Shared Decision-Making in the Whole-Course Management of Prostate Cancer:An Analysis of Learning Curves for Improving Patient Outcomes and Physician Skills
Du Huijuan
Wang Baojun
Li Juan
Tang Lu
Li Xiaohang
Wang Chao
Lyu Xiangjun
Abstract：Objective:To explore the impact of shared decision-making(SDM)on disease knowledge level,satisfac-tion,and treatment adherence intention of patients with prostate cancer during whole-course management,and to reveal the learning curve characteristics of both patients and physicians as the frequency of SDM implementation increases.Methods:A non-randomized pretest-posttest intervention study combined with interviews was conducted among 40 patients with prostate cancer and 4 physicians.Patients were divided into an observation group and a control group(20 patients in each group)based on the results of the Decision Expectation Scale.Each group was randomly assigned 1 senior physician and 1 junior phy-sician.The observation group adopted the SDM model,while the control group used the traditional diagnosis and treatment model.The patient-centered outcomes of the two groups and the learning curves of physicians'skills were evaluated.Results:The SDM model improved patients'satisfaction(P<0.001)and increased disease-related knowledge level(P<0.001),but had no significant impact on treatment adherence intention.Meanwhile,SDM shortened the communication time(P=0.003).The learning curve showed that as the number of SDM implementations increased,the willingness to implement SDM also in-creased,but there were differences in the change trends between senior and junior physicians.Conclusion:The SDM model benefits patients and reduces physicians'burden.In the future,attention should be paid to policy support,hierarchical train-ing,and optimization of decision aid tool design to promote its effective implementation and sustainable development in clini-cal practice.
Keywords：shared decision-makingprostate cancerlearning curvedecision aid tools
Publication Date：2025-08-28
Online Publishing Date：2025-10-22(First online date of this platform, not the publication date of the document)
Pages：8( 269-276 )