Long-term unmet supportive care needs of prostate cancer survivors: 15-year follow-up from the NSW Prostate Cancer Care
- PDF / 355,390 Bytes
- 10 Pages / 595.276 x 790.866 pts Page_size
- 0 Downloads / 202 Views
ORIGINAL ARTICLE
Long-term unmet supportive care needs of prostate cancer survivors: 15-year follow-up from the NSW Prostate Cancer Care and Outcomes Study C. G. Mazariego 1,2 & I. Juraskova 3,4 & R. Campbell 4 & D. P. Smith 1,2,5,6 Received: 13 October 2019 / Accepted: 27 February 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose To determine the prevalence, severity, and baseline associations of self-reported long-term unmet supportive care needs in a population-wide cohort of men with prostate cancer (PC), 15 years post-diagnosis. Methods Participants were drawn from the New South Wales (NSW) Prostate Cancer Care and Outcomes Study. Eligible men were diagnosed with PC between 2000 and 2002, aged less than 70 years at diagnosis, and completed a 15-year follow-up survey. Demographic and clinical data were collected at baseline. The validated Cancer Survivors’ Unmet Needs (CaSUN) Survey was administered to assess unmet needs. Results Of 578 eligible men, 351 completed CaSUN. Mean age was 75.8 (range 59–84) with a mean follow-up time of 15.2 years post-diagnosis. Over a third of men (37.4%) reported at least one unmet need at 15 years. Most frequently reported unmet needs pertained to the comprehensive cancer care (34.1%) domain. 87.2% of participants who reported problems with sexual function reported this need as moderate/severe. Higher diagnostic prostate-specific antigen (PSA) levels (20+ ng/mL) at diagnosis were associated with future unmet needs (PSA 20+: OR = 4.80, 95% CI [1.33–17.35]). Conclusion Many PC survivors continue to report unmet needs 15 years post-diagnosis. There is a pressing need for clinicians to work together to coordinate PC care, and to proactively, regularly, and openly enquire about men’s sexual adjustment to PC. The needs of PC survivors could better be met with more coordinated approaches to multidisciplinary care and timely interventions and support for chronic sexual dysfunction. Keywords Prostate cancer . Supportive care needs . Long-term . Quality of life Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00520-020-05389-x) contains supplementary material, which is available to authorized users. * C. G. Mazariego [email protected] 1
Cancer Research Division, Cancer Council New South Wales, Sydney, Australia
2
Faculty of Medicine and Health, Sydney School of Public Health, University of Sydney, Camperdown, NSW, Australia
3
Faculty of Science, School of Psychology, Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), The University of Sydney, Camperdown, NSW, Australia
4
Faculty of Science, School of Psychology, University of Sydney, Camperdown, NSW, Australia
5
Menzies Health Institute Queensland, Griffith University, Southport, QLD, Australia
6
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Introduction Worldwide, approximately 1.3 million men were diagnosed with prostate cancer (PC) in 2018 [1]. Globally, PC is the
Data Loading...
