Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer.

Smith, DP; Supramaniam, R; King, MT; Ward, J; Berry, M; Armstrong, BK

Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer.

Smith, DP Supramaniam, R King, MT Ward, J Berry, M Armstrong, BK

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Publication Type:: Journal Article
Citation:: J Clin Oncol, 2007, 25 (18), pp. 2560 - 2566
Issue Date:: 2007-06-20

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Field	Value	Language
dc.contributor.author	Smith, DP	en_US
dc.contributor.author	Supramaniam, R	en_US
dc.contributor.author	King, MT	en_US
dc.contributor.author	Ward, J	en_US
dc.contributor.author	Berry, M	en_US
dc.contributor.author	Armstrong, BK	en_US
dc.date.issued	2007-06-20	en_US
dc.identifier.citation	J Clin Oncol, 2007, 25 (18), pp. 2560 - 2566	en_US
dc.identifier.uri	http://hdl.handle.net/10453/4640
dc.description.abstract	PURPOSE: It is important to meet the supportive care needs of cancer patients to ensure their satisfaction with their care. A population-wide sample of men younger than 70 years and newly diagnosed with prostate cancer was surveyed to determine their unmet needs in five domains and the factors predicting them. PATIENTS AND METHODS: Eligible men were younger than 70 years and residents in New South Wales, Australia, with newly diagnosed histopathologically confirmed prostate cancer. Sixty-seven percent of eligible men diagnosed between October 2000 and October 2001 participated. Demographic, treatment, and self-reported health data were collected. Information on cancer stage, grade, and prostate-specific antigen was obtained from medical records. Logistic regression analyses determined patient and treatment variables that predicted higher unmet needs. RESULTS: More than half (54%) of men with prostate cancer expressed some level of unmet psychological need, and 47% expressed unmet sexuality needs. Nearly one fourth expressed a moderate or high level of unmet need with respect to changes in sexuality. Sexuality needs were independently predicted by being younger, having had a secondary school education only, having had surgery, and being married, living as married, or divorced. Uncertainty about the future was also an important area of unmet need. CONCLUSION: Attention should be given to sexual and psychological needs in the early months after diagnosis or treatment of prostate cancer, particularly in younger men, those with less education, and those having surgery. Research into better ways of meeting these needs will enable us to meet them with as much rigor as we meet clinical treatment needs.	en_US
dc.language	eng	en_US
dc.relation.ispartof	J Clin Oncol	en_US
dc.relation.isbasedon	10.1200/JCO.2006.09.8046	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Prostatic Neoplasms	en_US
dc.subject.mesh	Registries	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Sexuality	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Health Status	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Educational Status	en_US
dc.subject.mesh	Health Services Needs and Demand	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Male	en_US
dc.title	Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer.	en_US
dc.type	Journal Article
utslib.citation.volume	18	en_US
utslib.citation.volume	25	en_US
utslib.location.activity	United States	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
utslib.copyright.status	closed_access
pubs.issue	18	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

PURPOSE: It is important to meet the supportive care needs of cancer patients to ensure their satisfaction with their care. A population-wide sample of men younger than 70 years and newly diagnosed with prostate cancer was surveyed to determine their unmet needs in five domains and the factors predicting them. PATIENTS AND METHODS: Eligible men were younger than 70 years and residents in New South Wales, Australia, with newly diagnosed histopathologically confirmed prostate cancer. Sixty-seven percent of eligible men diagnosed between October 2000 and October 2001 participated. Demographic, treatment, and self-reported health data were collected. Information on cancer stage, grade, and prostate-specific antigen was obtained from medical records. Logistic regression analyses determined patient and treatment variables that predicted higher unmet needs. RESULTS: More than half (54%) of men with prostate cancer expressed some level of unmet psychological need, and 47% expressed unmet sexuality needs. Nearly one fourth expressed a moderate or high level of unmet need with respect to changes in sexuality. Sexuality needs were independently predicted by being younger, having had a secondary school education only, having had surgery, and being married, living as married, or divorced. Uncertainty about the future was also an important area of unmet need. CONCLUSION: Attention should be given to sexual and psychological needs in the early months after diagnosis or treatment of prostate cancer, particularly in younger men, those with less education, and those having surgery. Research into better ways of meeting these needs will enable us to meet them with as much rigor as we meet clinical treatment needs.

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http://hdl.handle.net/10453/4640