Supportive care needs of men living with prostate cancer in England: A survey

King's College London, Division of Health and Social Care Research, Florence Nightingale School of Nursing Midwifery, 5th Floor, Waterloo Bridge Wing, Franklin Wilkins Building, 150 Stamford Street, London SE19NN, UK.
British Journal of Cancer (Impact Factor: 4.84). 07/2008; 98(12):1903-9. DOI: 10.1038/sj.bjc.6604406
Source: PubMed


Men with prostate cancer have various treatment options depending upon their stage of disease, age and presence of comorbidity. However, these treatments typically induce side effects, which generate currently ill-defined supportive care needs. This study examined the supportive care needs of men with prostate cancer within England. A postal questionnaire survey was conducted in six acute NHS Trusts. Seven hundred and forty-one men with prostate cancer participated. They had been diagnosed 3-24 months prior to the survey and had received various treatments. Men surveyed had specific and significant unmet supportive care needs. Areas of greatest need are related to psychological distress, sexuality-related issues and management of enduring lower urinary tract symptoms. High levels of psychological distress were reported, and those reporting psychological distress reported greater unmet supportive care needs. Unmet sexuality-related need was highest in younger men following radical prostatectomy. Lower urinary tract symptoms were almost universal in the sample. Perceived quality of life varied; men unsure of their remission status reported lowest quality of life. Psychological distress impacts significantly on perceived unmet need and is currently not being assessed or managed well in men living with prostate cancer in England.

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Available from: Emma Ream, May 18, 2014
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    • "The physical aftermath of this disease has been well documented; but the extent to which coping and social support influence HRQoL and emotional outcome is still limited (Paterson et al., 2013). Men with prostate cancer have reported a number of difficulties and these include: psychological distress, sexuality-related issues, self-management of enduring lower urinary tract symptoms, informational support particularly regarding the on-going issues of recurrence and the after effects of treatment (Ream et al., 2008). There is some evidence to support that men living with and beyond prostate cancer are keen to engage as active partners in the management of their disease (Mroz et al., 2010), but remain inadequately supported to do so (Department of Health Macmillan Cancer Support & NHS Improvement, 2010). "
    European Journal of Oncology Nursing 03/2015; 19(2):120-8. · 1.43 Impact Factor
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    • "Men affected by prostate cancer have a unique understanding of their symptom experience and can therefore, contribute to the effective self-management of these (Hubbard et al., 2007), if approprite support is provided by healthcare professionals. Men have reported that they have experienced a lack of awareness of available resources (Breau et al., 2003; Ream et al., 2008) and have reported unmet informational needs around the following aspects of self-management: management of side-effects, lack of awareness of appropriate signposting to healthcare professionals, and a lack of dietary and physical exercise advice (Breau et al., 2003; Ream et al., 2008). Consequently, there is now a XML Template (2014) [19.3.2014–9:59am] "
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    ABSTRACT: Purpose Prostate cancer survivors are keen to engage as active partners in the management of their condition but have voiced a number of unmet support needs that make effective self-management problematic. Identifying self-management behaviours and evaluating how self-management changes over time may provide valuable insights into how men can be better supported to self-manage. Our systematic review aimed to identify the self-management behaviours for prostate cancer survivors and to evaluate whether these change over time.Methods Using the PRISMA statement we performed a systematic review of studies that identified the self-management behaviours of prostate cancer survivors. Databases searched included: DARE, CDSR, Medline, CINAHL, PsycINFO and ASSIA. Studies were classified by levels of evidence and quality assessment.Results 111 publications were retrieved from the search and 5 publications were included. Men performed a variety of self-management behaviours for psychological and physical problems. Only one study assessed changes in self-management behaviours over time and was limited to men treated by radiotherapy.Conclusion Despite the recent political drive for cancer survivors to self-manage, this review has demonstrated the evidence base is under-developed and a wide range of research is needed to address the unmet supportive care needs of prostate cancer survivors. Practically, this review has identified that Dodd’s Self-Care Log was found to have the strongest psychometric properties for additional research in this area.
    03/2014; 20(2). DOI:10.1177/1744987114523976
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    • "However, even as medical or physically related challenges are brought forward in these settings, emotional expressivity is often carefully managed (Bottoff et al. 2008; Oliffe et al. 2009). Additionally, research suggests that men can experience unmet needs related to distress , handling side effects and bodily adjustment, and managing life as a cancer survivor (Bender et al. 2012; Ream et al. 2008). Although not often examining these efforts as ''help-seeking,'' this literature offers insight into how men manage cancer's impacts on body and self. "
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    ABSTRACT: As researchers consider the “problem” of men’s health-related help-seeking, more limited attention has been devoted to gender dynamics in how men with cancer work with lay and professional supports during illness. This article helps address that gap by presenting a substantive theory of men’s help-seeking in the context of cancer. Developed using a grounded theory methodology engaging thirty men, results indicate that as men experienced cancer as a “biographical disruption” they used help-seeking to both resist and adapt to illness-related identity threats. “Help-seeking with a strong back” allowed men to build resources important to resisting shifts. In contrast, “help-seeking with a soft front” enabled men to obtain help to acknowledge and adapt to disruptions. Although both forms of help-seeking had value, most men experienced help-seeking with a strong back as unproblematic and consistent with masculine ideals, while help-seeking with a soft front was less anticipated, less welcomed, and less comfortable amid gendered norms discouraging expressions of vulnerability.
    Men and Masculinities 12/2013; 16(5). DOI:10.1177/1097184X13501177 · 0.81 Impact Factor
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