Changes in quality of life among low-income men treated for prostate cancer

Brar, Rondeep; Maliski, Sally L.; Kwan, Lorna; Krupski, Tracey L.; Litwin, Mark S.

doi:10.1016/j.urology.2005.03.020

Cited by 17 publications

(13 citation statements)

References 29 publications

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“…Eton et al 20 found that men with low educational attainment reported worse mental functioning after diagnosis of prostate cancer compared with those with higher education. Brar et al 21 found that men with less than a high school education, compared with those with more, had greater improvement in SF-6 mental health scores at 6 months follow-up. Whereas the Brar et al finding appears to conflict with our data, the improvement in mental health among these men of low education may be the result of their participation in a state-funded prostate cancer treatment and counseling program.…”

Section: Discussionmentioning

confidence: 99%

Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs

Knight

Latini

Hart

et al. 2007

Cancer

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BACKGROUND.Previous findings have suggested that patient educational attainment is related to cancer stage at presentation and treatment for localized prostate cancer, but there is little information on education and quality of life outcomes. Patient education level and quality of life were examined among men diagnosed with prostate cancer and cared for within an equal‐access health care system, the Department of Veterans Affairs Veterans Health Administration (VA).METHODS.Participants were 248 men with prostate cancer cared for in the VA and enrolled in CaPSURE. Repeated‐measures analysis of variance was used to examine quality of life over time according to education level, controlling for age, ethnicity, income, site of clinical care, and year of diagnosis.RESULTS.Patients with lower levels of education tended to be younger, nonwhite, and have lower incomes. Controlling for age, ethnicity, income, year of diagnosis, and site, men with less formal education, compared with those with more, had worse functioning in the physical (P = .0248), role physical (P = .0048), role emotional (P = .0089), vitality (P = .0034), mental health (P = .0054), social function (P = .0056), and general health (P = .0002) domains and worse urinary (P = .003) and sexual (P = .0467) side effects.CONCLUSIONS.Men with less education experienced worse health‐related quality of life across a wide range of domains and greater urinary and sexual symptoms than their peers who had more education. Clinicians should be aware that, even within an equal access to health care system, men with less education are vulnerable, having greater difficulty functioning in their daily lives after their prostate cancer treatment. Cancer 2007. © 2007 American Cancer Society.

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Section: Discussionmentioning

confidence: 99%

Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs

Knight

Latini

Hart

et al. 2007

Cancer

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“…IMPACT enrollees' HRQOL scores are significantly worse at baseline in all domains of the SF-12 than men in the general population. Subsequently, sexual bother worsens significantly, whereas bowel domains improve (97)(98). Nurse case management appears to improve patients' HRQOL (99).…”

Section: Special Populationsmentioning

confidence: 99%

Quality of Life in Men Undergoing Active Surveillance for Localized Prostate Cancer

Bergman¹,

Litwin²

2012

JNCI Monographs

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Active surveillance is an important arrow in the quiver of physicians advising men with prostate cancer. Quality-of-life considerations are paramount for patient-centered decision making. Although the overall deleterious impact on health is less dramatic than for those who pursue curative treatment, men on active surveillance also suffer sexual dysfunction and distress. Five-year outcomes revealed more erectile dysfunction (80% vs 45%) and urinary leakage (49% vs 21%) but less urinary obstruction (28% vs 44%) in men undergoing prostatectomy. Bowel function, anxiety, depression, well-being, and overall health-related quality of life (HRQOL) were similar after 5 years, but at 6-8 years, other domains of HRQOL, such as anxiety and depression, deteriorated significantly for those who chose watchful waiting. Further research is needed to compare prospectively HRQOL outcomes in men choosing active surveillance and those never diagnosed with prostate cancer, in part to help weigh the potential benefits and harms of prostate cancer screening.

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“…Many investigators have reported that bowel problems, bladder difficulties and sexual dysfunction occurring after treatment for prostate cancer are common side effects of treatment [24][25][26]. Sexual dysfunction, very common following a radical prostatectomy, can negatively affect men's quality of life [27][28][29][30] and have a profound effect on the men's emotional well-being [31]. Incontinence, impotence, loss of libido and fatigue resulting from treatment affect the lives of both patients and their spouses and can diminish the quality of life of both [32][33][34][35][36].…”

Section: Review Of Literature Developmental Perspectivementioning

confidence: 99%

“…Bowman and associates found that being younger was associated with more negative appraisal while being older was related to less stressful appraisal [38]. Negative appraisal has been associated with poorer quality of life outcomes in cancer patients and their caregivers [27,28,37,49]. Appraisal of caregiving is associated with caregiver responsibilities that can take a toll on spouses in the form of stress and fatigue.…”

Section: Review Of Literature Developmental Perspectivementioning

confidence: 99%

The influence of developmental life stage on quality of life in survivors of prostate cancer and their partners

et al. 2008

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Introduction-Although prostate cancer is prevalent, little information is available on how it affects couples' quality of life (QOL) according to their age cohort. The purpose of this study was to examine how quality of life, self-efficacy and appraisal of the illness experience vary among men with prostate cancer and their partners according to age cohort: middle age (50-64); young-old (65-74); and oldold (75-84). Using an Adult Developmental and Family Stress framework, this study focuses on how normative (developmental stage) and non-normative stressors (prostate cancer) may affect a couple's ability to adapt.

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Changes in quality of life among low-income men treated for prostate cancer

Cited by 17 publications

References 29 publications

Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs

Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs

Quality of Life in Men Undergoing Active Surveillance for Localized Prostate Cancer

The influence of developmental life stage on quality of life in survivors of prostate cancer and their partners

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