Tag Archives: prostate cancer

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Decision Aids Minimize Complexities of PSA Test

Decision aids are important tools in ensuring patients understand the medical choices they face. Our decision aid "Is a PSA Test Right for You?", takes a look at the same medical evidence that the U.S. Preventive Services Task Force (USPSTF) recently reviewed, and highlights what the evidence tells us about the PSA test's benefits- which are uncertain or limited for many men- and the harms of treatment if a screening results in a prostate cancer diagnosis. Continue reading
Posted in Current News, Decision Aid News | Tagged Cochrane Collaborative, prostate cancer, prostate cancer screening, PSA test, USPSTF | Permalink

New Study Shows Patients Know Little About Conservative Treatment Options for Coronary Artery Disease

Nine out of 10 Medicare patients who received a stent procedure for coronary disease report that their physicians did not present them with the non-invasive alternative of managing their condition with medication, according to the results of a study published online today by the Journal of General Internal Medicine. Floyd J. Fowler Jr., senior scientific advisor at the Informed Medical Decisions Foundation, was the study's principal investigator. Continue reading
Posted in Current News | Tagged coronary artery disease, coronary artery disease treatment, decision support, heart disease, patient-centered care, patients, prostate cancer, prostate cancer treatment, prostate surgery, shared decision making, stenting, stents | Permalink

Shared Decision-Making® Program Research

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Decision Aids Improve Newly Diagnosed Prostate Cancer Patients Understanding of the Rationale for Active Surveillance

Seigne JD, Stewart T, Clay K, et al. Decision aids improve newly diagnosed prostate cancer patients understanding of the rationale for active surveillance.  J Urol. 2009;181(4), (suppl):193. Read the full article.
Posted in Patient Decision Aids | Tagged decision aids, prostate cancer, Shared Decision-Making® programs, treatment for prostate cancer | Permalink

Putting Shared Decision Making to Work in Breast and Prostate Cancer: Tools for Community Oncologists

Sepucha K and Belkora J. Putting shared decision-making to work in breast and prostate cancer: Tools for community oncologists.  Comm Oncol. 2007;4(11):685-9, 691.  Read the full article.
Posted in Patient Decision Aids | Tagged breast cancer, prostate cancer, shared decision making, Shared Decision-Making® programs | Permalink

Featured Shared Decision Making Publications

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One Man at a Time -- Resolving the PSA Controversy

Who should decide about screening for prostate cancer: expert panels of clinicians and methodologists, primary care clinicians, specialists, or fully informed patients themselves? The U.S. Preventive Services Task Force recently released a draft recommendation on screening for prostate cancer, designed for primary care physicians and health systems, and has opened if for public comment until November 8, 2011. Continue reading
Posted in Special Populations | Tagged American Cancer Society, Mary McNaughton-Collins, NEJM, prostate cancer, prostate cancer screening, PSA, USPSTF | Permalink

In The News

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[NPR Health Blog (SHOTS)] Doctors' Orders: Keep Men Involved in PSA Decision

"But that's way too black-and-white for a situation where there's so much debate among the experts, say Drs. Mary McNaughton-Collins and Michael J. Barry. He's president of the Foundation for Informed Medical Decision Making; she's a Harvard physician who's thought deeply about the prostate cancer conundrum."
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Tagged Michael J. Barry, prostate cancer, PSA test | Permalink

[ASCO Post] Physicians Can Help Patients Set Realistic Expectations for Sexual Functioning after Treatment for Prostate Cancer

"'Because there are multiple treatments that can be quite confusing to sort through, helping people make informed decisions by giving them information and making sure their preferences are considered, has been a tradition in prostate cancer,' Michael J. Barry, MD, commented in an interview with The ASCO Post. 'But we could do even better, particularly with better data of the kind we got from Dr. Sandra and his colleagues.' Dr. Barry, who wrote an editorial accompanying the JAMA report, is Medical Director of the John D. Stoeckle Center for Primary Care Innovation at Massachusetts General Hospital and President of the Foundation for Informed Medical Decision Making in Boston."
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Tagged Michael J. Barry, prostate cancer, prostate cancer screening, PSA test, shared decision making | Permalink

Informed Medical Decisions Foundation Funded Research

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A National Survey of Urologists and Radiation Oncologists on Prostate Cancer and Shared Decision-Making

Here, we propose to fill this important knowledge gap regarding recent trends in both the evidence in prostate cancer and the role of shared decision-making tools in specialty practice that will form the basis for future shared decision-making implementation research. Continue reading
Posted in Health Care Policy, Investigator-Initiated Research, Robert Derzon Grants, SDM Implementation | Tagged prostate cancer, radiation oncology, shared decision making, urology | Permalink

Decision Making on the Go: A Mobile App Interpretation of a Prostate Cancer Decision Aid

The objectives are to 1) Survey mobile use around health issues in men newly eligible for prostate cancer screening, and 2) to develop a mobile PSA decision aid prototype based on the previously validated internet-based Prosdex decision support intervention (DESI) in preparation for subsequent field testing. Continue reading
Posted in Decision Aid Effectiveness, Investigator-Initiated Research, Robert Derzon Grants | Tagged decision aids, decision-making, DESI, mobile app, prostate cancer, PSA | Permalink

Informed Medical Decisions Foundation Demonstration Site

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Dartmouth-Hitchcock Medical Center

Dartmouth-Hitchcock Medical Center (DHMC) is comprised of physicians, specialists and other providers working together at different locations to meet the health care needs of patients in northern New England. The Center for Shared Decision Making (CSDM) at DHMC, opened its doors in 1999 as the first center in the U.S. to be dedicated to shared decision making, and became a Foundation funded primary and specialty care demonstration site at that time. True pioneers in the shared decision making arena, DHMC continues to perfect the process of providing access to decision aids and decision support to patients as a routine process of care. Continue reading
Tagged breast cancer, decision aids, DHMC, orthopedics, prostate cancer, radiation, shared decision making, Shared Decision-Making® programs, urology | Permalink

Informed Medical Decisions Foundation Decision Aids

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Deciding if the PSA Test is Right for You

A PSA test is often recommended for men over 50 and is one of America's most common screening tests. To help men consider the pros and cons of prostate cancer screening, the Foundation has developed a Shared Decision-Making® program called Is a PSA Test Right for You? Continue reading
Posted in Prostate Programs, Screening and Testing Programs | Tagged prostate cancer, prostate cancer screening, PSA level, PSA test, Shared Decision-Making® programs | Permalink
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Hormone Therapy after Prostate Cancer Treatment

Prostate cancer progresses at different rates for different men. Therefore the best time to start hormone therapy is not the same for everyone. To help men decide if and when hormone therapy is right for them, the Informed Medical Decisions Foundation has developed a Shared Decision-Making® program called Hormone Therapy: When the PSA Rises after Prostate Cancer Treatment. Continue reading
Posted in Prostate Programs | Tagged hormone therapy for prostate cancer, prostate cancer, prostate cancer treatment, rising PSA, Shared Decision-Making® programs | Permalink