Experiences of Unmet Need and Access to Supportive Care for Men Receiving Androgen Deprivation Therapy for Prostate Cancer: A Bi-national Study

Paterson, Catherine; Primeau, Charlotte; Howard, Nicholas; Xiberras, Peter; Pillay, Brindha; Crowe, Helen

doi:10.1016/j.soncn.2020.151049

Cited by 13 publications

(14 citation statements)

References 31 publications

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“…However, some men experienced anxiety and fear about: their own mortality, the cancer spreading, the future, and the results of treatments. These findings are consistent with previous studies that found that 54% of PC survivors living with advanced disease manifest uncertainty, anxiety, or regret about treatment decisions (Paterson et al, 2020;Ralph et al, 2020). More research is needed to determine which SC interventions may contribute to a better psychological burden control (Kuon et al, 2019;O'Shaughnessy et al,2015).…”

Section: Discussionsupporting

confidence: 89%

“…On the surface, the convergent findings regarding physical and emotional unmet needs appear to be consistent with the extant literature suggesting that advanced PC therapies are associated with fatigue, pain, decreased libido, impotence, anxiety, and existential concerns (Chambers et al, 2019;Holm et al, 2018;Steentjes et al, 2018;Paterson et al, 2015;Bermat et al, 2016). However, these high rates may be clinically relevant because, despite the impact of these unmet SC needs and the current guidelines, the SC beyond routine clinical care appears to be suboptimal at best (Handberg et al, 2018;Lo & Buss, 2019;Nekhlyudov et al, 2017;Paterson et al, 2020).…”

Section: Discussionsupporting

confidence: 69%

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Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration

Calvo-Schimmel¹,

Newman²,

Sterba³

et al. 2022

CONJ

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Purpose: Men with advanced prostate cancer experience a wide range of side effects from the cancer and its therapies, which have a negative effect on their quality of life (QOL). Few studies have evaluated supportive care needs in these individuals. The purpose of this study was to conduct a holistic supportive care needs assessment among these survivors guided by the Supportive Care Framework for Cancer Care. Methods: Using a convergent parallel mixed-methods approach, prostate cancer survivors with advanced disease (n = 188) completed a cross-sectional survey. A subset of these survivors (n = 20) participated in an interview to further explore their experience of unmet needs. Results: Survivors reported unmet supportive care needs in every domain of the framework. Up to 95.2% of the survivors had at least one unmet need, with a mean of 14.9 (range: 0–42). Several areas of convergence among the quantitative and qualitative data (fatigue, sexual dysfunction, practical, and emotional/psychological domains), as well as divergence (informational and spiritual domains, depression, urinary dysfunction) were found through the integration process. Conclusions: This study confirms that prostate cancer survivors with advanced disease experience high rates of unmet supportive care needs. The findings also highlight the diversity of those unmet needs. These results may assist with future development of patient-centered supportive care interventions that better meet the specific needs of this vulnerable group of cancer survivors. Keywords: prostate cancer; advanced disease; survivors; supportive care; unmet needs; quality of life; mixed-methods

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 69%

Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration

Calvo-Schimmel¹,

Newman²,

Sterba³

et al. 2022

CONJ

View full text Add to dashboard Cite

show abstract

“…Our study also showed coordination gaps between healthcare services and cancer organizations despite their supplementary role and importance for men with PCa. Our findings, like those of Ettridge et al (2018) suggest that not all men know about supportive care services because information about them is fragmented and not due to reduced accessibility as described by other studies (Chambers et al, 2018;Paterson et al, 2020). Moreover, our findings show that urologists and GPs may not refer men with PCa to these services due to misunderstandings over the content of the services offered, particularly the belief that they focus only on disease.…”

Section: Coordination Gaps With Multiple Explanatory Factors Are Commonsupporting

confidence: 46%

Supportive care needs of men with prostate cancer after hospital discharge: multi-stakeholder perspectives

Kalakou

Aase

Kjosavik

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Purpose: This study explored the supportive care needs of men with prostate cancer (PCa) after hospital discharge based on the perceptions of multiple stakeholders. Methods: Eight semi-structured focus groups and three individual interviews were conducted between September 2019 and January 2020, with 34 participants representing men with PCa, primary and secondary healthcare professionals, and cancer organizations in western Norway. Data was analysed using systematic text condensation. Results: Four categories emerged: 1) men with PCa have many information needs which should be optimally provided throughout the cancer care process; 2) various coordination efforts among stakeholders are needed to support men with PCa during follow-up; 3) supportive care resources supplement the healthcare services but knowledge about them is random; and 4) structured healthcare processes are needed to improve the services offered to men with PCa. Variations were described regarding priority, optimal mode and timeliness of supportive care needs, while alignment was concerned with establishing structures within and between stakeholders to improve patient care and coordination. Conclusions: Despite alignment among stakeholders' regarding the necessity for standardization of information and coordination practices, the mixed prioritization of supportive care needs of men with PCa indicate the need for additional individualized and adapted measures.

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“…Cependant, certains hommes indiquent avoir éprouvé de l'anxiété et de la peur concernant leur mort, la propagation du cancer, leur avenir en général et les résultats des traitements. Ces résultats sont conformes à ceux d'études antérieures ayant révélé que 54 % des survivants du cancer de la prostate à un stade avancé manifestent de l'incertitude, de l'anxiété ou des regrets relativement à leurs décisions de traitement (Paterson et al, 2020;Ralph et al, 2020). Des recherches supplémentaires sont nécessaires pour déterminer quels types de soins de soutien seraient les plus utiles pour gérer le fardeau psychologique (Kuon et al, 2019;O'Shaughnessy et al, 2015).…”

Section: Discussionunclassified

“…À première vue, les résultats convergents concernant les besoins non satisfaits d'ordre physique et émotionnel semblent correspondre à la littérature existante qui suggère que les traitements avancés du cancer de la prostate engendrent de la fatigue, de la douleur, une baisse de la libido, de l'impuissance, de l'anxiété et des préoccupations existentielles (Chambers et al, 2019;Holm et al, 2018;Steentjes et al, 2018;Paterson et al, 2015;Bermat et al, 2016). Cependant, ces résultats élevés peuvent être cliniquement pertinents, car, malgré l'importance de ces besoins non satisfaits en matière de soins de soutien et les directives actuelles, les soins de soutien dépassant le cadre des soins cliniques de routine semblent loin d'être optimaux (Handberg et al, 2018;Lo et Buss, 2019;Nekhlyudov et al, 2017;Paterson et al, 2020).…”

Section: Discussionunclassified

Besoins non satisfaits en soins de soutien chez les survivants du cancer de la prostate à un stade avancé : exploration par méthodes mixtes

Calvo-Schimmel¹,

Newman²,

Sterba³

et al. 2022

CONJ

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But : Les hommes souffrant d’un cancer avancé de la prostate connaissent un large éventail d’effets secondaires découlant du cancer et de ses traitements qui nuisent à leur qualité de vie (QDV). Peu d’études ont évalué les besoins de soins de soutien chez ces personnes. Cette étude a été réalisée pour effectuer une évaluation globale des besoins en soins de soutien chez ces survivants en se fondant sur un cadre de soins de soutien en oncologie (Supportive Care Framework for Cancer Care, ou SCFCC). Méthodes : Dans le cadre d’une recherche menée selon une approche mixte, parallèle et convergente, des survivants du cancer de la prostate à un stade avancé (n = 188) ont répondu à un questionnaire d’enquête transversale. Quelques-uns de ces survivants (n = 20) ont participé à un entretien afin de mieux évaluer leurs besoins non satisfaits. Résultats : Les survivants ont déclaré des besoins non satisfaits de soins de soutien dans tous les domaines du cadre d’évaluation utilisé. Pas moins de 95,2 % des survivants avaient au moins un besoin non satisfait, avec une moyenne de 14,9 besoins (fourchette : 0–42). Plusieurs domaines de convergence entre les données quantitatives et qualitatives (fatigue, dysfonctionnement sexuel, domaines pratique et émotionnel/psychologique) et de divergence (domaines informationnel et spirituel, dépression, dysfonctionnement urinaire) ont été trouvés durant le processus d’intégration. Conclusion : Cette étude confirme que les survivants du cancer de la prostate à un stade avancé présentent des taux élevés de besoins non satisfaits en soins de soutien. Les résultats soulignent également une grande diversité dans ces besoins non satisfaits. Ces résultats pourraient contribuer au développement de plans de soins de soutien centrés sur le patient, adaptés aux besoins particuliers de ce groupe vulnérable de survivants du cancer. Mots-clés : cancer de la prostate; stade avancé; survivants; soins de soutien; besoins non satisfaits; qualité de vie; méthodes mixtes

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Experiences of Unmet Need and Access to Supportive Care for Men Receiving Androgen Deprivation Therapy for Prostate Cancer: A Bi-national Study

Cited by 13 publications

References 31 publications

Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration

Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration

Supportive care needs of men with prostate cancer after hospital discharge: multi-stakeholder perspectives

Besoins non satisfaits en soins de soutien chez les survivants du cancer de la prostate à un stade avancé : exploration par méthodes mixtes

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