Sigrid V. Carlsson, MD, PhD, MPH, presented “Shared Decision Making for Prostate Cancer Decisions: When the Patient has a Laundry List and the Doctor has 8 Minutes” during the 27th Annual Perspectives in Urology: Point Counterpoint on November 9, 2018 in Scottsdale, Arizona.
How to cite: Carlsson, Sigrid V. “Shared Decision Making for Prostate Cancer Decisions: When the Patient has a Laundry List and the Doctor has 8 Minutes” November 9, 2018. Accessed Nov 2024. https://dev.grandroundsinurology.com/shared-decision-making-for-prostate-cancer/
Shared Decision Making for Prostate Cancer Decisions: When the Patient has a Laundry List and the Doctor has 8 Minutes – Summary:
Sigrid V. Carlsson, MD, PhD, MPH discusses the psychology, history, and practical application of shared decision making. She then provides recommendations for clinicians counseling patients deciding whether or not to undergo PSA screening and if they should go on active surveillance.
Abstract:
Counseling patients about the nuanced risks and benefits of management options during a time-constrained office visit can be challenging. However, this is an essential step in shared decision making and aligning medical decisions with patient-expressed preferences and values.
Doctors understand the anatomy of the human body. But in order to responsibly practice shared decision making they must understand the human psyche. For example, urologists understand the controversies surrounding the United States Preventive Services Task Force’s unfavorable recommendations on PSA screening. However, the burden of overdiagnosis and the potential impact of a PSA test to a patient requires a different skill set.
About Perspectives in Urology: Point Counterpoint
Perspectives in Urology: Point Counterpoint (PCP) is an annual CME-accredited conference devoted to discussing and debating the latest topics in men’s health, general urology, and genitourinary cancers. The conference’s format includes more than didactic lectures. It also includes debates, point-counterpoint discussion panels, and unique case-based presentations. Dr. Carlsson presented this lecture during the 27th PCP in 2018. Please visit this page in order to register for future IUP meetings.
ABOUT THE AUTHOR
Sigrid Carlsson, MD, PhD, MPH, is an Assistant Attending Epidemiologist at Memorial Sloan Kettering Cancer Center (MSKCC) with 15 years of prostate cancer research experience and over 100 publications. Her PhD thesis stemmed from the world’s largest study of prostate cancer screening, the European Randomized Study of Screening for Prostate Cancer (ERSPC), which investigated how quality of life was affected by screening and treatment. Before pursuing postdoctoral studies in urologic oncology at MSKCC, Dr. Carlsson was a physician in Sweden. She obtained an MPH degree from Harvard T.H. Chan School of Public Health.
Currently, Dr. Carlsson’s research focuses on developing risk-stratified approaches to screening, diagnosis, treatment, and follow-up of prostate cancer patients. She is also the PI of a study funded by the Patty Brisben Foundation to improve the method of asking questions about women’s sexual health. She is a co-investigator on a multi-center study funded by Movember (PI: Andrew J. Vickers, PhD) that evaluates the impact of survivorship care plans and navigation tools on patients with prostate cancer after radiotherapy. She is a co-investigator on two NIH-funded research projects, one of which investigates biomarkers and risk stratification in localized prostate cancer (PI: Hans Lilja, MD, PhD). The second project is focused on developing models to improve prostate cancer outcomes across diverse populations (PI: Ruth Etzioni, PhD).
