Making Active Surveillance a path towards health promotion: A qualitative study on prostate cancer patients’ perceptions of health promotion during Active Surveillance

2019 ◽  
Vol 28 (3) ◽  
Author(s):  
Julia Menichetti ◽  
Letizia De Luca ◽  
Paola Dordoni ◽  
Simona Donegani ◽  
Cristina Marenghi ◽  
...  
2021 ◽  
Vol 3 (1) ◽  
pp. e000068
Author(s):  
Sonia Hur ◽  
Michael Tzeng ◽  
Eliza Cricco-Lizza ◽  
Spyridon Basourakos ◽  
Miko Yu ◽  
...  

ObjectivesPartial gland ablation (PGA) therapy is an emerging treatment modality that targets specific areas of biopsy-proven prostate cancer (PCa) to minimize treatment-related morbidity by sparing benign prostate. This qualitative study aims to explore and characterize perceptions and attitudes toward PGA in men with very-low-risk, low-risk, and favorable intermediate-risk PCa on active surveillance (AS).Design92 men diagnosed with very-low-risk, low-risk, and favorable intermediate-risk PCa on AS were invited to participate in semistructured telephone interviews on PGA.SettingSingle tertiary care center located in New York City.Participants20 men with very-low-risk, low-risk, and favorable intermediate-risk PCa on AS participated in the interviews.Main outcome measuresEmerging themes on perceptions and attitudes toward PGA were developed from transcripts inductively coded and analyzed under standardized methodology.ResultsFour themes were derived from 20 interviews that represent the primary considerations in treatment decision-making: (1) the feeling of psychological safety associated with low-risk disease; (2) preference for minimally invasive treatments; (3) the central role of the physician; (4) and the pursuit of treatment options that align with disease severity. Eleven men (55%) expressed interest in pursuing PGA only if their cancer were to progress, while nine men (45%) expressed interest at the current moment.ConclusionsAlthough an emerging treatment modality, patients were broadly accepting of PGA for PCa, with men primarily debating the risks versus benefits of proactively treating low-risk disease. Additional research on men’s preferences and attitudes toward PGA will further guide counseling and shared decision-making for PGA.


2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Nicola Fossati ◽  
Justin K. Lee ◽  
Quoc-Dien Trinh ◽  
Jesse Sammon ◽  
Akshay Sood ◽  
...  

PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0186026 ◽  
Author(s):  
Hwang Gyun Jeon ◽  
Jae Ho Yoo ◽  
Byong Chang Jeong ◽  
Seong Il Seo ◽  
Seong Soo Jeon ◽  
...  

Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 1-2
Author(s):  
M.F. Al Otaibi ◽  
N. Fahmy ◽  
P. Ross ◽  
W. Kassouf ◽  
S. Jeyaganth ◽  
...  

2019 ◽  
Vol 120 (4) ◽  
pp. 466-471 ◽  
Author(s):  
Justin R. Gregg ◽  
Jiali Zheng ◽  
David S. Lopez ◽  
Chad Reichard ◽  
Gladys Browman ◽  
...  

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