Responses and experiences after radical prostatectomy:

Petry, Heidi; Berry, Donna L.; Spichiger, Elisabeth; Kesselring, Annemarie; Gasser, Thomas C.; Sulser, Tullio; Kiss, Alexander

doi:10.1016/j.ijnurstu.2003.11.005

Cited by 34 publications

(51 citation statements)

References 12 publications

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“…They generally attended with the patient from the hospital referral onwards, but invariably on their own initiative. Partners focused primarily on supporting the patient through the different phases of the care pathway as reported in an earlier study [28]. They too, often had unmet information needs, particularly in relation to help with coping and on-going support after initial treatment.…”

Section: Discussionmentioning

confidence: 99%

Patient-centred care: What are the experiences of prostate cancer patients and their partners?

Sinfield

Baker

Agarwal

et al. 2008

Patient Education and Counseling

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Objective To gain an in depth understanding of the experiences of care of men with prostate cancer and their partners Methods The study design was a qualitative analysis of semi-structured interviews of men (35) who had been diagnosed and treated for prostate cancer and their partners (10). They were recruited from two hospitals in the East Midlands of England and two charities. ResultsThe interviews showed that although there was no widespread dissatisfaction with care, patients reported problems throughout care. The two main problems were that throughout care patients' and partners' information needs were often not identified or met, and patients' preferred role in decisionmaking about testing and treatment was not explored. ConclusionsIf patients' experiences of prostate cancer care are to be improved, clinicians need to identify, and respond to, the information and decision-making needs of individual patients and their partners.Practice Implications Clinicians should identify and meet the needs of patients individually, use appropriate language and formats for communicating information, fully prepare patients for tests, explore and meet the needs of patients for involvement in decision-making, and recognise the important role that their partner plays. Systems and pathways of care should be designed to enable patients and partners to obtain information and participate in decision making throughout all stages of care.

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Section: Discussionmentioning

confidence: 99%

Patient-centred care: What are the experiences of prostate cancer patients and their partners?

Sinfield

Baker

Agarwal

et al. 2008

Patient Education and Counseling

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“…Traditionally, in cancer research, such as prostate research, symptom management has focused on individual symptoms such as incontinence, erectile dysfunction, fatigue, hot flashes, pain, and depression, [1][2][3][4] but the interrelation among such symptoms is important and has not been explored thoroughly. 5,6 This need has been addressed by recent publications in the area of symptom cluster research; a symptom cluster is typically defined as two or more related symptoms that may or may not come from a common source but that occur simultaneously.…”

Section: Introductionmentioning

confidence: 99%

ReCAP: Identifying Severe Adverse Event Clusters Using the National Cancer Institute’s Common Terminology Criteria for Adverse Events

Zhong

Lim

Hershman

et al. 2016

JOP

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CONTEXT & QUESTION ASKED: Exploring the relationship among adverse events is important because those that arise from a common mechanism are amenable to a common intervention, which can improve symptom management, quality of life, and treatment adherence. To date, symptom cluster studies have used patient-reported data, which are not always available in clinical trials. In this study, we proposed using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) to identify adverse event clusters because the CTCAE are collected as standard practice and can therefore be used when patient-reported outcomes are unavailable. Hence, is it feasible to identify severe adverse events clusters from data captured using the CTCAE in clinical trials? SUMMARY ANSWER: Six severe adverse events clusters were identified in patients with advanced prostate cancer. Identifying adverse events clusters using CTCAE data from clinical trials is feasible. METHODS: A variable-based hierarchical cluster analysis was conducted using the CTCAE data captured from 323 patients who experienced at least one grade 3 or higher adverse event in an advanced prostate cancer randomized clinical trial conducted by SWOG (S9916). BIAS, CONFOUNDING FACTOR(S), DRAWBACKS: The difficulty of using adverse event data from clinical trials is that often not all adverse events are recorded. In our study, only the highest severity grade for each adverse event type was recorded, and only grade 3 or higher adverse events were captured reliably. Moreover, in contrast to previous publications on symptom cluster that used patient-reported outcomes, the CTCAE is clinician reported and may not accurately reflect the presence of patient symptoms and the severity of these symptoms. REAL-LIFE IMPLICATIONS: Capturing adverse events using the CTCAE, which is standard practice in all clinical trials, can be used to understand the relationships among adverse events and to identify adverse events clusters when patient-reported outcomes are unavailable. [Figure: see text]

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“…Radical prostatectomy is a common treatment option for localized prostate cancer. Despite being highly effective, the procedure is associated with a number of issues such as bladder, intestinal, and sexual dysfunction due to complications of the surgery (3).…”

Section: Introductionmentioning

confidence: 99%

Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy

Zaidan

Silva

2014

Fisioter. mov.

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Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy [I] Eletroestimulação, resposta dos músculos do assoalho pélvico e incontinência urinária em pós-prostatectomizados [A] Patrícia Zaidan [a] , Elirez Bezerra da Silva [b] [a] Specialist in Urogynecological Physical Therapy, University Gama Filho (UGF -RJ), collaborator physical therapist of the Outpatient Urogynecologic Physical Therapy of Hospital dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro, RJBrazil, e-mail: patriciazaidan@gmail.com [b] PhD in Physical Education, University Gama Filho (UGF -RJ), coordinator of Post-Graduation Course in Physical Therapy (UGF), professor of the Post-Graduation stricto sensu Program in Sciences of the Exercise and Sports (UGF), coordinator of the Research Group Clinical School (UGF), Rio de Janeiro, RJ -Brazil, e-mail: elirezsilva@cosmevelho.com.br [R] Abstract Objective: to investigate the response of the pelvic floor muscles (PFM), and urinary incontinence (UI), in patients having undergone a prostatectomy, after treatment using electrical stimulation. Materials and methods: this observational study was conducted in an outpatient urogynecologic physical therapy clinic of Hospital dos Servidores in Rio de Janeiro, Brazil from August to September 2012. Ten patients (aged, 64 ± 7 years) with urinary incontinence resulting from radical prostatectomy, having received surgery within six months of study entry, without urinary infection, and without metallic implants underwent electrical stimulation of the PFM, while in lateral decubitus position with knees and hips flexed. The parameters used were 65 Hz frequency, pulse width of 500 μs, biphasic current, intensity according to the tolerance level reported by the patient, perineal contraction time of four seconds, and rest time of eight seconds for 20 minutes twice a week, totaling 16 sessions of electrical stimulation with active-assisted contraction. Patients were evaluated before and after electrical stimulation through physical therapy evaluation of urinary incontinence, by being asked about the number of disposable guards used daily, using a visual analogue scale (VAS) to measure how the UI interfered with activities of daily living, and by electromyographic biofeedback to measure the work of the PFM. Data were analyzed using Student's paired t-tests and a significance level of 0.05. Results: after 16 sessions of electrical stimulation, the electromyographic biofeedback evaluation showed a significantFisioter Mov. 2014 jan/mar;27(1):93-100Zaidan P, da Silva EB. 94 increase in muscle strength of 10.73 ± 8.64 to 17.16 ± 9.00 μV (t = -3.39, P = 0.008), a significant decrease in the number of diapers used before and after treatment (3.9 ± 1.2 to 1.8 ± 1.5, respectively; t = 5.16, P = 0.0006), and a significant decrease in the interference of urinary incontinence on daily activities of 9.6 ± 0.5 to 4.0 ± 3.8 (t = 5.15, P = 0.0006). Conclusion: electrical stimulation may represent a nove...

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Responses and experiences after radical prostatectomy:

Cited by 34 publications

References 12 publications

Patient-centred care: What are the experiences of prostate cancer patients and their partners?

Patient-centred care: What are the experiences of prostate cancer patients and their partners?

ReCAP: Identifying Severe Adverse Event Clusters Using the National Cancer Institute’s Common Terminology Criteria for Adverse Events

Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy

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