[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-354248-105":59,"doc-detail-354248-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","empowering-patients-the-role-of-shared-treatment-decision-making-in-advanced-bladder-cancer-a-podcast","Empowering Patients - The Role of Shared Treatment Decision-Making in Advanced Bladder Cancer - A Podcast","","Shared treatment decision-making is a care approach in which patients and clinicians partner to select, postpone, or forgo treatment based on patient values while weighing the best available evidence. Evidence across diseases shows that when patients feel informed, satisfaction, treatment adherence, and quality-of-life improve. For advanced bladder cancer, a growing range of options increases the need to tailor decisions by treatment attributes, patient and disease characteristics, and access. Barriers include limited knowledge at diagnosis and possible goal discordance, supported by available decision tools and discussion aids.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/empowering-patients-the-role-of-shared-treatment-decision-making-in-advanced-bladder-cancer-a-podcast/354248/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/empowering-patients-the-role-of-shared-treatment-decision-making-in-advanced-bladder-cancer-a-podcast/354248.png","ImageObject",300,407,{"name":92,"@type":93},"McQueen","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is shared treatment decision-making in advanced bladder cancer?","Question",{"text":112,"@type":113},"It is an approach where patients and clinicians work in partnership to choose among treatment options (or delay/forgo treatment) based on patient values and the best available evidence.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What benefits can shared treatment decision-making provide?",{"text":117,"@type":113},"It can increase satisfaction with medical care, improve adherence to treatment, and support better quality of life.",{"name":119,"@type":110,"acceptedAnswer":120},"What challenges or barriers may arise when implementing shared treatment decisions?",{"text":121,"@type":113},"Newly diagnosed patients may face a steep learning curve, comparing benefits and risks across options can be complex, and patients, carers, and clinicians may have conflicting treatment goals.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},354248,1790210989,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41},5909890329169,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Adv Ther (2026) 43:2333–2344  \n[https://doi.org/10.1007/s12325-026-03535-1](https://doi.org/10.1007/s12325-026-03535-1)  \nCOMMENTARY  \nEmpowering Patients: The Role of Shared Treatment Decision‑Making in Advanced Bladder Cancer—A Podcast  \nRavindran Kanesvaran · Patrizia Giannatempo · Alex Filicevas  \nPublished online: 15 April 2026  \n© The Author(s) 2026  \nABSTRACT  \nShared treatment decision-making refers to an approach to care in which patients and their clinicians work in partnership to choose between treatment options, or delay/forgo treatment, concordant with patient values and considering the best available evidence. Research in various diseases, including cancer, has shown that patients who feel informed in treatment decisions have greater satisfaction with their medical care, better adherence to treatment, and better quality-of-life outcomes. The treatment landscape for advanced bladder cancer has evolved in recent years and several treatment options  \nSupplementary Information The online version contains supplementary material available at [https://doi.org/10.1007/s12325-026-03535-1](https://doi.org/10.1007/s12325-026-03535-1) .  \nR. Kanesvaran (*)  \nDivision of Medical Oncology, National Cancer Centre, Singapore 168583, Singapore  \ne-mail: [ravindran.kanesvaran@singhealth.com.sg](ravindran.kanesvaran@singhealth.com.sg)  \nP. Giannatempo  \nMedical Oncology Department, Fondazione IRCCSIstituto Nazionale dei Tumori, Milan, Italy  \nA. Filicevas  \nWorld Bladder Cancer Patient Coalition, Global Cancer Coalitions Network, WECAN Foundation, Brussels, Belgium  \nare now available, increasing the importance of shared treatment decisions. Various factors may be relevant to shared decision-making in advanced bladder cancer, including the attributes of different treatment options (e.g., efficacy, toxicity profile, or treatment regimen), patient characteristics (e.g., priorities, health status, or social factors), disease characteristics (e.g., extent of disease or treatment history), and treatment access, highlighting the need to tailor treatment to individual patients. Challenges or barriers to shared treatment decision-making include the lack of knowledge in patients newly diagnosed with cancer, and potential discordance between patients and clinicians regarding treatment goals. However, tools are available that can facilitate shared treatment decision-making and help patients prepare for discussions. In this podcast, we discuss the concept of shared treatment decision-making and the range of considerations related to its application in the management of advanced bladder cancer. With the increasing focus on patient-centered care, shared treatment decision-making can help create individualized treatment plans for patients with advanced bladder cancer, which can be facilitated by in-depth discussions between patients, carers, and clinicians about treatment goals and the benefits and risks of available treatment options. Infographic and podcast audio are available for this article.  \nGraphical Abstract:  \nEmpowering Patients: The Role of Shared Treatment Decision-Making in Advanced Bladder Cancer—A Podcast  \nRavindran Kanesvaran,1 Patrizia Giannatempo,2 Alex Filicevas3  \n1National Cancer Centre Singapore, Singapore; 2Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy; 3 World Bladder Cancer Patient Coalition, Brussels, Belgium; Global Cancer Coalitions Network; WECAN Foundation  \nShared treatment decision-making is an approach to care in which patients and clinicians work in partnership to choose between treatment options, or delay/forgo treatment, concordant with patient values and considering the best available evidence  \nThis podcast discusses the role of shared treatment decision-making and  \nconsiderations related to its application in patients with advanced bladder cancer  \nPotential benefits of shared treatment decision-making  \nGreater satisfaction  \nwith medical care  \nBetter adherence  \nto treatment  \nBetter qua","cbCaio21kxd6NltI","https://ap.wps.com/l/cbCaio21kxd6NltI","pdf",366702,12,"English","# Abstract\n# Key Summary Points\n# Potential Benefits\n# Potential Challenges\n# Factors for Individualized Decision-Making\n# Tools and Resources\n# References and Supplementary Information","[{\"question\":\"What is shared treatment decision-making in advanced bladder cancer?\",\"answer\":\"It is an approach where patients and clinicians work in partnership to choose among treatment options (or delay/forgo treatment) based on patient values and the best available evidence.\"},{\"question\":\"What benefits can shared treatment decision-making provide?\",\"answer\":\"It can increase satisfaction with medical care, improve adherence to treatment, and support better quality of life.\"},{\"question\":\"What challenges or barriers may arise when implementing shared treatment decisions?\",\"answer\":\"Newly diagnosed patients may face a steep learning curve, comparing benefits and risks across options can be complex, and patients, carers, and clinicians may have conflicting treatment goals.\"}]","Empowering Patients - The Role of Shared Treatment Decision-Making in Advanced Bladder Cancer - A Podcast | PDF",1790109722]