Men’s perceptions of prostate cancer diagnosis and care: insights from qualitative interviews in Victoria, Australia

Kirkman, Maggie; Young, Kate; Evans, Sue; Millar, Jeremy; Fisher, Jane; Mazza, Danielle; Ruseckaite, Rasa

doi:10.1186/s12885-017-3699-1

Cited by 14 publications

(24 citation statements)

References 29 publications

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“…Men’s partners (wives, in the reviewed research) are clearly valuable enablers of prostate health information-seeking and management; this has been found elsewhere 24 25. It may thus be important for GPs and policy-makers to continue to be alert to including men’s family support systems in early detection and management measures rather than focusing on men themselves.…”

Section: Discussionmentioning

confidence: 85%

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Prostate care and prostate cancer from the perspectives of undiagnosed men: a systematic review of qualitative research

et al. 2019

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ObjectivesTo summarise and evaluate evidence from men who had not been diagnosed with prostate cancer about their perspectives on prostate care and prostate cancer.DesignA systematic review of qualitative research, on the perspectives of non-cancerous men regarding prostate cancer prevention and care.SettingA wide range of settings including primary and secondary care.ParticipantsMen from varied demographic backgrounds ranging between 40 to 80 years of age.Data sourcesThree databases (Ovid MEDLINE, Informit, PsychInfo) and Google Scholar were searched for peer-reviewed papers in English reporting research using qualitative methods (in-depth or semistructured interviews and focus groups).Review methodsThematic analysis using inductive and deductive codes. Thematic synthesis was achieved through iterative open, axial and thematic coding.ResultsEight papers (reporting seven studies conducted in Australia, UK and Germany) met inclusion criteria. Four major themes were identified: understanding prostate cancer, masculinity and prostate cancer, barriers to prostate healthcare and managing prostate health. It was reported that men often did not understand screening, prostate anatomy or their prostate cancer risk, and that concerns about masculinity could deter men from seeking health checks. There was evidence of a need to improve doctor–patient communication about case finding.ConclusionFurther investigation is required to identify and understand any differences in the perspectives and experiences of men who have not been diagnosed with prostate cancer in metropolitan and regional areas, especially where there may be variations in access to healthcare

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Section: Discussionmentioning

confidence: 85%

“…This could include culture-specific clubs, Men’s Sheds and service organisations such as Rotary. The importance of local information dissemination and the use of popular culture to normalise prostate care have been identified (eg, ref 24). The value of peer support is well established 26 27.…”

Section: Discussionmentioning

confidence: 99%

Prostate care and prostate cancer from the perspectives of undiagnosed men: a systematic review of qualitative research

et al. 2019

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“…Differences in access to specialised healthcare resources may impact on the information regarding disease stages and progression that patients received. Studies have similarly shown that receiving support from their partner or family is important for navigating the medical system [13] and improves patients' HRQoL [27].…”

Section: There Is a Gap In Hcp-patient Communicationmentioning

confidence: 99%

“…This highlights the importance of understanding the current knowledge of prostate cancer among males in order to improve prostate cancer awareness, ensure early diagnosis, and improve HRQoL among patients with prostate cancer in Asia. Studies have previously investigated perceptions [13][14][15][16] and knowledge of prostate cancer in men from the USA [17][18][19] and Europe [20][21][22][23]. Limited studies have been performed in Japan [24,25] and Korea [26]; however, little such research has been done in the Asia-Pacific (APAC) region as a whole.…”

Section: Introductionmentioning

confidence: 99%

Not all prostate cancer is the same – patient perceptions: an Asia‐Pacific region study

Akakura

Bolton

Grillo³

et al. 2020

BJU International

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Objective To explore the perceptions of patients living with different stages of prostate cancer across the Asia‐Pacific (APAC) region, as while extensive quantitative research has been undertaken into outcomes of treatments for prostate cancer, little in the way of qualitative research has been performed looking at subjective perceptions of patients in regard to their perceived deficits in the treatment of this condition and such research is particularly lacking in reference to the APAC region. Patients and methods Initial 45‐min qualitative research interrogatory interviews were conducted with 12 patients from Australia, China and Japan to identify themes that were significant to patients in the management of prostate cancer. Thereafter, 150 patients with different stages of prostate cancer underwent 30‐min online (Australia) or computer‐assisted/personal interviews categorised on the five key themes identified, in order to more fully clarify the nature of patient perceptions of how their prostate cancer had been treated and the issues they felt could be more fully addressed in order to improve the management of this condition. Results Interviews indicated common challenges and unmet needs among patients, including: (i) patients’ feelings and emotional state change during their disease journey, (ii) patients lack of knowledge about prostate cancer and disease progression prior to diagnosis, (iii) patients felt shared decision‐making was uncommon, (iv) patients have misperceptions about surgery, and (v) patients have unmet needs for greater information and support to manage their condition. Conclusions These patient perceptions of unmet needs in prostate cancer management stand in contrast to patient awareness of other common diseases such as heart failure and diabetes. Such unmet needs vary across disease stages and between different nationalities. Patients with prostate cancer in the APAC region appear to have gaps in knowledge about their disease and wish for greater information, support and public awareness about prostate cancer.

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“…It was found that men in the RICS were more likely to be diagnosed with more advanced prostate cancer and to have poorer outcomes than metropolitan men. Further qualitative inquiry of men with and without prostate cancer and of GPs identified challenges associated with living in regional areas, including limited access to health services, GPs, and specialists; limited understanding of prostate cancer; and regional men’s reluctance to consult their GPs (who were often well known in the community) about sensitive matters such as prostate cancer, with concomitant digital rectal examinations [3]. Differences between metropolitan and rural men’s health are not confined to Australia, a topic we have discussed elsewhere [3].…”

Section: Introductionmentioning

confidence: 99%

Prostate cancer awareness, case-finding, and early diagnosis: Interviews with undiagnosed men in Australia

et al. 2019

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Previous research in Victoria, Australia, found differences in prostate cancer outcomes in regional and metropolitan areas. This investigation of undiagnosed men in regional areas and a metropolitan area of South Australia sought their perspectives on prostate cancer. Our aim was to learn whether men who had not been diagnosed could shed light on why men outside metropolitan areas tended to have poorer outcomes than metropolitan men. Our goal was to build on evidence contributing to improving outcomes in prostate cancer care. Semi-structured interviews were designed to elicit explanation and meaning. 15 men (10 metropolitan, 5 regional) not diagnosed with prostate cancer were recruited through widely-distributed flyers in medical and community settings. Interviews were recorded and transcribed; transcripts were analysed thematically. Five main themes were identified, four of which were prompted by the questions: Addressing prostate health , Experiences with and expectations of GP s, Differences in care between regional and metropolitan areas , and Achieving early diagnosis . The fifth theme arose spontaneously: Australian masculinity . Men identified as problematic the limited availability of GPs in regional areas, the lack of consistency in approaches to prostate cancer detection, and men’s reluctance to seek medical care. Community-level strategies appear to be valued to encourage men to address prostate health. Maintaining and extending a systemic approach to prostate care may improve outcomes for men in Australia.

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Men’s perceptions of prostate cancer diagnosis and care: insights from qualitative interviews in Victoria, Australia

Cited by 14 publications

References 29 publications

Prostate care and prostate cancer from the perspectives of undiagnosed men: a systematic review of qualitative research

Prostate care and prostate cancer from the perspectives of undiagnosed men: a systematic review of qualitative research

Not all prostate cancer is the same – patient perceptions: an Asia‐Pacific region study

Prostate cancer awareness, case-finding, and early diagnosis: Interviews with undiagnosed men in Australia

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