{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:48:24Z","timestamp":1792144104387,"version":"4.4.0"},"reference-count":54,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the effectiveness of decision support interventions on treatment decision\u2010making outcomes among men with prostate cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of randomized controlled trials was conducted. Electronic databases were searched from inception to March 2026. Eligible studies evaluated decision support interventions delivered during the prostate cancer treatment decision\u2010making phase, including booklet\u2010based, digital, and multimodal formats. The primary outcome was decision conflict. Secondary outcomes included decision regret, knowledge, decision readiness, and psychological distress. Bayesian network meta\u2010analysis and conventional pairwise meta\u2010analysis were used to compare intervention effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen randomized controlled trials were included. Decision support interventions were categorized into three types: booklet\u2010based, digital, and multimodal interventions. Network meta\u2010analysis showed that booklet\u2010based interventions reduced decision conflict (SMD = \u22120.98, 95% CI \u22121.60 to \u22120.24). No statistically significant effects were observed for decision regret or knowledge level. Pairwise meta\u2010analysis showed that decision support interventions improved decision readiness but had limited effects on psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Decision support interventions showed outcome\u2010specific effects in patients with prostate cancer facing treatment decisions, with booklet\u2010based interventions providing the clearest signal for reducing decision conflict and overall interventions improving decision readiness. These findings support further evaluation of accessible, low\u2010burden, and age\u2010friendly decision support formats in prostate cancer treatment decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajco.70213","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:21:25Z","timestamp":1792142485000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Decision Support Interventions on Treatment Decision\u2010Making in Patients With Prostate Cancer: A Systematic Review and Network Meta\u2010Analysis"],"prefix":"10.1111","author":[{"given":"Yue","family":"Wen","sequence":"first","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanqiu","family":"Li","sequence":"additional","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhua","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Oncology The Second People's Hospital of Changzhou The Third Affiliated Hospital of Nanjing Medical University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Li","sequence":"additional","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaqian","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Jin","sequence":"additional","affiliation":[{"name":"School of Medical and Health Engineering Changzhou University  Changzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_13_3_1","unstructured":"\u201cProstate Cancer Treatment \u201dNational Cancer Institute accessed March 30 2026 https:\/\/www.cancer.gov\/types\/prostate\/patient\/prostate\u2010treatment\u2010pdq."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1606221"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41391\u2010020\u20100247\u2010x"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14133050"},{"key":"e_1_2_13_7_1","unstructured":"\u201cProstate 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