"Factors influencing treatment decisions for men with prostate cancer" by Timothy Alan Skyring
The decision-making process for men with early stage prostate cancer is complex and difficult because prostate cancer, despite having a high incidence, has a low mortality and treatments, despite having significant side effects, may not prolong survival with many men dying of non-cancer health issues. There is, therefore, an imperative to treat young, healthy men with aggressive cancers (preventing undertreatment) and avoid treatment of men with low grade cancers and/or a limited life expectancy due to age or comorbidities (avoiding overtreatment). This thesis places the process of decision ma...