Journal article
Patient satisfaction with treatment decisions for clinically localized prostate carcinoma. Results from the prostate cancer outcomes study
Cancer, Vol.97(7), pp.1653-1662
2003
DOI: 10.1002/cncr.11233
PMID: 12655522
Abstract
Background: Men with early-stage prostate carcinoma can choose aggressive treatment or conservative management. The authors used data from a population-based cohort of men with clinically localized prostate carcinoma to describe satisfaction with treatment decisions 24 months after diagnosis and to examine the association of demographic, socioeconomic, and clinical characteristics with treatment satisfaction.
Methods: The authors evaluated 2365 men with clinically localized prostate carcinoma, diagnosed between October 1994 and October 1995, in one of six Surveillance, Epidemiology, and End Results tumor registries and who were available for 24 month follow-up. Medical record review and patient-completed surveys provided demographic, socioeconomic, and clinical data and measured treatment satisfaction. Logistic regression analyses were used to identify factors associated with satisfaction.
Results: Overall, 59.2% of subjects were delighted or very pleased with their treatment selection. The perception of being cancer free (66.4%), maintaining urinary (64.2%) and bowel (60.5%) control and normal erectile function (65.9%), having good general health (71.3%), and preserving social relationships (68.1%) were significantly associated with being satisfied (P < 0.05). Men receiving no active treatment were less satisfied (50.5%, P < 0.001) than actively treated men, and Hispanic men were less satisfied than non-Hispanic white men after undergoing radical prostatectomy (50.1% vs. 58.0%, P = 0.05) or androgen deprivation (29.7% vs. 71.8%, P < 0.02).
Conclusions: The majority of men were satisfied with their treatment selection for clinically localized prostate carcinoma. Receiving an active treatment, believing oneself to be free of cancer, avoiding treatment complications, and having good overall health and social support were positively associated with satisfaction.
Details
- Title: Subtitle
- Patient satisfaction with treatment decisions for clinically localized prostate carcinoma. Results from the prostate cancer outcomes study
- Creators
- Richard M HOFFMAN - Medicine Service, New Mexico VA Health Care System, Albuquerque, New Mexico, United StatesWilliam C HUNT - New Mexico Tumor Registry, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, United StatesFrank D GILLILAND - Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, United StatesRobert A STEPHENSON - Utah Cancer Registry and Division of Urology, University of Utah School of Medicine, Salt Lake City, Utah, United StatesArnold L POTOSKY - Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, United States
- Resource Type
- Journal article
- Publication Details
- Cancer, Vol.97(7), pp.1653-1662
- Publisher
- Wiley-Liss
- DOI
- 10.1002/cncr.11233
- PMID
- 12655522
- ISSN
- 0008-543X
- eISSN
- 1097-0142
- Language
- English
- Date published
- 2003
- Academic Unit
- Epidemiology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094640302771
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