Prostate cancer awareness, case-finding, and early diagnosis: Interviews with undiagnosed men in Australia

Kannan, Ashwini; Kirkman, Maggie; Ruseckaite, Rasa; Evans, Sue

doi:10.1371/journal.pone.0211539

Cited by 6 publications

(6 citation statements)

References 20 publications

(23 reference statements)

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“…Disparate information needs of participants were noted with some wanting to know everything, while others were satisfied to know only the basics. This dichotomy of information needs was also found by Kannan et al amongst undiagnosed men 19 . It is recognised that understanding the patient’s health literacy level, their preference for both information and treatment decision‐making should not be overlooked by the healthcare community 28–30 …”

Section: Discussionmentioning

confidence: 67%

“…The stoicism expressed by many participants is in keeping with hegemonic masculinity, reported in the broader male population and the prostate cancer‐specific population 18–20 . Kannan et al described the ‘Australian masculinity’ stereotype of stoicism, silent endurance and a reluctance for help‐seeking behaviour 19 . Stoicism was also reflected in the overall low scores of the questionnaire domains.…”

Section: Discussionmentioning

confidence: 90%

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Patient perceptions and preferences about prostate fiducial markers and ultrasound motion monitoring procedures in radiation therapy treatment

Brown

Pain

Preston

2020

J of Medical Radiation Sci

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Introduction Patient experiences and preferences of image‐guidance procedures in prostate cancer radiotherapy are largely unknown. This study explored experiences and preferences of patients undergoing both fiducial marker (FM) insertion and Clarity ultrasound (US) procedures. Methods A sequential explanatory mixed method approach was used. A questionnaire (n = 40) ranked experiences from 0 to 10 (worst) in the domains of invasiveness; pain; physical discomfort; and psychological discomfort. Responses were analysed with descriptive and inferential statistics. Semi‐structured interviews (n = 22) obtained further insights into their perspectives and preferences and were thematically analysed. Results Perceptions of invasiveness varied with 46% reporting FMs more invasive than US and 49% the same for the two procedures. The mean score for FM was 3.6 and 2.1 for US. Mean scores for pain, physical and psychological discomfort were higher for FMs with 3.3, 3.2 and 2.9, respectively, and 1.1, 1.2 and 1.7 respectively for US, only pain achieved significance (P < 0.05). Three themes emerged from the interviews: Expectations versus Experience; Preferences linked to Priorities; and Motivations. Eleven patients (50%) preferred US; however, 10 (45%) could not illicit a preference. Conclusion Participants found both of the FM and US image‐guidance procedures tolerable and acceptable. Men’s preference was elusive, suggesting a more rigorous preference methodology is required to understand preferences in this population.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 90%

Patient perceptions and preferences about prostate fiducial markers and ultrasound motion monitoring procedures in radiation therapy treatment

Brown

Pain

Preston

2020

J of Medical Radiation Sci

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“…Previous reviews have examined the effect of interventions on body image and masculinity in PCa patients [ 101 ], evaluated only one of the three constructs [ 102 , 103 ], or only studied a particular subset of patients [ 104 , 105 ]. These reviews have previously also highlighted the threat to masculinity PCa can have and its importance as a barrier in seeking out healthcare.…”

Section: Discussionmentioning

confidence: 99%

Body image, self-esteem, and sense of masculinity in patients with prostate cancer: a qualitative meta-synthesis

et al. 2021

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Purpose Body image, self-esteem, and masculinity are three interconnected constructs in men with prostate cancer, with profound effects on quality of life. This meta-synthesis aimed to evaluate all known qualitative studies published studying the effect of prostate cancer on these constructs. Methods A systematic review utilising PubMed, Embase, MEDLINE, and PsycINFO databases up to May 2020 was conducted in line with PRISMA and ENTREQ guidelines. All qualitative studies of men’s experiences with body image, self-esteem, and masculinity whilst living with prostate cancer were included. A thematic meta-synthesis was conducted to identify emergent descriptive and analytical themes under the main study constructs. Results Of 2188 articles identified, 68 were included. Eight descriptive themes were identified under two analytical themes: ‘Becoming a Prostate Cancer Patient’ and ‘Becoming a Prostate Cancer Survivor’. These described the distress caused by changes to body image, sexual functioning, sense of masculinity, and self-esteem, and the subsequent discourses men engaged with to cope with and manage their disease. A key element was increased flexibility in masculinity definitions, and finding other ways to re-affirm masculinity. Conclusions Prostate cancer has an important effect on men’s health post-diagnosis, and we identified strong relationships between each construct evaluated. The role of hegemonic masculinity is important when considering men’s coping mechanisms and is also a key factor when addressing these constructs in counselling post-treatment. Implications for Cancer Survivors This meta-synthesis provides key topics that uniquely affect prostate cancer survivors, enabling these patients to be effectively counselled, and have their concerns recognised by clinicians.

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“…Chance diagnoses of this nature, outside of systematic screening protocols, can be considered as case-finding. 9 , 10 This is where PSA testing is offered to a patient for reasons such as obtaining a baseline level on a 5-ARI or a general practitioner recommendation regarding patient profiling. 9 , 10 We outline the short-term functional and oncological outcomes for such men under the age of 40 when managed with robotic-assisted radical prostatectomy for localized disease.…”

Section: Discussionmentioning

confidence: 99%

A Chance Finding of High Grade Prostate Cancer in a 35-Year-Old Male – A Case Report and Outcomes of Robotic Radical Prostatectomy in Young Men with Prostate Cancer

Virk,

Treacy,

Zhong

et al. 2023

RRU

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Background: Prostate cancer is often considered a disease of older men and this indeed fits with its peak incidence between 65-79 years of age. Reports of prostate cancer in men younger than 40 years of age and the outcomes of this age group following treatment are few in the literature. Here, we present the case of an unusual diagnosis of high grade prostate cancer in a very young man and outline early outcomes following treatment with robotic-assisted radical prostatectomy. Case Presentation: A 35-year-old male, intermittently taking finasteride for hair loss, was found to have an elevated prostatespecific antigen (PSA) of 12.5ng/mL leading to an incidental diagnosis of high grade prostate cancer. Targeted trans-perineal prostate biopsy found Gleason 4+5=9 acinar adenocarcinoma, without cribriform architecture but with features suspicious for extracapsular extension. Robotic radical prostatectomy with bilateral pelvic lymph node dissection was performed and found Gleason 4+5=9 adenocarcinoma with focal cribriform architecture, extra prostatic extension and clear margins, stage pT3a N0 M0. PSA was undetectable at 12 months, continence was immediate, and the patient reported strong erections soon after surgery. Family history of prostate cancer and genetic testing were both negative. Conclusion: This case highlights that not all clinically significant cancers will be identified by following PSA screening guidelines starting at 50 years of age (or 40 years of age for men with a family history of prostate cancer). While high grade prostate cancer in a man less than 40 years of age is uncommon, the literature suggests the incidence is increasing. Our case alongside series in the literature indicate that these men have better functional outcomes and equal oncological outcomes with early surgical intervention for localized disease when compared to the older population.

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Prostate cancer awareness, case-finding, and early diagnosis: Interviews with undiagnosed men in Australia

Cited by 6 publications

References 20 publications

Patient perceptions and preferences about prostate fiducial markers and ultrasound motion monitoring procedures in radiation therapy treatment

Patient perceptions and preferences about prostate fiducial markers and ultrasound motion monitoring procedures in radiation therapy treatment

Body image, self-esteem, and sense of masculinity in patients with prostate cancer: a qualitative meta-synthesis

A Chance Finding of High Grade Prostate Cancer in a 35-Year-Old Male – A Case Report and Outcomes of Robotic Radical Prostatectomy in Young Men with Prostate Cancer

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