Universität zu Köln

Breidenbach, Clara, Roth, Rebecca, Ansmann, Lena, Wesselmann, Simone, Dieng, Sebastian, Carl, Ernst-Guenther, Feick, Guenter, Oesterle, Alisa, Bach, Peter, Beyer, Burkhard, Borowitz, Rainer, Erdmann, Joerg, Kunath, Frank, Oostdam, Simba-Joshua, Tsaur, Igor, Zengerling, Friedemann and Kowalski, Christoph (2020). Use of psycho-oncological services by prostate cancer patients: A multilevel analysis. Cancer Med., 9 (11). S. 3680 - 3691. HOBOKEN: WILEY. ISSN 2045-7634

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Abstract

Background Cancer patients often suffer from psychological distress. Psycho-oncological services (POS) have been established in some health care systems in order to address such issues. This study aims to identify patient and center characteristics that elucidate the use of POS by patients in prostate cancer centers (PCCs). Methods Center-reported certification and patient survey data from 3094 patients in 44 certified PCCs in Germany were gathered in the observational study (Prostate Cancer Outcomes). A multilevel analysis was conducted. Results Model 1 showed that utilization of POS in PCCs is associated with patients' age (OR = 0.98; 95%-CI = 0.96-0.99; P < .001), number of comorbidities (1-2 vs 0, OR = 1.27; 95%-CI = 1.00-1.60; P=.048), disease staging (localized high-risk vs localized intermediate risk, OR = 1.41; 95%-CI = 1.14-1.74; P < .001), receiving androgen deprivation therapy before study inclusion (OR = 0.19; 95%-CI = 0.10-0.34; P < .001), and hospital teaching status (university vs academic, OR = 0.09; 95%-CI = 0.02-0.55; P = .009). Model 2 additionally includes information on treatment after study inclusion and shows that after inclusion, patients who receive primary radiotherapy (OR = 0.05; 95%-CI = 0.03-0.10; P < .001) or undergo active surveillance/watchful waiting (OR = 0.06; 95%-CI = 0.02-0.15; P < .001) are less likely to utilize POS than patients who undergo radical prostatectomy. Disease staging (localized high-risk vs localized intermediate risk, OR = 1.31; 95%-CI = 1.05-1.62; P = .02) and teaching status (university vs academic, OR = 0.08; 95%-CI = 0.01-0.65; P = .02) are also significant predictors for POS use. The second model did not identify any other significant patient characteristics. Conclusions Future research should explore the role of institutional teaching status and whether associations with therapy after study inclusion are due to treatment effects - for example, less need following radiotherapy - or because access to POS is more difficult for those receiving radiotherapy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Breidenbach, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Roth, Rebecca UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Wesselmann, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Dieng, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Carl, Ernst-Guenther UNSPECIFIED UNSPECIFIED UNSPECIFIED Feick, Guenter UNSPECIFIED UNSPECIFIED UNSPECIFIED Oesterle, Alisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Bach, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Beyer, Burkhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Borowitz, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Erdmann, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunath, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Oostdam, Simba-Joshua UNSPECIFIED UNSPECIFIED UNSPECIFIED Tsaur, Igor UNSPECIFIED UNSPECIFIED UNSPECIFIED Zengerling, Friedemann UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-339975
DOI:	10.1002/cam4.2999
Journal or Publication Title:	Cancer Med.
Volume:	9
Number:	11
Page Range:	S. 3680 - 3691
Date:	2020
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	2045-7634
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; SUPPORT; CARE; ASSOCIATION; DEPRESSION; PREVALENCE; CENTERS; STRESS; SAMPLE; BREAST Multiple languages Oncology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33997