Patient-Centred Pathology Reporting Improves Satisfaction and Understanding in Prostate Cancer Care

What is it about?

The study investigated the benefit of a patient-centered (PC) pathology report in patients undergoing radical prostatectomy (RP) for prostate cancer (PCa). The study randomized patients to receive either a PC report or standard pathology report and evaluated patient satisfaction and knowledge retention. Both groups reported high levels of satisfaction and there were no statistically significant differences in demographics, patient self-activation, empathy and communication between groups. The PCR group had significantly more correct answers on Gleason grade group (GGG) and extracapsular extension (ECE) compared to the standard report group at both baseline and 4 weeks. The study suggests that PC care enhances patient trust, adherence to follow-up and reduces psychological distress associated with the diagnosis.

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Why is it important?

This research is important because it investigates the benefit of using a patient-centered (PC) pathology report in patients undergoing radical prostatectomy (RP) for prostate cancer (PCa). The study aims to evaluate and compare patient understanding of their PCa diagnosis after RP and knowledge retention at 4 weeks after the initial consultation, between patients who received a standard histopathology report and those who received a personalized and PC report (PCR). Key Takeaways: 1. No significant differences in baseline demographics were found between the standard histopathology report group and the PCR group. 2. Both groups reported high levels of satisfaction with their healthcare experiences in all domains of patient-physician rapport, empathy, and communication. 3. Patients who received the PCR had significantly more correct answers on Gleason grade group (GGG) and extracapsular extension (ECE) compared to the standard report group, both at baseline and 4 weeks after the initial consultation. 4. Enhancing communication with patients about their diagnosis is associated with various positive health-related results, including improved treatment adherence, emotional well-being, and understanding of the treatment plan. 5. Patient-centered care is essential, especially for patients with multiple conditions, and it leads to improved trust in clinicians, adherence to follow-up, and reduced psychological distress associated with the diagnosis. 6. The study suggests a continuous process of PC interactions both before and after surgery.