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Previous studies have demonstrated that the majority of cancer patients fail to achieve their desired level of participation during treatment decision making. However, it is unclear whether this failure affects patient well-being and satisfaction. Furthermore, whilst shared decision making is currently espoused as the preferred model for doctor patient(More)
AIM We aimed to document the prevalence of misunderstanding in cancer patients and investigate whether patient denial is related to misunderstanding. PATIENTS AND METHODS Two hundred forty-four adult cancer outpatients receiving treatment completed a survey assessing levels of understanding and denial. Doctors provided the facts against which patient(More)
BACKGROUND Very little effort has been directed to enable GPs to better informed decisions about PSA screening among their male patients. OBJECTIVES To evaluate an innovative programme designed to enhance GPs' capacity to promote informed decision making by male patients about PSA screening. METHODS The study design was a cluster randomised controlled(More)
OBJECTIVES Efforts to educate men about the controversy surrounding prostate cancer screening are well intended but rarely evaluated rigorously. We evaluated an evidence-based (EB) booklet for men designed to promote informed decision-making. We also determined whether men's preference for involvement in decision-making ("passive", "collaborative" or(More)
OBJECTIVES To estimate the incidence of metastatic breast cancer (MBC) in Australian women with an initial diagnosis of non-metastatic breast cancer. DESIGN, SETTING AND PARTICIPANTS A population-based cohort study of all women with non-metastatic breast cancer registered on the New South Wales Central Cancer Register (CCR) in 2001 and 2002 who received(More)
Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evidence-based booklet, developed by the(More)
PURPOSE Informed decision making now is considered the underpinning of ethical medical practice. We aimed to determine the extent to which patients with incurable cancer are adequately informed of their prognosis and treatment options and encouraged to participate in treatment decisions. PATIENTS AND METHODS One hundred eighteen cancer patients with(More)
PURPOSE To document the adequacy of patient information in oncology consultations concerning adjuvant therapy and explore predictors of physician communication patterns, treatment decisions, patient information recall, and satisfaction. PATIENTS AND METHODS Retrospective analysis of audiotapes and verbatim transcripts of 101 initial adjuvant therapy(More)
OBJECTIVE To explore women's reactions to 'informed choice' in mammographic screening. SETTING AND METHODS Telephone interviews with a convenience sample of 106 women aged 45-70 years recruited from general practices in Sydney. RESULTS Many (42%) women preferred an active role in decision-making. Respondents had low scores for 'uncertainty' and 'factors(More)
BACKGROUND AND PURPOSE Anticoagulation reduces the risk of stroke in nonvalvular atrial fibrillation yet remains underused. We explored barriers to the use of anticoagulants among Australian family physicians. METHODS The authors conducted a representative, national survey. RESULTS Of the 596 (64.4%) eligible family physicians who participated, 15.8%(More)