Symptom burden and information needs in prostate cancer survivors: a case for tailored long‐term survivorship care
Open accessAbstract
Objectives: To determine the relationship between long‐term prostate cancer survivors’ symptom burden and information needs. Patients and Methods: We used population‐based data from the Michigan Prostate Cancer Survivor Study (2499 men). We examined unadjusted differences in long‐term information needs according to symptom burden and performed multivariable logistic regression to examine symptom burden and information needs adjusting for patient characteristics. Results: High symptom burden was reported across all domains (sexual 44.4%, urinary 14.4%, vitality 12.7%, bowel 8.4%, emotional 7.6%) with over half of respondents (56%) reporting they needed more information. Top information needs involved recurrence, relationships, and long‐term effects. Prostate cancer survivors with high symptom burden more often searched for information regardless of domain ( P < 0.05). High sexual burden was associated with greater need for information about relationships [odds ratio ( OR ) 2.05, 95% confidence interval ( CI ) 1.54–2.72] and long‐term effects ( OR 1.60, 95% CI 1.23–2.07). High bowel burden was associated with greater information need for long‐term effects ( OR 2.28, 95% CI 1.43–3.63). Conclusions: Long‐term prostate cancer survivors with high symptom burden need more supportive information. Tailoring information to these needs may be an efficient approach to support the growing population of long‐term prostate cancer survivors.
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Sexual health and intimacy are consistently reported among the top unmet supportive care needs of prostate cancer survivors.
“Sexual health and intimacy are consistently reported among the top unmet supportive care needs of prostate cancer (PC) survivors.”
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 [11]
The Results report that effects on a spouse or relationship were among the leading unmet information needs (50.2%), and that sexual symptoms were associated with greater need for relationship information. The study does not rank sexual health itself among unmet supportive care needs or establish that these needs are consistently top-ranked across studies. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe impact on sexual intimacy is a critical element often missing in prostate cancer survivorship care.
“While not every man who experiences prostate cancer will be in a relationship, it is well documented that the impact on sexual intimacy is a critical element often missing in PC survivorship care.11, 12, 13”
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 [11]
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Prostate Cancer Survivors: Physical, Emotional and Practical Concerns from the LIVESTRONG survey
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- Authors
- Bernat, J. K., Wittman, D. A., Hawley, S. T., Hamstra, D. A., Helfand, A. M., Haggstrom, D. A., Darwish‐Yassine, M., & Skolarus, T. A.
- Affiliations
- Indiana University Indianapolis (US)
- University of Michigan (US)
- Michigan Public Health Institute Okemos MI USA
- Corresponding author
- Skolarus, Ted A.
- ORCID
- Venue
- BJU International
- Publisher
- Wiley
- Published
- 2015-10-26
- Volume
- 118
- Issue
- 3
- Pages
- 372-378
- ISSN
- 1464-4096 (ISSN-L)
- 1464-410X
- PMC
- PMC4835263
- OpenAlex
- W2120194660
- Cited by
- 75
- References
- 28
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 10 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 5 · 2015: 2
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- Health Services Research and Development (CDA 12‐171, 12‐116)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- prostate cancer survivors, symptom burden, information needs, sexual dysfunction, bowel dysfunction, urinary symptoms, emotional symptoms, long-term effects
- MeSH terms
- Aftercare, Aged, Cross-Sectional Studies, Health Services Needs and Demand, Humans, Male, Middle Aged, Postoperative Complications, Prostatic Neoplasms, Survival Rate, Survivors, Consumer Health Information
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