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Published in: Supportive Care in Cancer 5/2009

01-05-2009 | Original Article

Quality of life of men treated for localized prostate cancer: outcomes at 6 and 12 months

Authors: Elise L. Lev, Lucille Sanzero Eller, Glen Gejerman, John Kolassa, Joan Colella, Janine Pezzino, Patricia Lane, Ravi Munver, Michael Esposito, John Sheuch, Vincent Lanteri, Ihor Sawczuk

Published in: Supportive Care in Cancer | Issue 5/2009

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Abstract

Goals of work

Treatments for early-stage prostate cancer (PCa) are highly effective; therefore, research studies that explore quality of life (QOL) issues associated with different treatments are important. The purposes of this study were to (a) examine differences among treatment groups of men treated with either radiation therapies or radical prostatectomy for PCa and (b) examine quality of life outcomes over time.

Patients and methods

We report outcomes 6 and 12 months after 159 men began treatment for PCa with either one of two types of radiation treatment (intensity-modulated radiation therapy plus high dose rate or intensity-modulated radiation therapy plus seed implantation) or radical prostatectomy.

Main results

Significant differences among groups are described. Significant predictors of QOL at 6 months included urinary, bowel, and sexual symptoms, anxiety, depression, problem-focused coping, and physiological self-efficacy. Significant predictors of QOL at 12 months were urinary and bowel symptoms, stress, depression, problem-focused coping, and physiological self-efficacy. Demographic variables, race, and living status were significant predictors of quality of life at 12 months.

Conclusions

Physiological symptoms and psychological symptoms were both significant predictors of QOL. The psychological factors that predicted quality of life in this study have potential for intervention and point to the next stage of the research.
Literature
1.
go back to reference Ball AJ, Gambill B, Fabrizio MD, Davis JW, Given RW, Lynch DR et al (2006) Prospective longitudinal comparative study of early health-related quality-of-life outcomes in patients undergoing surgical treatment for localized prostate cancer: a short-term evaluation of five approaches from a single institution. J Endourol 20(10):723–731 doi:10.1089/end.2006.20.723 PubMedCrossRef Ball AJ, Gambill B, Fabrizio MD, Davis JW, Given RW, Lynch DR et al (2006) Prospective longitudinal comparative study of early health-related quality-of-life outcomes in patients undergoing surgical treatment for localized prostate cancer: a short-term evaluation of five approaches from a single institution. J Endourol 20(10):723–731 doi:10.​1089/​end.​2006.​20.​723 PubMedCrossRef
2.
go back to reference Bandura A (1997) Self-efficacy. The exercise of control. Freeman, New York Bandura A (1997) Self-efficacy. The exercise of control. Freeman, New York
3.
go back to reference Ben-Tovim DI, Dougherty ML, Stapleton AM, Pinnock CB (2006) Coping with prostate cancer: a quantitative analysis using a new instrument, the centre for clinical excellence in urological research coping with cancer instrument. Urology 59(3):383–388 doi:10.1016/S0090-4295(01)01540-0 CrossRef Ben-Tovim DI, Dougherty ML, Stapleton AM, Pinnock CB (2006) Coping with prostate cancer: a quantitative analysis using a new instrument, the centre for clinical excellence in urological research coping with cancer instrument. Urology 59(3):383–388 doi:10.​1016/​S0090-4295(01)01540-0 CrossRef
5.
go back to reference Cella D (1995) Measuring quality of life in palliative care. Semin Oncol 22:73–81PubMed Cella D (1995) Measuring quality of life in palliative care. Semin Oncol 22:73–81PubMed
6.
go back to reference Cella D (1997) Manual of the Functional Assessment of Chronic Illness Therapy (FACIT) measurement System. Version 4, Evanston, Il: Center on Outcomes, Research and Education (CORE). Evanston Northwestern Healthcare and Northwestern University, Evanston, IL Cella D (1997) Manual of the Functional Assessment of Chronic Illness Therapy (FACIT) measurement System. Version 4, Evanston, Il: Center on Outcomes, Research and Education (CORE). Evanston Northwestern Healthcare and Northwestern University, Evanston, IL
7.
go back to reference Chen RC, Clark JA, Manola J, Talcott JA (2008) Treatment ‘mismatch’ in early prostate cancer: do treatment choices take patient quality of life into account. Cancer 112(1):61–68 doi:10.1002/cncr.23138 PubMedCrossRef Chen RC, Clark JA, Manola J, Talcott JA (2008) Treatment ‘mismatch’ in early prostate cancer: do treatment choices take patient quality of life into account. Cancer 112(1):61–68 doi:10.​1002/​cncr.​23138 PubMedCrossRef
9.
go back to reference Derogatis LR (1994) SCLR-90-R Symptom checklist-90-R administration, scoring and procedures manual, 3rd edn. National Computer Systems, Inc., Minneapolis, MN Derogatis LR (1994) SCLR-90-R Symptom checklist-90-R administration, scoring and procedures manual, 3rd edn. National Computer Systems, Inc., Minneapolis, MN
10.
go back to reference Eller LS, Lev EL, Gejerman G, Colella J, Esposito M, Lanteri V et al (2006) Prospective study of quality of life of patients receiving treatment for prostate cancer. Nurs Res 55(2):S28–S36PubMed Eller LS, Lev EL, Gejerman G, Colella J, Esposito M, Lanteri V et al (2006) Prospective study of quality of life of patients receiving treatment for prostate cancer. Nurs Res 55(2):S28–S36PubMed
13.
go back to reference Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York
14.
15.
go back to reference Lintz K, Moynihan C, Steginga S, Norman A, Eeles R, Huddart R et al (2003) Prostate cancer patients’ support and psychological care needs: survey from a non-surgical oncology clinic. Psychooncology 12:769–783 doi:10.1002/pon.702 PubMedCrossRef Lintz K, Moynihan C, Steginga S, Norman A, Eeles R, Huddart R et al (2003) Prostate cancer patients’ support and psychological care needs: survey from a non-surgical oncology clinic. Psychooncology 12:769–783 doi:10.​1002/​pon.​702 PubMedCrossRef
16.
go back to reference Loscalzo MJ (2002) The Pirl/Mello article reviewed. Oncology 16(1):1458–1467 Loscalzo MJ (2002) The Pirl/Mello article reviewed. Oncology 16(1):1458–1467
17.
go back to reference Movsas B, Scott C, Watkins-Bruner D (2006) Pretreatment factors significantly influence quality of life in cancer patients: a Radiation Therapy Oncology Group (RTOG) analysis. Int J Radiat Oncol Biol Phys 65(3):830–835 doi:10.1016/j.ijrobp.2006.01.004 PubMed Movsas B, Scott C, Watkins-Bruner D (2006) Pretreatment factors significantly influence quality of life in cancer patients: a Radiation Therapy Oncology Group (RTOG) analysis. Int J Radiat Oncol Biol Phys 65(3):830–835 doi:10.​1016/​j.​ijrobp.​2006.​01.​004 PubMed
18.
go back to reference Penedo FJ, Molton I, Dahn JR, Shen BJ, Kinsinger D, Traeger L et al (2006) A randomized clinical trial of group-based cognitive–behavioral stress management in localized prostate cancer: development of stress management skills improves quality of life and benefit finding. Ann Behav Med 31(3):261–270 doi:10.1207/s15324796abm3103_8 PubMedCrossRef Penedo FJ, Molton I, Dahn JR, Shen BJ, Kinsinger D, Traeger L et al (2006) A randomized clinical trial of group-based cognitive–behavioral stress management in localized prostate cancer: development of stress management skills improves quality of life and benefit finding. Ann Behav Med 31(3):261–270 doi:10.​1207/​s15324796abm3103​_​8 PubMedCrossRef
21.
go back to reference Sharpley CF, Christie DRH (2007) An analysis of the psychometric profile and frequency of anxiety and depression in Australian men with prostate cancer. Psychooncology 16:660–667 doi:10.1002/pon.1118 PubMedCrossRef Sharpley CF, Christie DRH (2007) An analysis of the psychometric profile and frequency of anxiety and depression in Australian men with prostate cancer. Psychooncology 16:660–667 doi:10.​1002/​pon.​1118 PubMedCrossRef
22.
go back to reference Thompson I, Thrasher JB, Aus G, Burnett AL, Canby-Hagino ED, Cookson MS, D’Amico AV, Dmochowski RR, Eton DT, Forman JD, Goldenberg SL, Hernandez J, Higano CS, Kraus SR, Moul JW, TAngen CM, AUA Prostate Cancer Clinical Guideline Update Panel (2007) Guideline for the management of clinically localized prostate cancer: 2007 update. J Urol 177(6):2106–2131 doi:10.1016/j.juro.2007.03.003 PubMedCrossRef Thompson I, Thrasher JB, Aus G, Burnett AL, Canby-Hagino ED, Cookson MS, D’Amico AV, Dmochowski RR, Eton DT, Forman JD, Goldenberg SL, Hernandez J, Higano CS, Kraus SR, Moul JW, TAngen CM, AUA Prostate Cancer Clinical Guideline Update Panel (2007) Guideline for the management of clinically localized prostate cancer: 2007 update. J Urol 177(6):2106–2131 doi:10.​1016/​j.​juro.​2007.​03.​003 PubMedCrossRef
23.
go back to reference Zakowski SG, Harris C, Krueger N, Laubmeier KK, Garrett S, Flanigan R et al (2003) Social barriers to emotional expression and their relations to distress in male and female cancer patients. Br J Health Psychol 8(Pt3):271–286 doi:10.1348/135910703322370851 PubMedCrossRef Zakowski SG, Harris C, Krueger N, Laubmeier KK, Garrett S, Flanigan R et al (2003) Social barriers to emotional expression and their relations to distress in male and female cancer patients. Br J Health Psychol 8(Pt3):271–286 doi:10.​1348/​1359107033223708​51 PubMedCrossRef
Metadata
Title
Quality of life of men treated for localized prostate cancer: outcomes at 6 and 12 months
Authors
Elise L. Lev
Lucille Sanzero Eller
Glen Gejerman
John Kolassa
Joan Colella
Janine Pezzino
Patricia Lane
Ravi Munver
Michael Esposito
John Sheuch
Vincent Lanteri
Ihor Sawczuk
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 5/2009
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-008-0493-2

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