TY - JOUR
T1 - Unmet expectations in prostate cancer patients and their association with decision regret
AU - Wollersheim, Barbara M
AU - van Stam, Marie-Anne
AU - Bosch, Ruud J L H
AU - Pos, Floris J
AU - Tillier, Corinne N
AU - van der Poel, Henk G
AU - Aaronson, Neil K
N1 - Funding Information:
We would like to thank all study participants and the recruiting hospitals. Conceptualization: Marie-Anne van Stam, Barbara Wollersheim, Neil Aaronson, Ruud Bosch; Acquisition of data: Marie-Anne van Stam, Corinne Tillier, Henk van der Poel, Floris Pos; Methodology: Barbara Wollersheim, Marie-Anne van Stam, Neil Aaronson; Formal analysis and investigation: Barbara Wollersheim, Marie-Anne van Stam; Writing?original draft preparation: Barbara Wollersheim, Marie-Anne van Stam; Writing?review and editing: Neil Aaronson, Ruud Bosch, Henk van der Poel, Floris Pos, Corinne Tillier; Supervision: Neil Aaronson, Ruud Bosch.
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - PURPOSE: Information about prostate cancer patients' experiences with their treatment is crucial to optimize shared decision-making. This study examined unmet expectations in prostate cancer patients and their association with decision regret.METHODS: We conducted a prospective, observational, multi-center study of men diagnosed with localized prostate cancer between 2014 and 2016. Questionnaires were completed at baseline (pre-treatment), and up to 12 months after treatment. Unmet expectations were reported as the proportion of patients who experienced side effects as worse than expected. Linear regression analysis was used to identify factors associated significantly (p ≤ 0.05) with unmet expectations and its association with decision regret.RESULTS: At 1-year follow-up, the majority of the patients (71%, 210/296) reported at least one unmet expectation. The proportion of patients who reported worse than expected erectile problems was 56%, recovery period = 29%, urinary problems = 28%, fatigue = 24%, and bowel problems = 17%. Unmet expectations were comparable between treatment groups, except for fatigue. A passive role in the decision-making process (eta squared (η2) = 0.02) and higher scores on the decisional conflict scale (η2 = 0.02) were associated with more unmet expectations, and unmet expectations were associated with decision regret (η2 = 0.08).CONCLUSIONS: Unmet expectations are common among men treated for localized prostate cancer. Involving patients in the treatment decision-making process and offering additional counseling to patients who indicate uncertainty about their decision, may help to avoid unmet expectations.IMPLICATIONS FOR CANCER SURVIVORS: The current study emphasizes the need for involving prostate cancer patients in the decision-making process in order to mitigate unmet expectations.
AB - PURPOSE: Information about prostate cancer patients' experiences with their treatment is crucial to optimize shared decision-making. This study examined unmet expectations in prostate cancer patients and their association with decision regret.METHODS: We conducted a prospective, observational, multi-center study of men diagnosed with localized prostate cancer between 2014 and 2016. Questionnaires were completed at baseline (pre-treatment), and up to 12 months after treatment. Unmet expectations were reported as the proportion of patients who experienced side effects as worse than expected. Linear regression analysis was used to identify factors associated significantly (p ≤ 0.05) with unmet expectations and its association with decision regret.RESULTS: At 1-year follow-up, the majority of the patients (71%, 210/296) reported at least one unmet expectation. The proportion of patients who reported worse than expected erectile problems was 56%, recovery period = 29%, urinary problems = 28%, fatigue = 24%, and bowel problems = 17%. Unmet expectations were comparable between treatment groups, except for fatigue. A passive role in the decision-making process (eta squared (η2) = 0.02) and higher scores on the decisional conflict scale (η2 = 0.02) were associated with more unmet expectations, and unmet expectations were associated with decision regret (η2 = 0.08).CONCLUSIONS: Unmet expectations are common among men treated for localized prostate cancer. Involving patients in the treatment decision-making process and offering additional counseling to patients who indicate uncertainty about their decision, may help to avoid unmet expectations.IMPLICATIONS FOR CANCER SURVIVORS: The current study emphasizes the need for involving prostate cancer patients in the decision-making process in order to mitigate unmet expectations.
KW - Decision regret
KW - Prostate cancer
KW - Shared decision-making
KW - Unmet expectations
UR - http://www.scopus.com/inward/record.url?scp=85084468190&partnerID=8YFLogxK
U2 - 10.1007/s11764-020-00888-6
DO - 10.1007/s11764-020-00888-6
M3 - Article
C2 - 32385837
SN - 1932-2259
VL - 14
SP - 731
EP - 738
JO - Journal of cancer survivorship : research and practice
JF - Journal of cancer survivorship : research and practice
IS - 5
ER -