Page 404 - An Evidence Review of Active Surveillance in Men With Localized Prostate Cancer
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Appendix Table C3.1 Studies on offer, acceptance, and adherence of active surveillance (continued)
                                               Factors examined                    Author               Study approach                  AS/WW definitions                    Findings               Issues
                                                                                    Year
                                                                                   PMID
                                        Patient and        O’Rourke  194     Qualitative description of interviews   WW (not explicitly        •  “The process of reaching a        •  Small sample size
                                        physician          1999              of 18 men with prostate cancer          defined)                  treatment decision was
                                        factors affecting  10370363          (dx’d within 6 wk; stage I or II;                                 influenced by the urologists;
                                        acceptance                           undecided choice of treatment) and                                second opinions [mostly
                                                                             their wives; they were referred by                                concurrence between primary
                                                                             their urologists; sample recruited                                care physician and the urologist
                                                                             from 3 community practicing                                       in this sample], and
                                                                             urology groups (urologists screened                               comparisons of self with others.”
                                                                             out cognitively impaired patients                                 •  “Couples ruled out options
                                                                             and spouses) in a western N.                                      based on formal and informal
                                                                             Carolina community; 19 couples                                    information, although sometimes
                                                                             were approached, 1 declined;                                      inaccurate, personal and
                                                                             “sampling aim not representative of                               vicarious cancer experiences,
                                                                             the general population, but                                       and beliefs about cancer that
                                                                             representative of the process of                                  were intricately tied to emotions
                                                                             prostate cancer treatment                                         and fears.”
                                                                             selection”                                                        •  “Couples considered both
                                                                                                                                               their own individual histories and
                                                                                                                                               concerns and their shared life
                                                                                                                                               experiences.”
                                                                                                                                               •  “’Doing nothing’ was
                                                                                                                                               ultimately rejected for the
                                                                                                                                               certainty they perceived to be
                                                                                                                                               associated with it: certain death,
                                                                                                                                               feared to be slow and painful.”




























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