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TREATMENT DECISION-MAKING IN BLACK MEN WITH PROSTATE CANCER TREATED AT TEMPLE UNIVERSITY HOSPITAL: AN INTERVIEW STUDY
Volpone, Daniel James
Volpone, Daniel James
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Thesis/Dissertation
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2025-05
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Urban Bioethics
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https://doi.org/10.34944/8n3m-6t13
Abstract
Prostate cancer has a good prognosis if diagnosed early, however, Black men have a higher rate of mortality. Certain risk groups of prostate cancer have multiple efficacious treatment options, and men who take an active role in their treatment decision-making are less likely to feel regret about their chosen decision. This interview study examines the treatment decision-making process in Black men with low-risk and favorable intermediate-risk prostate cancer treated at Temple University Hospital who have received an active treatment (surgery or radiation) or active surveillance. Nine Black men with prostate cancer cared for at Temple University Hospital were interviewed about their decision-making process regarding their chosen treatment plan. Of these men, four underwent an active treatment (two had surgery and two underwent radiation treatment), all of whom were favorable intermediate-risk. The other five underwent active surveillance, of which three were low-risk and two were favorable intermediate-risk.
Emerging themes from the interviews include participants relying heavily on physician recommendation for decision-making, avoiding surgery as a goal for some participants with others feeling an internal pressure toward active treatment, and surprisingly few patients mentioning concern for urinary or sexual side effects in the decision-making process.
The importance of physician recommendation on treatment decision fits with previous studies, while the lack of focus on sexual and urinary side effects in decision-making was an unexpected finding. The study also identifies opportunities for improvement in patient education and shared decision-making.
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