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	Welcome   | My Account | E-mail Alerts | Access Rights | Sign In Vol. 6 No. 1, January 1997   Archives  •  Online Features ARTICLE  This Article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Preferences of husbands and wives for prostate cancer screening R. J. Volk, S. B. Cantor, S. J. Spann, A. R. Cass, M. P. Cardenas and M. M. Warren Department of Family Medicine, University of Texas Medical Branch at Galveston, USA. bvolk%utmbgalv@mhost.utmb.edu The benefits of screening for prostate cancer are uncertain. Outcomes of treatment are particularly important to couples because they challenge the most intimate aspects of a couple's relationship. This study used clinical decision analysis to explore the preferences of 10 couples for prostate cancer screening. The decision-analytic model found that 7 of 10 husbands preferred the no screening strategy, while 9 of 10 wives preferred screening for their husbands. Wives associated little burden with complications of treatment, preferring to maximize their husbands' quantity of life regardless of complications. The issue of who is the decision maker is paramount in the case of prostate cancer screening. Optimal screening strategies may differ for husbands and wives. Guidelines for prostate cancer screening and management should consider assessing preferences on an individual couple basis. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES A Review and Meta-Analysis of Prostate Cancer Utilities Bremner et al. Med Decis Making 2007;27:288-298. ABSTRACT   Theory about Heuristic Strategies Based on Verbal Protocol Analysis: The Emperor Needs a Shave Hamm Med Decis Making 2004;24:681-686. ABSTRACT   Health-Related Quality of Life, Satisfaction, and Economic Outcome Measures in Studies of Prostate Cancer Screening and Treatment, 1990-2000 McNaughton-Collins et al. J Natl Cancer Inst Monogr 2004;2004:78-101. ABSTRACT | FULL TEXT   Communicating Evidence for Participatory Decision Making Epstein et al. JAMA 2004;291:2359-2366. ABSTRACT | FULL TEXT   Short-Term Impact of Cancer Prevention and Screening Activities on Quality of Life Cullen et al. JCO 2004;22:943-952. ABSTRACT | FULL TEXT   Do Older Men Benefit From Curative Therapy of Localized Prostate Cancer? Alibhai et al. JCO 2003;21:3318-3327. ABSTRACT | FULL TEXT   Second-hand prostatism: effects of prostatic symptoms on spouses' quality of life, daily routines and family relationships Shvartzman et al. Fam Pract 2001;18:610-613. ABSTRACT | FULL TEXT   Cost-Effectiveness of Sildenafil Beaird ANN INTERN MED 2001;134:249-249. FULL TEXT   Cost-Effectiveness of Sildenafil Groeneveld and Duncan ANN INTERN MED 2001;134:249-250. FULL TEXT   Cost-Effectiveness of Sildenafil Smith and Roberts ANN INTERN MED 2001;134:250-251. FULL TEXT   The Cost-Effectiveness of Sildenafil Smith and Roberts ANN INTERN MED 2000;132:933-937. ABSTRACT | FULL TEXT   Biopsychosocial Aspects of Prostate Cancer Kunkel et al. Psychosomatics 2000;41:85-94. ABSTRACT | FULL TEXT   A Randomized Controlled Trial of Shared Decision Making for Prostate Cancer Screening Volk et al. Arch Fam Med 1999;8:333-340. ABSTRACT | FULL TEXT   PROSTATE CANCER SCREENING: IT DEPENDS ON YOUR PERSPECTIVE JWatch General 1997;1997:7-7. FULL TEXT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1997 American Medical Association. All Rights Reserved.