title: [Decision aids for patients are widely accepted by German urologists : A survey among members of the German Society of Urology (DGU) and the Federation of German Urologists (BDU)].
abstract: BACKGROUND
  Treatment decision making remains a complex task for localized prostate cancer. Decision aids for patients can support the medical consultation. However, it is not known if German urologists accept decision aids for patients. Comparative data exist from a current survey among american urologists and radio oncologists.
  
  
  METHODS
  From October through November 2014 we conducted an online survey consisting of 11 multiple-choice questions and an optional free text commentary among the members of DGU and BDU. All data was processed anonymously. We received 464 complete responses for a 6.6 % return rate. For group comparison we applied the Chi2-test.
  
  
  RESULTS
  Respondents' median age was 50 (range 26-87) years and 15 % were female. 7 % were residents, 31 % employed at a clinic, and 57 % in private practice. Due to the low response rate of younger colleagues the results were not representative for the basic population. Regardless of age (p = 0.2) and professional environment (p = 1) shared decision making was preferred by 89 %. When counseling their patients with localized prostate cancer 20 % relied exclusively on conversation. To support their conversation 63 % used print media, 49 % decision aids, 33 % contact offers to support groups, 24 % Internet resources and 13 % video material. From using decision aids 86 % expected positive effects for patients and 78 % for physicians (p = 0.017). 15 % expected a change of the treatment decision. 77 % would motivate their patients to use a decision aid.
  
  
  CONCLUSIONS
  In comparison to the opinion of american urologists and radio oncologists the acceptance of decision aids for patients among German urologists is significantly higher.
authors.affiliation: Klinik und Poliklinik für Urologie, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Groeben
authors.affiliation: Klinik und Poliklinik für Urologie, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Baunacke
authors.affiliation: Klinik und Poliklinik für Urologie, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Borkowetz
authors.affiliation: Centrum für Reproduktionsmedizin und Andrologie, Abteilung für Klinische Andrologie, Universitätsklinikum Münster, Münster, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Kliesch
authors.affiliation: Abteilung für Urologie, Asklepios Klinik Altona, Hamburg, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Wülfing
authors.affiliation: Sektion Psychoonkologie, Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinik Heidelberg, Heidelberg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Ihrig
authors.affiliation: Klinik und Poliklinik für Urologie, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. johannes.huber@uniklinikum-dresden.de.
authors.forename: J
authors.initials: J
authors.lastname: Huber
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D000066491:Clinical Decision-Making / Q000379:methods*; D003661:Decision Support Techniques; D005260:Female; D005858:Germany; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000379:methods / Q000706:statistics & numerical data*; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D000072178:Urologists / Q000706:statistics & numerical data*; D014572:Urology / Q000706:statistics & numerical data*
keywords: Decision aids; Health services research; Shared decision making; Survey; Urologic oncology