title: A comparison of perspectives on prostate cancer: analysis of utility assessments of patients and physicians.
abstract: BACKGROUND
  Quality-of-life considerations are important in metastatic prostate cancer. In this study, we interviewed physicians and patients about their assessments and expectations on quality of life as metastatic prostate cancer progresses.
  
  
  METHODS
  Physicians and patients made utility assessments of three hypothetical health states for metastatic disease using the time trade-off technique. Scores were bounded on a scale from 0.0 (death) to 1.0 (perfect health).
  
  
  RESULTS
  Patients rated each of the health states as less desirable than the physicians.
  
  
  CONCLUSIONS
  Physicians and patients differ in their perspectives on expected quality of life with metastatic prostate cancer. Our results emphasize the need to assess patients' utilities directly.
authors.affiliation: VA Chicago Health Care Systems, Lakeside Division, IL 60611, USA. cbenne@nwu.edu
authors.forename: C L
authors.initials: CL
authors.lastname: Bennett
authors.forename: G
authors.initials: G
authors.lastname: Chapman
authors.forename: A S
authors.initials: AS
authors.lastname: Elstein
authors.forename: S J
authors.initials: SJ
authors.lastname: Knight
authors.forename: R B
authors.initials: RB
authors.lastname: Nadler
authors.forename: R
authors.initials: R
authors.lastname: Sharifi
authors.forename: T
authors.initials: T
authors.lastname: Kuzel
mesh_terms: D003657:Decision Making; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D010045:Outpatients; D010358:Patient Participation; D010819:Physician's Role; D011471:Prostatic Neoplasms / Q000503:physiopathology* / Q000628:therapy; D011788:Quality of Life; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D016896:Treatment Outcome