What Do Men with Metastatic Prostate Cancer Consider When Making Treatment Decisions? A Mixed-methods Study

被引:11
作者
Oswald, Laura B. [1 ]
Schumacher, Frank A. [2 ]
Gonzalez, Brian D. [1 ]
Moses, Kelvin A. [3 ]
Penson, David F. [3 ,4 ]
Morgans, Alicia K. [2 ]
机构
[1] H Lee Moffitt Canc Ctr & Res Inst, Hlth Outcomes & Behav Program, Tampa, FL USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Med Hematol & Oncol, Chicago, IL 60611 USA
[3] Vanderbilt Univ, Med Ctr, Dept Urol, Nashville, TN USA
[4] VA Tennessee Valley Geriatr Res Educ & Clin Ctr G, Dept Urol, Nashville, TN USA
关键词
decision-making; focus groups; metastasis; prostate cancer; quality of life; PREFERENCES; DIAGNOSIS; AIDS;
D O I
10.2147/PPA.S271620
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Metastatic prostate cancer (mPCa) patients often make complicated treatment decisions, yet decision aids to facilitate shared decision-making for mPCa are uncommon. To inform the development of patient-centered mPCa decision aids, we examined what mPCa survivors considered most important when making treatment decisions. Methods: Using an exploratory sequential approach, we conducted three focus groups with 14 advanced prostate cancer survivors (n=5, n=3, n=6 in each group) to identify considerations for making treatment decisions. Focus groups were audio-recorded and transcribed, and we identified qualitative themes. We then developed a quantitative survey to assess the importance of each theme and administered the survey to mPCa survivors (N=100). We used relative frequencies to determine the most strongly endorsed items and chi-squared and Fisher's exact tests to assess associations with participant characteristics. Results: Focus groups yielded 11 themes, and the resulting survey included 20 items. The most strongly endorsed mPCa treatment considerations were: relying on physician's treatment recommendations (79% strongly agree); wanting to feel well enough to spend quality time with loved ones (72% strongly agree); the importance of dying in a manner consistent with one's wishes (70% strongly agree); hoping to eliminate cancer completely (68% strongly agree); and optimizing treatment efficacy (65% strongly agree). Age, race, marital status, employment status, and self-reported health were related to how strongly men endorsed various considerations for mPCa treatment decision-making. Conclusion: We identified multiple considerations that mPCa survivors appraised when making treatment decisions. These data may inform the development of patient-centered decision aids for mPCa.
引用
收藏
页码:1949 / 1959
页数:11
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