Comprehensive Comparison of Health-Related Quality of Life After Contemporary Therapies for Localized Prostate Cancer

Wei, John T.; Dunn, Rodney L.; Sandler, Howard M.; McLaughlin, Patrick W.; Montie, James E.; Litwin, Mark S.; Nyquist, Linda; Sanda, Martin G.

doi:10.1200/jco.20.2.557

Cited by 297 publications

(113 citation statements)

References 31 publications

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“…The quality of life research in prostate cancer emphasizes the importance of sexual functioning as a part of overall well being. 27,34 After prostate cancer treatment, beyond the loss of erections, men's responsiveness to visual, desire-inducing stimuli can diminish, 35,36 and their libido can decrease. All men continue to have orgasms (without ejaculate), but some report absent, less intense or even painful orgasms.…”

Section: Resultsmentioning

confidence: 99%

The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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Prostate cancer affects one in six American men. Erectile and sexual dysfunctions are long-term side effects of prostate cancer treatment. PubMed database was searched for papers on prostate cancer-related sexual recovery for men and couples. The search yielded articles on (1) the treatment of erectile dysfunction, (2) men's psychological and culturally diverse adaptation to the sexual side effects; (3) the impact of prostate cancer on couples' relationships; and (4) interventions to promote sexual function. Erectile dysfunction after prostate cancer treatment has been widely studied.Research on the sexual recovery of men and couples or understanding it in a cultural context is scarce. Greater focus on the impact of sexual sequelae of prostate cancer treatment on men as well as couples in diverse groups is needed. Clinical implications for treating sexual dysfunction and promoting sexual recovery for prostate cancer survivors and their partners are discussed. Recommendations for future research are provided.

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Section: Resultsmentioning

confidence: 99%

The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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“…Options include radical prostatectomy (RP), brachytherapy (BT), and external beam radiation therapy (EBRT). Urinary or bowel incontinence and sexual dysfunction, however, are common side effects [5]. In 2001-2, active surveillance (AS) emerged as an alternative [4].…”

Section: Introductionmentioning

confidence: 99%

‘What is this active surveillance thing?’ Men's and partners' reactions to treatment decision making for prostate cancer when active surveillance is the recommended treatment option

et al. 2014

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Objective: In the past decade localized prostate cancer (LPC) management has been shifting from three radical treatment options (radical prostatectomy, external beam radiotherapy, or brachytherapy) to also include active surveillance (AS). This study examines men with LPC and partners' experiences of choosing between AS and radical treatments, and their experiences of AS when selected.Methods: Qualitative descriptive research design. Interviewed participants were men, and partners of men, who had either chosen radical treatment immediately following diagnosis, or who had been on AS for at least three months. AS was the recommended treatment. Transcribed interviews were thematically analysed and inter-rater reliability integrated.Results: Twenty-one men and 14 partners participated. Treatment decisions reflected varied reactions to prostate cancer information, regularly described as contradictory, confusing, and stressful. Men and partners commonly misunderstood AS but could describe monitoring procedures. Partners often held the perception that they were also on AS. Men and partners usually coped with AS but were sometimes encumbered by treatment decision-making memories, painful biopsies, ongoing conflicting information, and unanswered medical questions. Radical treatment was selected when cancer progression was feared or medically indicated. Some preferred doctors to select treatments.Conclusions: To reduce distress frequently experienced by men diagnosed with LPC and their partners during treatment decision-making and ongoing AS monitoring, the following are needed: improved community and medical awareness of AS; consistent information about when radical treatment is required; and consistent, unbiased information on treatment options, prognostic indicators, and side effects. Regularly up-dated decisional support information/aids incorporating men's values are imperative.

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“…Pain and fatigue remain important (Berglund et al, 1991;Bjordal et al, 1995;Dow et al, 1996), as do sexual disruption (Dorval et al, 1998;Ganz et al, 1998;Litwin et al, 1995;Schag et al, 1994;Wei et al, 2002), appearance and body-image concerns , and emotional distress (Deimling et al, 2002;Gotay and Muraoka, 1998;Wyatt and Friedman, 1996). Issues that emerge more over the longer term include concerns about insurability, worry about the future health of one's children, worry about the family's future in the event of a recurrence (Dow et al, 1996;Schag et al, 1994;Wyatt and Friedman, 1996), and late effects of cancer treatment, such as cardiac toxicity or development of second cancers (Burstein and Winer, 2000;Partridge et al, 2001;Tucker, 1993).…”

Section: Introductionmentioning

confidence: 99%

Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes

et al. 2005

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SUMMARYQuality of life (QOL) has many aspects, both in the short-term and in the long-term. Different aspects of QOL may have different types of precursors: demographic, medical, and psychosocial. We examined this possibility in a group of long-term breast cancer survivors. Early-stage breast cancer patients (N ¼ 163) who had provided information about medical, demographic, and psychosocial variables during the year after surgery completed a multidimensional measure of QOL 5-13 years later. Initial chemotherapy and higher stage predicted greater financial problems and greater worry about appearance at follow-up. Being partnered at diagnosis predicted many psychosocial benefits at follow-up. Hispanic women reported greater distress and social avoidance at follow-up. Initial trait optimism predicted diverse aspects of better psychosocial QOL at follow-up, but not other aspects of QOL. Thus, different aspects of QOL at long-term follow-up had different antecedents. Overall, psychological outcomes were predicted by psychosocial variables, presence of a partner at diagnosis, and ethnicity. Financial outcomes, in contrast, were predicted by medical variables, which otherwise predicted little about long-term QOL. This divergence among aspects of QOL should receive closer attention in future work.

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Comprehensive Comparison of Health-Related Quality of Life After Contemporary Therapies for Localized Prostate Cancer

Cited by 297 publications

References 31 publications

The psychosocial aspects of sexual recovery after prostate cancer treatment

The psychosocial aspects of sexual recovery after prostate cancer treatment

‘What is this active surveillance thing?’ Men's and partners' reactions to treatment decision making for prostate cancer when active surveillance is the recommended treatment option

Quality of life among long‐term survivors of breast cancer: different types of antecedents predict different classes of outcomes

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