Details:

Alternative Title:
Urol Oncol
Personal Author:
Skolarus, Ted ; Holmes-Rovner, Margaret ; Northouse, Laurel ; Fagerlin, Angela ; Garlinghouse, Carol ; ... More +
Skolarus, Ted ; Holmes-Rovner, Margaret ; Northouse, Laurel ; Fagerlin, Angela ; Garlinghouse, Carol ; Demers, Raymond ; Rovner, David ; Darwish-Yassine, May ; Wei, John Less -
Description:
OBJECTIVES

Primary care providers often care for men with prostate cancer due to its prolonged clinical course and an increasing number of survivors. However, their attitudes and care patterns are inadequately studied. In this context, we surveyed primary care providers regarding the scope of their prostate cancer survivorship care.

METHODS

The 2006 Early Detection and Screening for Prostate Cancer Knowledge, Attitudes and Practice Survey conducted by the Michigan Public Health Institute investigated the beliefs and practice patterns of primary care providers in Michigan. We evaluated responses from 902 primary care providers regarding the timing and content of their prostate cancer survivorship care and relationships with specialty care.

RESULTS

Two-thirds (67.6%) of providers cared for men during and after prostate cancer treatment. Providers routinely inquired about incontinence, impotence and bowel problems (83.3%), with a few (14.2%) using surveys to measure symptoms. However, only a minority felt ‘very comfortable’ managing the side effects of prostate cancer treatment. Clear plans (76.1%) and details regarding management of treatment complications (65.2%) from treating specialists were suboptimal. Nearly one-half (45.1%) of providers felt it was equally appropriate for them and treating specialists to provide prostate cancer survivorship care.

CONCLUSIONS

Primary care providers reported that prostate cancer survivorship care is prevalent in their practice, yet few felt very comfortable managing side effects of prostate cancer treatment. To improve quality of care, implementing prostate cancer survivorship care plans across specialties, or transferring primary responsibility to primary care providers through survivorship guidelines, should be considered.


Subject:
[+]
Adult
Aged
Aged, 80 And Over
Article
Attitudes
Attitude To Health
Delivery Of Health Care
Female
Health Knowledge, Attitudes, Practice
Humans
Knowledge
Male
Middle Aged
Physician-Patient Relations
Physicians
Practice Patterns
Primary Care
Primary Health Care
Prostate Cancer
Prostatic Neoplasms
Quality Of Health Care
Research Design
Survivors
Survivorship
Treatment Outcome

Source:
Urol Oncol. 2011; 31(6):727-732.
Pubmed ID:
21775171
Pubmed Central ID:
PMC3213312
Document Type:
Journal Article
Funding:
T32 DK007782-11/DK/NIDDK NIH HHS/United States ; 2 T32 DK007782-06/DK/NIDDK NIH HHS/United States ; T32 DK007782-10/DK/NIDDK NIH HHS/United States ; T32 DK007782/DK/NIDDK NIH HHS/United States ; U58 DP000812/DP/NCCDPHP CDC HHS/United States ; ... More +
T32 DK007782-11/DK/NIDDK NIH HHS/United States ; 2 T32 DK007782-06/DK/NIDDK NIH HHS/United States ; T32 DK007782-10/DK/NIDDK NIH HHS/United States ; T32 DK007782/DK/NIDDK NIH HHS/United States ; U58 DP000812/DP/NCCDPHP CDC HHS/United States ; 5U58DP000812/DP/NCCDPHP CDC HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:774c1c24f7f4bf43cc5d045103682695533f6103cc92401240bd0a1302607569
File Type:

Supporting Files

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