The lived experience of prostate cancer: 10-year survivor perspectives following contemporary treatment of localized prostate cancer.
The lived experience of prostate cancer: 10-year survivor perspectives following contemporary treatment of localized prostate cancer.
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前列腺癌的生活经历：局部前列腺癌当代治疗后 10 年幸存者的观点。
DOI：
10.1007/s11764-023-01381-6
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Beskow,LauraM
中科院分区：
文献类型：
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作者：
AlHusseinAlAwamlh,Bashir;Wallis,ChristopherJD;Diehl,Carolyn;Barocas,DanielA;Beskow,LauraM
目的：依靠标准化工具来衡量以患者为中心的癌症治疗的危害和益处的研究可能无法捕捉癌症患者生活经历的重要元素。此外，关于局限性前列腺癌（PCa）患者生存经验的定性研究有限。我们试图探讨早期经验，长期经验和建议提供给其他人的长期幸存者的局限性前列腺癌。方法：采用半结构化定性访谈法，对接受主动监测、根治性前列腺切除术或放疗的10年前列腺癌幸存者进行调查，选取了一组（n= 66）受访者。主题包括早期和长期经验以及对其他男性和医生的建议。结果治疗后立即接受放射治疗和主动监测的患者多数满意，因其保持完整，避免手术切除前列腺。与此同时，接受手术治疗的男性因癌症切除而感到宽慰。一些早期的负面感知与短期焦虑有关，特别是在接受主动监控的男性中。长期的经验包括接受泌尿和性副作用与生存的权衡。大多数男性在经济上过得很好，一些人的人际关系更牢固，许多人表现出更强的感激和同情心。男性向其他男性和医生提供必要的建议，说明收集治疗的详细信息以及与医生建立牢固关系的重要性。结论局部前列腺癌的长期幸存者通过接受当代治疗的长期影响，经历加强的人际关系，并发展更好的整体生活方式，通常表现良好。对癌症幸存者的启示我们为男性选择使用目前的治疗方法治疗局限性前列腺癌提供了有用的观点和见解。
PurposeStudies relying on standardized instruments to measure patient-centered harms and benefits of cancer treatment may fail to capture important elements of the lived experience of cancer patients. Further, qualitative studies on the survivorship experience of men with localized prostate cancer (PCa) are limited. We sought to explore the early experience, long-term experience, and advice provided for others among long-term survivors of localized PCa.MethodsSemi-structured qualitative interviews with a subset (n= 66) of respondents to a survey of 10-year PCa survivors who underwent active surveillance, radical prostatectomy, or radiotherapy. Topics included early and long-term experiences and advice to other men and physicians.ResultsImmediately after treatment, men were mostly satisfied with radiation and active surveillance due to remaining whole and avoiding surgical removal of the prostate. Meanwhile, men treated with surgery felt relieved by the removal of cancer. Some early negative perception was related to short-term anxiety, particularly among men who underwent active surveillance. Long-term experiences included accepting the trade-offs of urinary and sexual side effects with survival. Most men fared well financially, some had strengthened relationships, and many reported greater appreciation and compassion. Men provided essential advice to other men and physicians on the importance of gathering detailed information on treatments and establishing a strong relationship with physicians.ConclusionsLong-term survivors of localized PCa generally do well by accepting the long-term effects of contemporary treatments, experiencing strengthened relationships, and developing a better overall life approach.Implications for Cancer SurvivorsWe provide useful perspectives and insights for men opting to use current-day treatments for localized PCa.