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Measuring psychosocial outcomes of men living with prostate cancer : Feasibility of regular assessment of patient-reported outcomes
Ettridge, Kerry Wright, Kathleen Smith, David Chambers, Suzanne Corsini, Nadia Evans, Susan Moretti, Kim Roder, David Scuffham, Paul Miller, Caroline
Ettridge, Kerry
Wright, Kathleen
Smith, David
Chambers, Suzanne
Corsini, Nadia
Evans, Susan
Moretti, Kim
Roder, David
Scuffham, Paul
Miller, Caroline
Abstract
Objective
To trial collecting patient-reported outcome measures (PROMs) to assess psychosocial outcomes in men with prostate cancer (PC).
Methods
A cross-sectional postal survey was sent to three groups of 160 men with PC (6, 12 and 24 months post-initial treatment; ntotal = 480), through the South Australian Prostate Cancer Clinical Outcomes Collaborative (SAPCCOC) registry (2017). Outcomes were as follows: response rate, completeness, general and disease-specific quality of life, distress, insomnia, fear of recurrence, decisional difficulties and unmet need.
Results
A response rate of 57–61% (n = 284) was achieved across groups. Data completeness was over 90% for 88% of survey items, with lower response (76–78%) for EPIC-26 urinary and sexual functioning subscales, sexual aid use (78%) and physical activity (68%). In general, higher socio-economic indicators were associated with higher completion of these measures (absolute difference 12–26%, p < 0.05). Lower unmet need on the sexuality domain (SCNS-SF34) was associated with lower completion of the EPIC-26 sexual functioning subscale [M (SD) = 12.4 (21.6); M (SD) = 26.3 (27.3), p < .001]. Worse leaking urine was associated with lower completion of urinary pad/diaper use question (EPIC-26) [M (SD) = 65.9 (26.5), M (SD) = 77.3 (23.9), p < .01].
Conclusion
Assessment of psychosocial PROMs through a PC registry is feasible and offers insight beyond global quality of life assessment, to facilitate targeting and improvements in services and treatments.
Keywords
feasibility, monitoring, patient-reported outcomes, prostate cancer, psychosocial outcomes, quality of life
Date
2021
Type
Journal article
Journal
European Journal of Cancer Care
Book
Volume
30
Issue
4
Page Range
1-15
Article Number
Article e13393
ACU Department
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled