Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study

被引:0
|
作者
Roberts, Natasha A. [1 ,2 ,3 ,8 ]
Esler, Rachel [4 ]
Pearce, Adam [4 ]
Wyld, David [1 ,4 ]
Smith, Michael [4 ,5 ]
Woollett, Kaylene [4 ]
Mazariego, Carolyn [6 ,7 ]
Roberts, Matthew J. [1 ,4 ]
机构
[1] Univ Queensland, Fac Med, Ctr Clin Res, Clin Sch, Brisbane, Qld, Australia
[2] Univ Queensland, Surg Treatment & Rehabil Serv STARS, STARS Educ & Res Alliance, Herston, Qld, Australia
[3] Metro North Hlth, Herston, Qld, Australia
[4] Royal Brisbane & Womens Hosp, Dept Urol, Canc Care Serv, Surg & Perioperat Serv, Brisbane, Qld, Australia
[5] Queensland Univ Technol, Sch Nursing, Kelvin Grove, Qld, Australia
[6] UNSW Sydney, Fac Med & Hlth, Sch Populat Hlth, Sydney, NSW, Australia
[7] Univ Sydney, Daffodil Ctr, joint venture Canc Council NSW, Kings Cross, NSW, Australia
[8] Univ Queensland, Ctr Clin Res Herston, Herston, Qld 4029, Australia
来源
关键词
Patient-reported outcome; measure; Supportive care; Unmet needs; Prostate cancer; Cancer care; Urology; Sexual health; Mental health; Patient information; PATIENT-REPORTED OUTCOMES; QUALITY;
D O I
10.1016/j.euros.2024.01.018
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background and objective: Prostate cancer, the most common cancer among men worldwide, has significant impact on quality of life. Supportive care needs for those affected by prostate cancer are not well understood. This study aims to describe patient -reported unmet needs and explore supportive care priorities of men treated for prostate cancer. Methods: A cross-sectional survey was distributed to all men who had accessed prostate cancer services (including surgical, radiation, and medical oncology treatment modalities) at a tertiary hospital. The survey included qualitative questions exploring patient experience and a validated patient -reported outcome measure (Supportive Care Needs Survey Short Form 34). Clinical information was collected. Analyses included, descriptive statistics, multivariate logistic regression models and qualitative analyses using a framework method. Key findings and limitations: A total of 162 participants provided survey data. Domains about information, self -management, and sexual function were the highest ranked items with unmet needs. A qualitative analysis also identified "relationships", "information", and "the value of hindsight"constructs. Participants who identified three or more unmet needs expressed treatment regret (odds ratio 5.92, 1.98-22.23, p = 0.01). Conclusions and clinical implications: Understanding the unmet needs of patients may better inform supportive care interventions that address what is important to patients. Importantly, participants valued relationships. There may be opportunities to better meet the needs of patients by improving access to information and self -management resources, particularly around sexuality. Further research is warranted. Patient summary: Prostate cancer and its treatment impacts are not well under- stood. Prioritisation of relationships and improving access to information and self -management resources are important. Further attention to prostate cancer supportive care in clinical practice is needed. (c) 2024 The Authors. Published by Elsevier B.V. on behalf of European Association of Urology. This is an open access article under the CC BY -NC -ND license (http://creative- commons.org/licenses/by-nc-nd/4.0/).
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收藏
页码:36 / 42
页数:7
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