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Considering racial and ethnic preferences in communication and interactions among the patient, family member, and physician following diagnosis of localized prostate cancer: study of a US population

Authors Rim SH, Hall IJ, Fairweather ME, Fedorenko CR, Ekwueme DU, Smith JL, Thompson IM, Keane TE, Penson DF, Moinpour CM, Zeliadt SB, Ramsey SD

Published 17 June 2011 Volume 2011:4 Pages 481—486

DOI https://doi.org/10.2147/IJGM.S19609

Review by Single-blind

Peer reviewer comments 2

Sun Hee Rim1, Ingrid J Hall1, Megan E Fairweather2, Catherine R Fedorenko2, Donatus U Ekwueme1, Judith Lee Smith1, Ian M Thompson3, Thomas E Keane4, David F Penson5, Carol M Moinpour2, Steven B Zeliadt2,6, Scott D Ramsey2
1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; 3Department of Urology, University of Texas Health Science Center at San Antonio, TX, USA; 4Urology Services, Medical University of South Carolina, Charleston, SC, USA; 5Vanderbilt Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA; 6Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA, USA

Abstract: Prostate cancer is the most commonly diagnosed cancer among American men. The multiple treatment options for localized prostate cancer and potential side effects can complicate the decision-making process. We describe the level of engagement and communication among the patient, family member, and physician (the decision-making “triad”) in the decision process prior to treatment. Using the Family and Cancer Therapy Selection (FACTS) study baseline survey data, we note racial/ethnic variations in communication among the triad. Sensitivity to and awareness of decision-making styles of both the patient and their family member (or caregiver) may enable clinicians to positively influence communication exchanges about important clinical decisions.

Keywords: decision-making, treatment-related decisions, ethnicity

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