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

• DOI: 10.1200/jco.18.01091
• Publication Date: 2019-03-12T19:59:20Z
• Authors: Ravishankar Jayad...; Sumedha Chhatre; Joseph J. Gallo; Marsha Wittink; Knashawn H. Morales; David I. Lee; Thomas J. Guzzo; Neha Vapiwala; Yu-Ning Wong; Diane K. Newman; Keith Van Arsdalen; S. Bruce Malkowicz; J. Sanford Schwartz; Alan J. Wein
• Keywords: Male; Patient Satisfaction; Patient-Centered Care; Surveys and Questionnaires; Decision Making; Humans; Prostatic Neoplasms; Patient Preference; Middle Aged; Patient Participation; 3. Good health; Decision Support Techniques

PURPOSE To study the effectiveness of Patient Preferences for Prostate Cancer Care (PreProCare) intervention in improving primary outcome satisfaction with care and secondary outcomes decision, decision regret, treatment choice among patients localized prostate cancer. METHODS In this multicenter randomized controlled study, we randomly assigned cancer to PreProCare or usual care. Outcomes were care, choice. Assessments performed at baseline 3, 6, 12, 24 months, analyzed using repeated measures. We compared across groups by risk categories. RESULTS Between January 2014 March 2015, 743 recruited receive (n = 372) 371). For general subscale, improvement months from was significantly different between ( P < .001). group, mean scores improved 0.44 (SE, 0.06; .001) baseline. This 0.5 standard deviation, which clinically significant. The proportion reporting no regret increased over time higher group .05). Among low-risk patients, a receiving active surveillance, CONCLUSION Our patient-centered reduced regrets, aligned category. majority our participants had high income, implications generalizability. Additional studies can evaluate as mechanism clinical patient-reported settings.