Patient experiences at diagnosis and psychological well-being in prostate cancer: A Finnish national survey

Lehto, Ulla-Sisko; Helander, Sanni; Taari, Kimmo; Aromaa, Arpo

doi:10.1016/j.ejon.2014.10.018

Cited by 38 publications

(75 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, 23% of the patients had undergone multiple treatments; thus, the total use of the different treatment modalities (alone or in combination) was higher. A total of 42% of the respondents received external beam radiotherapy, 33% received hormonal therapy, 32% received radical prostatectomy, 7% received surveillance and 6.5% received brachytherapy (Lehto et al , 2015). Hormonal therapy was often (65%) still going on at the time of the survey.…”

Section: Resultsmentioning

confidence: 99%

“…These patients also participated in pilot studies to develop the questionnaire. The results of the first section of the questionnaire were previously reported (Lehto et al , 2015). The second section targeted the negative effects due to the treatment.…”

Section: Methodsmentioning

confidence: 97%

“…The Finnish Cancer Registry (www.cancerregistry.fi) collected a nationwide sample of every second incidence case diagnosed in Finland in 2004 on our behalf (Lehto et al , 2010; Lehto et al , 2015; Figure 1). We linked these data with the Finnish Population Register Centre and excluded patients who died before survey.…”

Section: Methodsmentioning

confidence: 99%

“…The patients indicated how satisfied they were with the outcome of their treatment using a scale ranging from 1 (completely satisfied) to 4 (completely dissatisfied). Psychological well-being was measured using two validated measures (Lehto et al , 2015): the psychological symptom items of the cancer-specific Rotterdam Symptom Checklist (deHaes et al , 1990), including irritability, depressed mood, nervousness, desperate feelings about the future, tension, anxiety, difficulty concentrating and worrying with scales ranging from 0 (not at all) to 3 (much), and the Satisfaction With Life Scale including statements: In most ways, my life is close to my ideal; The conditions of my life are excellent; I am satisfied with my life; So far I have the important things I want in life; If I could live my life over, I would change almost nothing (Diener et al , 1985). …”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Patients’ perceptions of the negative effects following different prostate cancer treatments and the impact on psychological well-being: a nationwide survey

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background:Although the prognosis of localised prostate cancer is good, the negative effects of prostate cancer treatment often impair patient quality of life. A growing number of men experience these negative effects over a longer time because of the increased incidence of and prolonged survival in prostate cancer, and the ageing of the population. Only a few studies have investigated the adverse effects of different prostate cancer treatments using large population-based samples.Methods:We conducted a nationwide survey (n=1239) to collect detailed information regarding the negative effects (i.e., the occurrence, perceived level and perceived bother since the beginning of the treatment) of prostate cancer treatments: radical prostatectomy, external beam radiotherapy, brachytherapy, hormone therapy and surveillance. Furthermore, we measured patient satisfaction with the outcome of the treatment and their psychological well-being (i.e., psychological symptoms and satisfaction with life) 5 years after diagnosis. The negative effects between the treatments were compared, and the determinants of satisfaction and psychological well-being were investigated.Results:The negative effects of all types of active prostate cancer treatments were common and persistent (33–48% reported symptoms at 5 years) and showed the known differences between the treatments. Prostatectomy and the radiotherapies caused urinary leakage; radiotherapy also caused symptoms of urinary irritation; and external radiation also caused bowel dysfunction. Most symptoms were considered highly bothersome. Most respondents (81−93%) reported that their treatment negatively affected their sex lives; 70–92% reported sexual dysfunction; and 20–58% reported that their sex lives with their spouses had ended. Urinary symptoms were especially associated with poorer psychological outcomes. The perception of symptom level and bother had a greater effect on patient satisfaction and well-being than the symptoms per se.Conclusion:Multiple and persistent negative effects follow active prostate cancer treatment, and these effects predict long-term patient satisfaction and psychological well-being. The harms and benefits associated with prostate cancer treatments should be considered when selecting whether and how to actively treat prostate cancer.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Patients’ perceptions of the negative effects following different prostate cancer treatments and the impact on psychological well-being: a nationwide survey

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recent advances such as intensity-modulated radiation therapy, fractionated delivery regimens and volumetric modulated arc therapy (2-3) aim to reduce toxicity. However, both late and acute symptoms and side effects can still occur and impact on quality of life (QOL) (4,5).…”

Section: Introductionmentioning

confidence: 99%

Assessing the information and support needs of radical prostate cancer patients and acceptability of a group-based treatment review: a questionnaire and qualitative interview study

Chauhan

Holch²,

Holborn³

2018

J Radiother Pract

View full text Add to dashboard Cite

AimsCurrent literature suggests the information and support needs of oncology patients undergoing radical radiotherapy to the prostate often remain unmet and can impact quality of life. We aimed to explore the effectiveness of delivery and opportunities for service improvement, including a group based treatment review. Methods:Sixty prostate patients completing radical radiotherapy (mean age 70, range 47-79) in a UK cancer-centre completed a self-designed questionnaire assessing information and support.. To explore views on a group-based-treatment-review, 11% took part in a semi-structured interview. Descriptive data were computed and interviews transcribed and analysed thematically. Results:Eighty-seven percent were satisfied with information and support when delivered by radiographers. However, 26% were only 'sometimes' able to complete bladder-filling, suggesting information regarding treatment delays would improve this. 49% preferred both Doctor and Urology nurse reviews whereas 26% preferred nurse only. 70% stated their 'concerns were always addressed' by a nurse and 49% by a Doctor. Interviews revealed that a group review was generally acceptable with peer support an influencing factor. Findings:Overall patients felt their needs were being met. Suggestions for improvement (more information on preparation, side effects and delays) will be implemented locally. Future work will explore the feasibility of group reviews in patients undergoing radical radiotherapy to the prostate. Financial supportThis research received no specific grant from any funding agency, commercial or not-for-profit sectors.

show abstract

Experience with the US health care system for Black and White patients with advanced prostate cancer

Rencsok

Stopsack

Slopen

et al. 2023

Cancer

View full text Add to dashboard Cite

Objective:The purpose of this study was to assess differences in reported information about treatment, integration into care, and respect by self-identified Black and White individuals with advanced prostate cancer in the United States.Patients and Methods: This is a prospective cohort study of 701 participants (20% identifying as Black) enrolled in the International Registry for Men with Advanced

show abstract

Patient experiences at diagnosis and psychological well-being in prostate cancer: A Finnish national survey

Cited by 38 publications

References 40 publications

Patients’ perceptions of the negative effects following different prostate cancer treatments and the impact on psychological well-being: a nationwide survey

Patients’ perceptions of the negative effects following different prostate cancer treatments and the impact on psychological well-being: a nationwide survey

Assessing the information and support needs of radical prostate cancer patients and acceptability of a group-based treatment review: a questionnaire and qualitative interview study

Experience with the US health care system for Black and White patients with advanced prostate cancer

Contact Info

Product

Resources

About