Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study
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...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | European Urology Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666168324002519 |
| _version_ | 1827302699158208512 |
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| author | Natasha A. Roberts Rachel Esler Adam Pearce David Wyld Michael Smith Kaylene Woollett Carolyn Mazariego Matthew J. Roberts |
| author_facet | Natasha A. Roberts Rachel Esler Adam Pearce David Wyld Michael Smith Kaylene Woollett Carolyn Mazariego Matthew J. Roberts |
| author_sort | Natasha A. Roberts |
| collection | DOAJ |
| description | 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 understood. 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. |
| first_indexed | 2024-03-07T19:41:39Z |
| format | Article |
| id | doaj.art-833f7cc55872489e9cc8c3c3642c6b19 |
| institution | Directory Open Access Journal |
| issn | 2666-1683 |
| language | English |
| last_indexed | 2024-04-24T16:48:30Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Urology Open Science |
| spelling | doaj.art-833f7cc55872489e9cc8c3c3642c6b192024-03-29T05:51:11ZengElsevierEuropean Urology Open Science2666-16832024-04-01623642Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive StudyNatasha A. Roberts0Rachel Esler1Adam Pearce2David Wyld3Michael Smith4Kaylene Woollett5Carolyn Mazariego6Matthew J. Roberts7Centre for Clinical Research, Clinical School, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia; STARS Education and Research Alliance, Surgical Treatment and Rehabilitation Service (STARS), The University of Queensland and Metro North Health, Herston, QLD, Australia; Corresponding author. The University of Queensland Centre for Clinical Research Herston, QLD, 4029, Australia. Tel. +61 438105302.Department of Urology, Cancer Care Services, Surgery and Peri-operative Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD, AustraliaDepartment of Urology, Cancer Care Services, Surgery and Peri-operative Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD, AustraliaCentre for Clinical Research, Clinical School, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia; Department of Urology, Cancer Care Services, Surgery and Peri-operative Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD, AustraliaDepartment of Urology, Cancer Care Services, Surgery and Peri-operative Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD, Australia; School of Nursing, Queensland University of Technology, Kelvin Grove, QLD, AustraliaDepartment of Urology, Cancer Care Services, Surgery and Peri-operative Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD, AustraliaSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia; The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Kings Cross, NSW, AustraliaCentre for Clinical Research, Clinical School, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia; Department of Urology, Cancer Care Services, Surgery and Peri-operative Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD, AustraliaBackground 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 understood. 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.http://www.sciencedirect.com/science/article/pii/S2666168324002519Patient-reported outcomePatient-reported outcome measureSupportive careUnmet needsProstate cancerCancer care |
| spellingShingle | Natasha A. Roberts Rachel Esler Adam Pearce David Wyld Michael Smith Kaylene Woollett Carolyn Mazariego Matthew J. Roberts Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study European Urology Open Science Patient-reported outcome Patient-reported outcome measure Supportive care Unmet needs Prostate cancer Cancer care |
| title | Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study |
| title_full | Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study |
| title_fullStr | Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study |
| title_full_unstemmed | Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study |
| title_short | Exploring Unmet Needs in Prostate Cancer Care: A Cross-sectional Descriptive Study |
| title_sort | exploring unmet needs in prostate cancer care a cross sectional descriptive study |
| topic | Patient-reported outcome Patient-reported outcome measure Supportive care Unmet needs Prostate cancer Cancer care |
| url | http://www.sciencedirect.com/science/article/pii/S2666168324002519 |
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