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Cancer Research in Switzerland - Krebsliga Schweiz

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of this study to ameliorate communication between<br />

health professionals and patients <strong>in</strong> the field of prostate<br />

cancer.<br />

Methods<br />

With this purpose <strong>in</strong> m<strong>in</strong>d, we tried to <strong>in</strong>corporate both<br />

the view of patients and the professionals <strong>in</strong>to the design<br />

of one study. Patients answered a questionnaire developed<br />

by an <strong>in</strong>ternational research team and consist<strong>in</strong>g of<br />

92 questions about prostate cancer and its treatment. Additionally,<br />

health professionals (urologists, oncologists,<br />

general practitioners, nurses, etc.) rated the same questions<br />

with regard to their importance for patients. The<br />

f<strong>in</strong>al sample of the study consisted of 128 patients and<br />

208 professionals from five cl<strong>in</strong>ics <strong>in</strong> the German-speak<strong>in</strong>g<br />

part of <strong>Switzerland</strong>.<br />

Results<br />

Patients varied greatly with regard to their judgements of<br />

prostate cancer topics. Overall, they considered around<br />

half of the almost 100 provided topics as essential for appropriate<br />

<strong>in</strong>formation. However, some patients considered<br />

only a few questions as essential, whereas others<br />

rated almost all of the topics essential. Moreover, participat<strong>in</strong>g<br />

patients agreed only moderately on specific topics.<br />

This heterogeneity of rat<strong>in</strong>gs about what is important to<br />

know about prostate cancer is not only a patient phenomenon.<br />

On the contrary, even the health professionals varied<br />

greatly <strong>in</strong> judg<strong>in</strong>g what might be of significance for patients.<br />

Conclusions and suggestions<br />

Information needs with regard to treatment decisions of<br />

men with curable prostate cancer are broad but very <strong>in</strong>dividual,<br />

too. It seems hardly possible to reduce <strong>in</strong>formation<br />

about this disease to a core set of topics that could then<br />

be used to pr<strong>in</strong>t a small booklet. This would still result <strong>in</strong> a<br />

substantial number of men with <strong>in</strong>formation needs not<br />

sufficiently covered. The results of this study emphasize<br />

the function of dialogue between doctor/professional and<br />

patient <strong>in</strong> transferr<strong>in</strong>g <strong>in</strong>formation on a highly <strong>in</strong>dividual<br />

level. However, counsell<strong>in</strong>g of prostate cancer patients<br />

should not be controlled (only) by some standardized<br />

guidel<strong>in</strong>es but should overall consider the patients’ needs.

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