of Japanese physicians underestimated patients' preference for involvement in making treatment decisions. Patients with lower health-related quality of life (as measured by the Functional Assessment of Cancer Therapy-Prostate [FACT-P]) expressed a stronger preference for SDM. The study shows that the worse the medical situation, the more patients with PCA prefer to be involved in the treatment decision, yet physicians tend to underestimate the preferences of their patients. Perhaps in contrast tocommonassumptions, Japanese patients are as interested in being involved in decision making as are patients in the United States.
- Organisation(s)
- External organisation(s)
- University of California, San Diego, Janssen KK, Heinrich-Heine-Universität Düsseldorf, Anterio Inc., Yokohama City University (YCU), Kitasaito University Hospital
- Journal
- Journal of Global Oncology
- Volume
- 2018
- DOI
- https://doi.org/10.1200/JGO.2016.008045
- Publication date
- 2018
- Peer reviewed
- Yes
- Austrian Fields of Science 2012
- 303010 Health economics
- ASJC Scopus subject areas
- Oncology, Cancer Research
- Sustainable Development Goals
- SDG 3 - Good Health and Well-being
- Portal url
- https://ucrisportal.univie.ac.at/en/publications/0d2f0efb-ac2b-4b53-847a-2e3edbbdd61e