Psychosocial adjustment to a prostate cancer diagnosis in a cohort of radical prostatectomy patients in Quebec, Canada
| Autor: | Michel Carmel, Louis Lacombe, Ginette McKercher, Simone Chevalier, Saro Aprikian, Armen Aprikian, Ana O'Flaherty, Fred Saad, Marc Hamel, Michel D. Wissing |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Coping (psychology) Canada medicine.medical_treatment Experimental and Cognitive Psychology 03 medical and health sciences Prostate cancer 0302 clinical medicine Internal medicine Surveys and Questionnaires Adaptation Psychological medicine Humans 030212 general & internal medicine Aged Aged 80 and over Prostatectomy business.industry Quebec Prostatic Neoplasms Social Support Odds ratio Middle Aged medicine.disease Confidence interval 3. Good health Psychiatry and Mental health Muscle relaxation Cross-Sectional Studies Logistic Models Oncology Patient Satisfaction 030220 oncology & carcinogenesis Cohort Quality of Life business Psychosocial |
| Zdroj: | Psycho-oncology. 28(4) |
| ISSN: | 1099-1611 |
| Popis: | OBJECTIVE The psychosocial impact of a prostate cancer diagnosis significantly affects a patient's quality of life. We studied patient communication at the time of diagnosis and its impact on psychosocial adjustment of patients. METHODS This is a cross-sectional data analysis from self-administered questionnaires in the PROCURE biobank study, consisting of a cohort of patients with localized prostate cancer undergoing radical prostatectomy in Quebec (Canada), 2006 to 2013. Odds ratios (OR) and their respective 95% confidence intervals (95% CI) were calculated using binary or ordered logistic regression models. RESULTS Data from 1841 patients were analyzed. The median age of patients was 62 years (range 41-80 years), the majority was French-Canadian (68.3%) and married (79.6%). Most patients (90.1%) considered conversations with their treating physician a useful information source. Patients were dissatisfied on the communication when receiving their diagnosis by telephone (OR = 0.19, 95% CI, 0.11-0.33). Younger patients were also more dissatisfied. Most patients preferred to receive information on prostate cancer (89.5%) and radical prostatectomy (88.0%) at the time of diagnosis, while only 58.8% and 52.4% of patients received this information at this stage. Patients who were dissatisfied with the communication of the diagnosis had more negative responses, such as increased worries and fear (P |
| Databáze: | OpenAIRE |
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