Evidence-based consensus recommendations to improve the quality of life in prostate cancer treatment

Casas, Francesc; Borrás, Josep María; Ferrer, F.; Guanyabens, Núria; Pozo, R. Gutiérrez Del; León, Concha; Torrecilla, J. López; Mellado, Begoña; Morote, J.; Puig, Marta; Ribal, María J.; Ruscalleda, Carme; Serra, A; Valls, Valentí; Zapatero, A.

doi:10.1007/s12094-010-0516-6

Cited by 6 publications

(4 citation statements)

References 90 publications

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“…Those findings are consistent with what others have reported regarding men's experience with long-term physical, psychological, and emotional effects from prostate cancer and treatment (ACS, 2011;Curtiss & Haylock, 2006). The specific examples of long-term physical and irreversible effects of urinary, bowel, and sexual treatment-related sequela described by the participants in the current study also have been reported by others (Casas et al, 2010;Ferrer et al, 2008;Mols et al, 2009). However, strategies have been suggested that can help oncology nurses and other members of the healthcare team gain a better understanding of patients' needs and offer appropriate interventions (Williams et al, 2008).…”

Section: Conclusion and Clinical Implicationssupporting

confidence: 93%

“…Most prostate cancer survivors report adverse urinary, bowel, and sexual health outcomes that continue years after treatment. Those symptoms, however, may not appear for several years after treatment (Casas et al, 2010;Ferrer et al, 2008;Litwin, 2003;Mols et al, 2009;Pardo et al, 2010). Regardless of treatment, survivors report diminished sexual functioning as impacting them more than any other treatment-related side effect (Galbraith, Pedro, Jaffe, & Allen, 2008;Gore et al, 2010;Michaelson et al, 2008;Ream et al, 2008).…”

Section: Literature Reviewmentioning

confidence: 99%

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What Men Say About Surviving Prostate Cancer: Complexities Represented in a Decade of Comments

Galbraith

Hays²,

Tanner³

2012

Clinical Journal of Oncology Nursing

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The experience of men who have completed cancer treatment and transitioned into survivorship is not well understood; therefore, a qualitative, descriptive, narrative analysis was conducted with open-ended questions that participants responded to annually during the course of a 10-year period. The participants expressed that the experience was complex and three themes were identified: "symptoms," "can't go back," and "needs." Time also emerged as an important concern. Participants indicated that sexual and physical symptoms impacted their entire life and that acknowledgment, information, and help from others were important to their recovery. Returning to baseline functioning was no longer possible; rather, a new normal now existed. The findings will help oncology nurses better understand the experience of being a prostate cancer survivor. The need for long-term interventions with information delivered prior to, during, and beyond the treatment process was identified. Clinical interventions should move toward a more integrated approach that helps men develop their new normal.

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Section: Conclusion and Clinical Implicationssupporting

confidence: 93%

Section: Literature Reviewmentioning

confidence: 99%

What Men Say About Surviving Prostate Cancer: Complexities Represented in a Decade of Comments

Galbraith

Hays²,

Tanner³

2012

Clinical Journal of Oncology Nursing

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“…Furthermore, advanced radiotherapy treatment techniques such as intensity‐modulated radiation therapy (IMRT) and image‐guided radiation therapy (IGRT) help to reduce the radiotherapeutic toxicity. ( 2 ) IMRT has been shown to reduce normal tissue toxicity as compared to 3D CRT. ( 3 – 5 ) However, the most important limiting factors in dose escalation of prostate cancer radiotherapy are bladder and rectal toxicities.…”

Section: Introductionmentioning

confidence: 99%

A study of segment weight optimization with the CMS XiO step‐and‐shoot IMRT technique for prostate cancer

Prabhakar

Cramb

Gehrke

et al. 2012

J Applied Clin Med Phys

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The aim of this study was to compare IMRT optimization in the CMS XiO radiotherapy treatment planning system, with and without segment weight optimization. Twenty‐one prostate cancer patients were selected for this study. All patients were initially planned with step‐and‐shoot IMRT (S‐IMRT). A new plan was then created for each patient by applying the segment weight optimization tool (SWO‐IMRT). Analysis was performed on the (SWO‐IMRT) and (S‐IMRT) plans by comparing the total number of segments, monitor units, rectal and bladder dose. The study showed a statistically significant reduction in the total number of segments (mean: 25.3%; range: 16.8%–31.1%) with SWO‐IMRT as compared to S‐IMRT (p<0.0001). Similarly, a mean reduction of 3.8% (range: 0.4%–7.7%) in the total MU was observed with SWO‐IMRT (p<0.0001). The study showed an average rectal dose decrease of 13.7% (range: 7.9%–21.4%) with SWO‐IMRT (p<0.0001). We also observed a statistically significant reduction of 26.7% (range: 16.0%–41.4%; p < 0.0001) in the mean dose to the posterior one‐third rectum and an overall reduction in mean bladder dose of 2.2% (range: 0.1%–6.1%) for SWO‐IMRT (p<0.0001). This study shows that the segment weight optimization method significantly reduces the total number of segments and the dose to the rectum for IMRT prostate cancer. It also resulted in fewer monitor units for most of the prostate cases observed in this study.PACS numbers: 85.55.ne; 87.55.de; 87.55.kd

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“…The type of treatment men receive for prostate cancer determines the symptoms they experience. Studies report that bowel problems and bladder difficulties can occur following radiation therapy, sexual dysfunction can occur following surgery, and fatigue can occur following radiation therapy or surgery (Badr & Taylor, 2009; Casas et al, 2010; Namiki & Arai, 2010). Treatment symptoms can cause issues with survivor functional ability and normal body function, which in turn can affect family and interpersonal roles by changing responsibilities within the family unit (Harden, Northouse, & Mood, 2006).…”

mentioning

confidence: 99%

Survivorship After Prostate Cancer Treatment: Spouses' Quality of Life at 36 Months

Harden¹,

Sanda²,

Wei³

et al. 2013

Oncology Nursing Forum

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Purpose/Objectives: To determine the long-term effects of prostate cancer treatment on spouse quality of life (QOL) at 36 months following treatment. Design: Descriptive-exploratory; community-based study. Setting: Telephone interviews. Sample: 95 female spouses of men treated for early-stage prostate cancer. Methods: A computer-assisted telephone interview was used to evaluate QOL among spouses of prostate cancer survivors at 36 months after initial prostate cancer treatment. Main Research Variables: Quality of life, dyadic adjustment, sexual satisfaction, appraisal of caregiving, and demographic information. Findings: Spouses who had more negative appraisal of caregiving had lower sexual satisfaction, poorer cancer-specific QOL, and poorer mental QOL. Spouses who perceived bother related to the patient’s sexual or hormone function reported more threatening appraisals of caregiving, less sexual satisfaction, and poorer QOL. Conclusions: Spouses continued to experience negative appraisal of caregiving, which affected QOL 36 months after their husbands’ treatment for prostate cancer. Additional studies related to factors that influence spouse QOL during survivorship will help guide clinical practice. Implications for Nursing: Healthcare providers must help spouses find strategies that promote positive coping and lessen negative appraisal. Giving caregivers information early in the treatment process will help them understand what to expect over time. Supporting caregivers and helping them manage stress will enhance QOL during survivorship. Knowledge Translation: Spouses who experienced more bother related to urinary, sexual, and hormonal function experience more stress and worse QOL at 36 months post-treatment. Spouse appraisal can have a significant effect on QOL. Offering counseling to couples following treatment for prostate cancer may improve QOL by helping couples manage relationship intimacy.

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Evidence-based consensus recommendations to improve the quality of life in prostate cancer treatment

Cited by 6 publications

References 90 publications

What Men Say About Surviving Prostate Cancer: Complexities Represented in a Decade of Comments

What Men Say About Surviving Prostate Cancer: Complexities Represented in a Decade of Comments

A study of segment weight optimization with the CMS XiO step‐and‐shoot IMRT technique for prostate cancer

Survivorship After Prostate Cancer Treatment: Spouses' Quality of Life at 36 Months

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