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When it comes to GU cancers, fear and uncertainty often shape a patient’s treatment decisions well before the clinical data does. Dr. Hung-Jui (Ray) Tan of UNC Health sits down with host Dr. Ruchika Talwar to unpack why decision-making around small renal masses, low-risk prostate cancer, and other GU conditions can be so challenging. Dr. Tan explains the concept of decisional conflict, a patient’s internal uncertainty about the “right” course of action, and how it predicts downstream satisfaction and health outcomes. --- SYNPOSIS Dr. Tan shares practical, evidence-based strategies for improving decision-making conversations, from clearer framing to simple visual aids that reduce anxiety. They discuss how patients often perceive much greater risk of metastasis than what data shows, and why “turning down the temperature” is essential before discussing options. They also touch on evolving tools, including AI, that may improve how clinicians communicate risk and support patients through uncertainty. --- TIMESTAMPS 00:00 - Introduction 01:02 - Journey to Decision Science 05:59 - Research on Decision Making 14:41 - Shared Decision Making in Practice 22:39 - Resources for Shared Decision Making 39:54 - Improving Decision-Making Conversations --- RESOURCES Decisional conflict among patients newly diagnosed with clinical T1 renal masses: a prospective study https://pmc.ncbi.nlm.nih.gov/articles... Decisional Quality in Patients With Small Renal Masses https://pubmed.ncbi.nlm.nih.gov/29574... Impact of renal mass biopsy on decision-making experience for clinical T1 renal masses https://pubmed.ncbi.nlm.nih.gov/41151... MUSIC Patient and Provider Resources for Shared Decision Making https://musicurology.com/programs/kid... P3P - Prostate Cancer Shared Decision Making Resource https://www.p3p4me.org/users/login Best Case/Worst Case Treatment Decision Tool https://patientpreferences.org/best-c... Better Conversations Treatment Decision Tool https://patientpreferences.org/better... --- The BackTable Urology Podcast is a resource for practicing urologists to learn tips, techniques, and practical advice from their peers in the field. Listen on BackTable.com/Urology or on the streaming platform of your choice. Get notified when new episodes drop! Subscribe to the BackTable Urology Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular updates. ► https://www.backtable.com/shows/urolo... #URO278 #kidneycancer #prostatecancer #urology