The decisional process for the choice of active surveillance in localized prostate cancer
Authors: Jonckheer Pascale , Van Landeghem Sander , Christiaens Wendy , De Winter Liesbeth , Piérart Julien , Mertens Raf 
Published: January 2025

SCIENTIFIC REPORT 6 -- 1 INTRODUCTION 6 -- 1.1 BACKGROUND 6 -- 1.2 OBJECTIVE 7 -- 1.3 RESEARCH QUESTIONS 7 -- 2 METHODOLOGY 7 -- 2.1 SEARCH OF LITERATURE 7 -- 2.1.1 Search strategy and selection criteria 7 -- 2.1.2 Critical appraisal 8 -- 2.2 INTERVIEWS WITH PHYSICIANS 8 -- 2.2.1 Physicians recruitment 8 -- 2.2.2 Conduct of physicians interview .8 -- 2.3 INTERVIEWS WITH PATIENTS 8 -- 2.3.1 Patients recruitment 8 -- 2.3.2 Conduct of patients interview 9 -- 2.4 DATA ANALYSIS OF THE INTERVIEWS 9 -- 3 RESULTS 9 -- 3.1 SEARCH OF LITERATURE 9 -- 3.1.1 Amount of articles 9 -- 3.1.2 Type of studies and critical appraisal 9 -- 3.1.3 Factors influencing the treatment decision-making process in PCa according to the patients 10 -- I. THE PATIENT 11 -- A. SOCIO-DEMOGRAPHICAL CHARACTERISTICS .11 -- B. PHYSICAL CHARACTERISTICS 11 -- C. PATIENTS ATTITUDES TOWARDS THE DISEASE AND TREATMENT PRIORITIES 13 -- D. PATIENTS ROLE IN THE TREATMENT DECISION-MAKING 13 -- II. THE PHYSICIAN 16 -- A. SPECIALIZATION 16 -- B. WORKSITE 16 -- III. THE PATIENTS SOCIAL NETWORK 18 -- 3.1.4 Factors influencing the treatment decision-making process in PCa according to the physicians 19 -- 3.1.5 Conclusion regarding the search of literature 20 -- 3.2 INTERVIEWS WITH PHYSICIANS 21 -- 3.2.1 Description of achieved sample 21 -- 3.2.2 Physicians perception of the active treatment options for localised prostate cancer 22 -- 3.2.3 Physicians perception of active surveillance for localised prostate cancer 23 -- 3.2.4 Factors influencing the treatment decision-making process in localised PCa according to the interviewed physicians .25 -- I. THE PHYSICIAN 27 -- A. PHYSICIANS CHARACTERISTICS 27 -- B. PHYSICIANS COLLEAGUES 29 -- C. POLICY OF THE HOSPITAL 30 -- II. THE PATIENT AS PERCEIVED BY THE PHYSICIANS 31 -- A. SOCIO-DEMOGRAPHIC CHARACTERISTICS 31 -- B. PHYSICAL CHARACTERISTICS 32 -- C. PATIENTS ATTITUDES TOWARDS THE DISEASE, TREATMENT PRIORITIES AND VALUES 33 D. PATIENTS SOCIAL NETWORK 35 -- III THE PUBLIC AUTHORITIES 36 -- 3.2.5 Assessment of patient eligibility and implementation of active surveillance 37 -- 3.2.6 Conclusion regarding the physicians interviews 39 -- 3.3 INTERVIEWS WITH PATIENTS 40 -- 3.3.1 Description of achieved sample 40 -- 3.3.2 Patients perception of the active treatment options for localised prostate cancer 41 -- 3.3.3 Patients perception of active surveillance for localised prostate cancer. 42 -- 3.3.4 Factors influencing the treatment decision-making process in localised PCa according to the interviewed patients 43 -- I THE PATIENT 45 -- A. SOCIO-DEMOGRAPHIC CHARACTERISTICS 45 -- B. PHYSICAL CHARACTERISTICS 45 -- C. PATIENTS ATTITUDES TOWARDS THE DISEASE, TREATMENT PRIORITIES AND VALUES 45 -- D. PATIENTS ROLE IN THE TREATMENT DECISION-MAKING 46 -- II. THE PHYSICIANS AS PERCEIVED BY THE PATIENT 48 -- III. THE SOCIAL SUPPORT AND THE SOCIAL NETWORK 51 -- 3.3.5 Conclusion regarding the patients interviews 53 -- 4 DISCUSSION/SYNTHESE 54 -- REFERENCES 55