MedPage Today April 4, 2025
— It’s time for a new shared decision-making paradigm
A 60-year-old patient of mine was recently diagnosed with prostate cancer. He described the treatment options that were discussed with him — surgery or radiation — and then told me the surgeon said, “If you were my father, I would tell you to have surgery,” and listed his reasons.
There were a few alternatives my patient found on the internet and wanted to bring up, but he felt that, while well-meaning, the surgeon’s son-to-father advice essentially shut him down. He shared his ideas with me, and we worked on a plan to help him get them into the treatment conversation with the specialist. None of my patient’s ideas were evidence-based, but...
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