What should we tell prostate cancer patients about (secondary) prevention?

Chan, June M.; Blarigan, Erin L. Van; Kenfield, Stacey A.

doi:10.1097/mou.0000000000000049

Cited by 22 publications

(22 citation statements)

References 44 publications

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“…Indeed, a recent study from our group showed that positive lifestyle changes, especially dietary modifications, occur after the diagnosis of prostate cancer and in other types of cancer in men [57]. Similar observations have also been reported by other investigators [58,59,60]. Studies have shown that a balanced diet may decrease the risk of chronic diseases such as hypertension and diabetes.…”

Section: Discussionsupporting

confidence: 83%

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Olivares

Chambi

Chañi

et al. 2017

IJERPH

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Global health agencies estimate an increase of chronic diseases in South America. Nevertheless, few studies have investigated chronic diseases and their risk factors in the perspective of multimorbidity. This research aimed to identify these aspects in a primary health care setting of central Argentina. The Pan America version of the STEP wise approach surveillance (STEPS) instrument of the World Health Organization was applied to 1044 participants, 365 men and 679 women, with a mean age of 43 years. High prevalence of overweight (33.5%), obesity (35.2%), central obesity (54%), dyslipidemia (43.5%), metabolic syndrome (21.1%), low intake of fruit and vegetables (91.8%), low levels of physical activity (71.5%), risky alcohol consumption (28%), and smoking (22.5%) were detected. Hypertension and diabetes were the most prevalent chronic conditions and the total prevalence of multimorbidity was 33.1%, with 2, 3, 4, 5 and 6 chronic conditions found in 19.9%, 9.1%, 2.6%, 1.1% and 0.4% of the population, respectively. Multimorbidity affected 6.4% of the young, 31.7% of the adults, and 60.6% of the elderly, and was more prevalent among women, and in participants with lower levels of education. Having multimorbidity was significantly associated with obesity, central obesity, and higher concentrations of total blood cholesterol, low-density lipoprotein cholesterol, triglycerides, and glucose. A website was made available to the participants in order to share the experimental results and health-promoting information.

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Section: Discussionsupporting

confidence: 83%

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Olivares

Chambi

Chañi

et al. 2017

IJERPH

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“…Primary care clinicians should provide regular evaluations of survivors to determine appropriate levels of participation in health promotion and lifestyle modification programs . Facilitators (eg, clinician and spousal involvement) and barriers to engaging in physical activity (eg, preexisting comorbidities) should be addressed and monitored prior to the initiation of behavior change programs.…”

Section: Guidelines For the Primary Care Management Of Prostate Cancementioning

confidence: 99%

“…Primary care clinicians should conduct routine assessments of body mass index among survivors across the prostate cancer survivorship continuum. For survivors who are overweight or obese, clinicians should recommend limiting the consumption of high‐calorie foods and beverages and promote weight loss activities such as increasing physical activity as they would do for patients without cancer.…”

Section: Guidelines For the Primary Care Management Of Prostate Cancementioning

confidence: 99%

American Cancer Society prostate cancer survivorship care guidelines

Skolarus

Wolf

Erb

et al. 2014

CA A Cancer J Clinicians

357

320

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https://www.wileyhealthlearning.com/acs.aspx Prostate cancer survivors approach 2.8 million in number and represent 1 in 5 of all cancer survivors in the United States. While guidelines exist for timely treatment and surveillance for recurrent disease, there is limited availability of guidelines that facilitate the provision of posttreatment clinical follow‐up care to address the myriad of long‐term and late effects that survivors may face. Based on recommendations set forth by a National Cancer Survivorship Resource Center expert panel, the American Cancer Society developed clinical follow‐up care guidelines to facilitate the provision of posttreatment care by primary care clinicians. These guidelines were developed using a combined approach of evidence synthesis and expert consensus. Existing guidelines for health promotion, surveillance, and screening for second primary cancers were referenced when available. To promote comprehensive follow‐up care and optimal health and quality of life for the posttreatment survivor, the guidelines address health promotion, surveillance for prostate cancer recurrence, screening for second primary cancers, long‐term and late effects assessment and management, psychosocial issues, and care coordination among the oncology team, primary care clinicians, and nononcology specialists. A key challenge to the development of these guidelines was the limited availability of published evidence for management of prostate cancer survivors after treatment. Much of the evidence relies on studies with small sample sizes and retrospective analyses of facility‐specific and population databases. CA Cancer J Clin 2014;64:225–249. © 2014 American Cancer Society.

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“…Currently, the strongest evidence links obesity to poorer outcomes in cancer survivors, and this evidence is stronger for breast and prostate cancer [32–35,29,36] than for non-Hodgkin lymphoma [37,38]. It has not yet been established whether specific nutrients or food groups are associated cancer-related outcomes in survivors [32,39–41]. Studies suggest benefits of a diet high in fruits and vegetables, and low in saturated fats for breast and prostate cancer survivors [40,42,43].…”

Section: Discussionmentioning

confidence: 99%

Capitalizing on the “teachable moment” to promote healthy dietary changes among cancer survivors: the perspectives of health care providers

Coa

Smith

Klassen

et al. 2014

Support Care Cancer

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Purpose Although cancer is often thought of as a teachable moment, many cancer survivors do not adhere to behavioral recommendations that might improve their health. This study explored healthcare providers’ perspectives on the importance and feasibility of addressing behavior change, specifically healthy diet, with cancer survivors. Methods In-depth interviews were conducted with 33 healthcare providers who care for posttreatment survivors of breast cancer, prostate cancer, and non-Hodgkin’s lymphoma. Interviews were analyzed thematically. Results Healthcare providers emphasized the strength of evidence linking diet/obesity to recurrence in their assessment of the importance of promoting dietary change among their survivor patients. Cancer specialists (e.g., oncologists, surgeons) generally brought up dietary change with patients if they considered the evidence to be strong. In contrast, primary care providers viewed health promotion as important for all patients, and reported treating cancer survivor patients the same as others when it came to making dietary recommendations. There was a lack of consensus among providers on the best timing to bring up behavior change. Providers described specific subgroups of patients who they saw as more motivated to make behavior changes, and patient barriers to making dietary changes. Conclusions Healthcare providers can play an important role in promoting healthy diet among cancer survivors. As the evidence base around diet and cancer recurrence/prognosis grows, it is important that this information is communicated to providers. Strategies such as incorporating behavior change messages into survivor care plans may help standardize recommendations to survivors.

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What should we tell prostate cancer patients about (secondary) prevention?

Cited by 22 publications

References 44 publications

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

American Cancer Society prostate cancer survivorship care guidelines

Capitalizing on the “teachable moment” to promote healthy dietary changes among cancer survivors: the perspectives of health care providers

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