Role of information in preparing men for transrectal ultrasound guided prostate biopsy: a qualitative study embedded in the ProtecT trial
| Autor: | David E. Neal, Jenny L Donovan, Jane M Blazeby, Derek J. Rosario, C Elizabeth Salter, M Louise Goodwin, J. Athene Lane, Julia Wade, Freddie C. Hamdy, Joanne Howson, Kerry N L Avery, Chris Metcalfe |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Prostate biopsy Package insert Biopsy Pain Anxiety urologic and male genital diseases BTC (Bristol Trials Centre) Interviews as Topic Prostate cancer Patient Education as Topic Nursing Surveys and Questionnaires ConDuCT-II Humans Medicine Qualitative Research Ultrasound High-Intensity Focused Transrectal Aged Cancer medicine.diagnostic_test business.industry Health Policy Prostate Prostatic Neoplasms Middle Aged Prostate-Specific Antigen Qualitative methods medicine.disease Ultrasound-Guided Prostate Biopsy Patient information Prostate-specific antigen Centre for Surgical Research Physical therapy medicine.symptom business Research Article Qualitative research |
| Zdroj: | Wade, J, Rosario, D J, Howson, J, Avery, K N L, Salter, C E, Goodwin, M L, Blazeby, J M, Lane, J A, Metcalfe, C, Neal, D E, Hamdy, F C & Donovan, J L 2015, ' Role of information in preparing men for transrectal ultrasound guided prostate biopsy : A qualitative study embedded in the ProtecT trial ', BMC Health Services Research, vol. 15, no. 1, 80 . https://doi.org/10.1186/s12913-015-0729-z BMC Health Services Research |
| ISSN: | 1472-6963 |
| Popis: | Background The histological diagnosis of prostate cancer requires a prostate needle biopsy. Little is known about the relationship between information provided to prepare men for transrectal ultrasound guided biopsy (TRUS-Bx) and how men experience biopsy. The objectives were a) to understand men’s experiences of biopsy as compared to their expectations; and b) to propose current evidence-based information for men undergoing TRUS-Bx. Methods Between February 2006 and May 2008, 1,147 men undergoing a standardised 10-core transrectal ultrasound guided biopsy protocol under antibiotic cover following a PSA 3.0-19.9 ng/ml in the Prostate Testing for Cancer and Treatment (ProtecT) trial, completed questionnaires about biopsy symptoms. In this embedded qualitative study, in-depth interviews were undertaken with 85 men (mean age 63.6 yrs, mean PSA 4.5 ng/ml) to explore men’s experiences of prostate biopsy and how the experience might be improved. Interview data were analysed thematically using qualitative research methods. Findings from the qualitative study were used to guide selection of key findings from the questionnaire study in developing a patient information leaflet preparing men for biopsy. Results Although most men tolerated TRUS-Bx, a quarter reported problematic side-effects and anxiety. Side effects were perceived as problematic and anxiety arose most commonly when experiences deviated from information provided. Men who were unprepared for elements of TRUS-Bx procedure or its sequelae responded by contacting health professionals for reassurance and voiced frustration that pre-biopsy information had understated the possible severity or duration of pain/discomfort and bleeding. Findings from questionnaire and interview data were combined to propose a comprehensive, evidence-based patient information leaflet for TRUS-Bx. Conclusions Men reported anxiety associated with TRUS-Bx or its side-effects most commonly if they felt inadequately prepared for the procedure. Data from this qualitative study and the previous questionnaire study have been used to propose an updated, comprehensive evidence-based set of information for men undergoing TRUS-Bx. Electronic supplementary material The online version of this article (doi:10.1186/s12913-015-0729-z) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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