{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:29:26Z","timestamp":1792272566004,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T00:00:00Z","timestamp":1710892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T00:00:00Z","timestamp":1710892800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the nationwide online decision aid \u2018Entscheidungshilfe Prostatakrebs\u2019 (established in 2016, &gt;11.000 users and 60 new users\/week) for patients with non\u2010metastatic prostate cancer (PCa), from the perspective of patients and urologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>To provide personalised information, the tool collects most of the International Consortium for Health Outcomes Measurement standard set, personal preferences, psychological features, and a validated rating of the tool. To evaluate urologists\u2019 opinions, we developed a structured two\u2010page questionnaire. All data were collected anonymously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From June 2016 to December 2020, 11\u2009290 patients used the PCa decision aid. Their median (interquartile range [IQR]) age was 67\u2009(61\u201372)\u2009years. The median (IQR) time from initial diagnosis to using the tool was 4\u2009(3\u20137)\u2009weeks. In all, 87.7% of users reported high satisfaction. In a multivariable model, predictors for considering observation were higher knowledge, using the decision aid alone, lower oncological risk, normal erectile function, and respective personal preferences. Of 194 urologists, 91 (47%) had implemented the decision aid in their clinical practice. The urologists\u2019 mean (SD) satisfaction score (1 \u2018very good\u2019; 6\u00a0\u2018unsatisfactory\u2019) with it was 1.45\u2009(0.55), and 92% recommended it. Half of the urologists reported time savings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients and urologists report a very high level of acceptance and satisfaction with this online tool. It offers advantages in shared decision\u2010making and time efficiency. The usage of the decision aid might improve the adoption of active surveillance and watchful waiting when indicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16329","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T08:06:55Z","timestamp":1710922015000},"page":"239-248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Online decision aid for patients with prostate cancer evaluated by 11\u2009290 patients and 91 urologists in Germany"],"prefix":"10.1111","volume":"134","author":[{"given":"Johannes","family":"Huber","sequence":"first","affiliation":[{"name":"Department of Urology Philipps University of Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Karschuck","sequence":"additional","affiliation":[{"name":"Department of Urology Philipps University of Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Valdix","sequence":"additional","affiliation":[{"name":"Department of Urology Medical Faculty Carl Gustav Carus, TU Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Urology Medical Faculty Carl Gustav Carus, TU Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Urology Philipps University of Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Ihrig","sequence":"additional","affiliation":[{"name":"Division of Psycho\u2010Oncology, Department of General Internal Medicine and Psychosomatic University Hospital Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"H\u00f6lscher","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus TU Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Krones","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Ethics and History of Medicine University of Z\u00fcrich University Hospital Z\u00fcrich  Z\u00fcrich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Kessler","sequence":"additional","affiliation":[{"name":"ASD Concepts GmbH &amp; Co. KG\u00a0\u2013\u00a0Institut f\u00fcr Patientenzentrierte Versorgungsformen  Reinheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Kliesch","sequence":"additional","affiliation":[{"name":"Department of Clinical and Surgical Andrology, Centre for Reproductive Medicine and Andrology University Hospital M\u00fcnster  M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clemens","family":"Linn\u00e9","sequence":"additional","affiliation":[{"name":"Urological Practice  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Enders","sequence":"additional","affiliation":[{"name":"Prostate Cancer Patient Support Organization of Germany (BPS)  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice\u2010Stephan","family":"Michel","sequence":"additional","affiliation":[{"name":"Department of Urology and Urosurgery University Hospital Manheim  Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"W\u00fclfing","sequence":"additional","affiliation":[{"name":"Department of Urology Asklepios Klinik Altona  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christer","family":"Groeben","sequence":"additional","affiliation":[{"name":"Department of Urology Philipps University of Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10082.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(98)00059-8"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-011-2587-6"},{"key":"e_1_2_10_5_1","first-page":"CD001431","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"4","author":"Stacey D","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20039"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-014-3529-x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03763-w"},{"key":"e_1_2_10_9_1","first-page":"1","article-title":"Evaluation of the decision aid \"Entscheidungshilfe Prostatakrebs\" from the patients' view: results from the first three months","volume":"55","author":"Groeben C","year":"2016","journal-title":"Urologe"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.08.075"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900472"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-020-01867-2"},{"key":"e_1_2_10_13_1","first-page":"21","article-title":"The control preferences scale","volume":"29","author":"Degner LF","year":"1997","journal-title":"Can J Nurs Res"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09859.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1024\/1661-4747.54.3.213"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.50.6.613"},{"key":"e_1_2_10_17_1","unstructured":"SepuchaK.Decision quality worksheet: for treating prostate cancer v.1.0. \u00a9Massachusetts General Hospital last reviewed 2013. 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