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It's all in the name: Does nomenclature for indolent prostate cancer impact management and anxiety? by Matthew T. Hudnall; Anuj S. Desai; Kyle P. Tsai; Adam B. Weiner; Amanda X. Vo; Oliver S. Ko; Stephen Jan; Edward M. Schaeffer; Shilajit D. Kundu is a Medicine article available to read on EtoBox.

What is It's all in the name: Does nomenclature for indolent prostate cancer impact management and anxiety? about?

## Background Despite consensus guidelines, many men with low‐grade prostate cancer are not managed with active surveillance. Patient perception of the nomenclature used to describe low‐grade prostate cancers may partly explain this discrepancy. ## Methods A randomized online survey was administered to men without a history of prostate cancer, presenting a hypothetical clinical scenario in which they are given a new diagnosis of low‐grade prostate cancer. The authors determined whether diagnosis nomenclature was associated with management preference and diagnosis‐related anxiety using ratings given on a scale from 1 to 100, adjusting for participant characteristics through multivariable linear regression. ## Results The survey was completed by 718 men. Compared with Gleason 6 out of 10 prostate cancer, the term grade group 1 out of 5 prostate cancer was associated with lower preference for immediate treatment versus active surveillance (β = −9.3; 95% CI, −14.4, −4.2; P < .001), lower diagnosis‐related anxiety (β = −8.3; 95% CI, −12.8, −3.8; P < .001), and lower perceived disease severity (β = −12.3; 95% CI, −16.5, −8.1; P < .001) at the time of initial diagnosis. Differences decrea

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Author

Matthew T. Hudnall; Anuj S. Desai; Kyle P. Tsai; Adam B. Weiner; Amanda X. Vo; Oliver S. Ko; Stephen Jan; Edward M. Schaeffer; Shilajit D. Kundu

Publisher

Wiley

Published

2021

Language

EN

Field

Medicine (Health Sciences)