Universität zu Köln

Ernstmann, Nicole ORCID: 0000-0001-7685-6110, Herden, Jan, Weissbach, Lothar, Karger, Andre, Hower, Kira and Ansmann, Lena ORCID: 0000-0002-8628-7166 (2019). Prostate-specific health-related quality of life and patient-physician communication - A 3.5-year follow-up. Patient Educ. Couns., 102 (11). S. 2114 - 2122. CLARE: ELSEVIER IRELAND LTD. ISSN 0738-3991

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Abstract

Objective: The aim of this study is to examine associations between prostate-specific health-related quality of life (HRQOL) and aspects of patient-physician communication in localized prostate cancer treatment. Methods: Data of patients with localized prostate cancer were collected at 6-month intervals over a 3.5-year period within a prospective, observational study (HAROW). Data collection comprised D'Amico risk categories, the Charlson Comorbidity Index, patient-physician communication (information, shared decision making, support, devotion), and prostate-specific HRQOL (incontinence aid, urinary symptoms, bowel symptoms, hormonal treatment-related symptoms, sexual functioning, sexual activity). Data of N= 1722 patients undergoing radical prostatectomy were analyzed by longitudinal multilevel analysis. Results: The mean patient age was 65 years; 31% had a low risk and 38% an intermediate risk of cancer growth and spread; 73% had a Charlson Comorbidity Index of 0. Significant associations were found between prostate-specific HRQOL and shared decision making, support and devotion. Patient information was not significantly associated with aspects of prostate-specific HRQOL. Conclusion: Patient reported long term outcomes are associated with aspects of patient-physician communication in prostate cancer patients. Patients feeling involved by their urologists experience less side effects of (surgical) treatment. Practice implications: Special communication training programmes should be developed and implemented for urologists. (C) 2019 The Author(s). Published by Elsevier B.V.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ernstmann, Nicole UNSPECIFIED orcid.org/0000-0001-7685-6110 UNSPECIFIED Herden, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Weissbach, Lothar UNSPECIFIED UNSPECIFIED UNSPECIFIED Karger, Andre UNSPECIFIED UNSPECIFIED UNSPECIFIED Hower, Kira UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-129995
DOI:	10.1016/j.pec.2019.07.030
Journal or Publication Title:	Patient Educ. Couns.
Volume:	102
Number:	11
Page Range:	S. 2114 - 2122
Date:	2019
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	0738-3991
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CANCER ACTIVE SURVEILLANCE; REPORTED PSYCHOSOCIAL CARE; RADICAL PROSTATECTOMY; PSYCHOMETRIC EVALUATION; RADIATION-THERAPY; SEXUAL FUNCTION; EORTC QLQ-PR25; MEN; NEEDS; INFORMATION Multiple languages Public, Environmental & Occupational Health; Social Sciences, Interdisciplinary Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12999