Anxiety symptoms prior to a prostate cancer diagnosis: Associations with knowledge and openness to treatment

Dillard, Amanda J.; Scherer, Laura D.; Ubel, Peter A.; Alexander, Stewart C.; Fagerlin, Angela

doi:10.1111/bjhp.12222

Cited by 13 publications

(13 citation statements)

References 89 publications

(83 reference statements)

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“…The correct answers were also derived from the videotaped consultations. Each answer as provided by the patient during the interview was scored as not recalled (0), partially recalled (1) and completely recalled (2). Patients could receive a maximum of 18 questions in total.…”

Section: Information Recallmentioning

confidence: 99%

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Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

et al. 2018

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Introduction: One-day fast track programs for cancer diagnostics and treatment planning are increasingly being implemented in health care. Fast-track programs are highly effective at reducing waiting times, and thus well received by patients and healthcare providers. However, these programs may also burden patients, as patients generally receive a lot of information from multiple healthcare providers within a short time span. This might increase anxiety and negatively impact recall of medical information in newly diagnosed patients. This study examines whether anxiety influences information recall at the moment of diagnosis, and whether this relation differs for younger and older patients. Methods: Data were collected from 78 colorectal cancer patients visiting a one-day fast-track multidisciplinary outpatient clinic. All consultations that took place were recorded on a video. Anxiety was measured at baseline (T1) and immediately after consultations (T2) with the STAI-6. Information recall was assessed by telephone within 36-48 hours after patients' visit (T3) using open questions. Results: After consultations (T2), 32% of patients experienced clinical anxiety levels. Patients recalled $60% of medical information (T3). Information recall was negatively impacted by anxiety (b ¼-.28, p ¼ .011), and negatively related to higher age (b ¼-.23, p ¼ .031), and lower education level (b ¼ .27, p ¼ .013). Although older patients (M ¼ 53.99) recalled 11% less information than younger patients (M ¼ 64.84), age was not related to anxiety and did not moderate the anxiety-recall relationship. Conclusion: High levels of anxiety after receiving a cancer diagnosis negatively influence how much information patients remember after visiting a one-day fast-track clinic. This calls for interventions that may reduce patients' anxiety as much as reasonably possible and support patients' information recall. Researchers, practitioners, and hospitals are encouraged to continue exploring ways to optimize information provision to cancer patients in current modern healthcare.

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Section: Information Recallmentioning

confidence: 99%

“…Awaiting cancer diagnosis and the moment of diagnosis itself both involve high levels of anxiety for most patients [1,2]. High anxiety levels may hinder patients' ability to process and recall information provided by physicians [2][3][4]. Studies have shown that cancer patients forget substantial amounts of medical information [5,6].…”

Section: Introductionmentioning

confidence: 99%

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

et al. 2018

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“…We expect that this will allow us to identify more small foci of cancer that are missed when relying upon 5-μm-thick histology sections, though this will also lead to longer diagnostic interpretation times. (2) We noted that in some fresh biopsies imaged with 1Hr2Dx, some epithelial cells detached from the stroma, as can be seen in subsequent slide-based histology images (Fig. S2 in the Supplementary Material).…”

Section: Discussionmentioning

confidence: 57%

“…This procedure typically takes at least a day, in which there is a high degree of anxiety for most patients while awaiting the diagnosis. 2,3 If cancer is diagnosed, a follow-up appointment is made to discuss treatment options. Making this appointment could require days or weeks of additional time.…”

Section: Introductionmentioning

confidence: 99%

Diagnosing 12 prostate needle cores within an hour of biopsy via open-top light-sheet microscopy

et al. 2020

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. Significance: Processing and diagnosing a set of 12 prostate biopsies using conventional histology methods typically take at least one day. A rapid and accurate process performed while the patient is still on-site could significantly improve the patient’s quality of life. Aim: We develop and assess the feasibility of a one-hour-to-diagnosis (1Hr2Dx) method for processing and providing a preliminary diagnosis of a set of 12 prostate biopsies. Approach: We developed a fluorescence staining, optical clearing, and 3D open-top light-sheet microscopy workflow to enable 12 prostate needle core biopsies to be processed and diagnosed within an hour of receipt. We analyzed 44 biopsies by the 1Hr2Dx method, which does not consume tissue. The biopsies were then processed for routine, slide-based 2D histology. Three pathologists independently evaluated the 3D 1Hr2Dx and 2D slide-based datasets in a blinded, randomized fashion. Turnaround times were recorded, and the accuracy of our method was compared with gold-standard slide-based histology. Results: The average turnaround time for tissue processing, imaging, and diagnosis was 44.5 min. The sensitivity and specificity of 1Hr2Dx in diagnosing cancer were both . Conclusions: The 1Hr2Dx method has the potential to improve patient care by providing an accurate preliminary diagnosis within an hour of biopsy.

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“…For example, a recent meta-analysis of 25 prospective studies on depression and subsequent cancer risk, found that the six studies that focused on major depressive disorder and prostate cancer incidence found no evidence of an association [67]. Some studies have shown that anxiety symptoms increase as men come closer to learning their diagnosis [70,71]. It may be that men with a family history of prostate cancer, and therefore, a greater risk of prostate cancer, have greater anxiety during the time of medical investigation and diagnosis.…”

Section: Psychosocial Risksmentioning

confidence: 99%

Placing prostate cancer disparities within a psychosocial context: challenges and opportunities for future research

Cuevas

Trudel‐Fitzgerald

Cofie

et al. 2019

Cancer Causes Control

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Black men are more likely to be diagnosed with prostate cancer compared with White men. Despite advances in prevention and treatment strategies, disparities in prostate cancer among Black men persist. While research on the causes of higher incidence and mortality is ongoing, there is limited evidence in the existing literature that clearly speaks to the potential psychological or social factors that may contribute to disparities in prostate cancer incidence. Given the lack of attention to this issue, we review scientific evidence of the ways in which social factors, including socioeconomic status and racial segregation, as well as psychological factors, like depression and anxiety, are related to subsequent prostate cancer risk, which could occur through behavioral and biological processes. Our objective is to illuminate psychosocial factors and their context, using a racial disparity lens, which suggests opportunities for future research on the determinants of prostate cancer. Ultimately, we aim to contribute to a robust research agenda for the development of new prostate cancer prevention measures to reduce racial disparities.

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Anxiety symptoms prior to a prostate cancer diagnosis: Associations with knowledge and openness to treatment

Cited by 13 publications

References 89 publications

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

Diagnosing 12 prostate needle cores within an hour of biopsy via open-top light-sheet microscopy

Placing prostate cancer disparities within a psychosocial context: challenges and opportunities for future research

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