15250-m-cuypers

182 Chapter 9 Patient has first consultation in outpatient clinic after referral for prostate complaints or elevated PSA test (consultation with urologist) Patient undergoes diagnostic tests (e.g. echography, prostate biopsy, blood tests) Eligible treatments are discussed in oncology meeting, and assessment of whether patient can receive DA (based on treatment options) (Oncology) nurse prepares DA invitation and includes a note to hand out the DA in the electronic medical record Patient returns to outpatient clinic for test results/diagnosis (consultation with urologist). DA is provided by urologist during consultation In case of a follow-up meeting with (oncology) nurse: DA is handed out and explained by the nurse Additional consultations by patient request (e.g. radiation oncologist) Patient returns to outpatient clinic for treatment decision (consultation with urologist). DA summary is discussed Figure 2 . Flow chart of most common workflow for DA dissemination in participating hospitals