Differences in health-related quality of life of prostate cancer patients based on stage of cancer
Abstract
BACKGROUND: Understanding medical factors that influence quality of life for men with prostate cancer is an important goal. This study analysed the relationship between cancer stage and quality of life, including measures of physical and psychological well-being. METHOD: A secondary analysis of data from 341 ambulatory men with prostate cancer. The Functional Assessment of Cancer Therapy (FACT)-Prostate version, Urinary Function Subscale of UCLA Prostate Cancer Index, and Hospital Anxiety and Depression Scale (HADS), were administered during their clinic visit. Stage of disease and treatment history was obtained from clinic records. Patients were categorized into localised (T1-T2, N0, M0, n=186), locally advanced (T3-T4, N0, M0, n=92), and metastatic (T3-T4, N1-3 or Ma-c, n=63) disease. Differences in quality of life based on stage were examined using multivariate analyses controlling for age, treatment type, time since diagnosis, co-morbidities, and urinary function. RESULTS: Stage of prostate cancer was significantly associated with most FACT scales (Physical, Functioning, Social) and summary scores (Treatment Outcomes Index, FACT total score). However, no significant associations were observed between stage of cancer and psychological symptoms of depression or anxiety. This association remained significant even after controlling for the influence of illness co-morbidity, urinary functioning, time since diagnosis, age, and type of treatment. CONCLUSIONS: Higher cancer stage appears to be associated with poorer quality of life in prostate cancer and this association does not appear to be simply a function of the symptoms and disability that accompany advanced disease. These results have implications for understanding the impact of progression of prostate cancer on patients' health-related quality of life.
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The impact of the prostate cancer diagnosis on individuals and couples can vary widely over the stages of the cancer journey, from watchful waiting to active treatment to years after treatment.
“Further, the impact of the PC diagnosis on individuals and couples can vary widely over the stages of the cancer journey, from “watchful waiting” to active treatment, to years after treatment.73”
From Preliminary Development of a Mindfulness-Based Group Therapy to Expand Couples’ Sexual Intimacy after Prostate Cancer: A Mixed Methods Approach (2021) · cites this paper as [73]
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- Authors
- Rosenfeld, B., Roth, A. J., Gandhi, S., & Penson, D.
- Affiliations
- Fordham University (US)
- Memorial Sloan Kettering Cancer Center (US)
- AstraZeneca (United States) (US)
- University of Washington (US)
- Corresponding author
- Rosenfeld, Barry
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2004-11
- Volume
- 13
- Issue
- 11
- Pages
- 800-807
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2088354927
- Cited by
- 71
- References
- 27
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 4 · 2015: 6 · 2014: 2 · 2013: 9 · 2012: 5
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
- Keywords
- prostate cancer, health-related quality of life, tumor stage, metastatic prostate cancer, locally advanced prostate cancer, localized prostate cancer, anxiety, depression, urinary function, physical function, social functioning, UCLA Prostate Cancer Index, Hospital Anxiety and Depression Scale
- MeSH terms
- Adult, Aged, Anxiety, Depression, Health Status, Humans, Male, Middle Aged, Neoplasm Staging, Prostatic Neoplasms, Quality of Life, Surveys and Questionnaires
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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