An ecological momentary assessment of self-management in prostate cancer survivors
ConclusionOur findings reinforce the importance of having access to tailored, timely and person-centred supported self-management care plans. Real-time monitoring data can provide helpful information to facilitate tailored recommendations for self-management.Implications for Cancer SurvivorsProstate cancer survivors can experience unmet supportive care needs which may increase men ’s demands to perform self-management of their condition. Future clinical intervention studies aimed at utilising the remote exchange of real-time data serves to optimise tailored supported self-management.
Prostate cancer affects 1 in 9 men and is one of the most common cancers in the United States. Due to the close anatomical association between the prostate and nearby organs, well-known complications of prostate cancer treatment are urinary incontine...
Testosterone suppression is the standard treatment for advanced prostate cancer, and it is associated with side-effects that impair patients ’ quality of life, like sexual dysfunction, osteoporosis, weight gain...
ConclusionsIn a nonrandomized cohort of men with localized prostate cancer, SBRT appeared to result in favorable QOL results through 2 yr of follow-up, but worse sexual function and urinary incontinence compared with AS cannot be ruled out completely. Larger studies with longer follow-up are needed to confirm these findings.Patient summaryStereotactic body radiotherapy (SBRT) and active surveillance appear to have similar quality of life outcomes through 2 yr, although worse sexual function and urinary incontinence from SBRT cannot be ruled out completely.
(MedPage Today) -- Substantial minorities reported problems associated with treatment, and these were often unaddressed
Prostate cancer survivors can expect a similar quality of life as men in the general population, but sexual dysfunction after treatment is very common.Medscape Medical News
Conclusions: The goal of the pcrc is to help patients and their partners achieve optimal sexual health and couple intimacy after rp, and to help design cost-effective and beneficial rehabilitation programs. PMID: 30607114 [PubMed - in process]
Conclusion: Androgen responsiveness of levator ani appears to be evolutionarily conserved in humans. ADT selectively decreases volume of muscles that support body weight. Interventional strategies to reduce ADT-related sarcopenia and sexual dysfunction should assess whether targeting these muscle groups, including the pelvic floor improves clinical outcomes. PMID: 30602021 [PubMed - as supplied by publisher]
ConclusionsChemotherapy-na ïve patients with metastatic castration-resistant prostate cancer experience a substantial burden from their condition. Furthermore, as castration-resistant prostate cancer progresses from the non-metastatic stage to the early metastatic (pre-chemotherapy) stage, certain symptoms become more common and disturb patients’ lives to a greater extent. The resulting conceptual model for metastatic castration-resistant prostate cancer highlights areas that are not adequately assessed with current patient-reported outcome instruments.
ConclusionsDuring follow-up consultations, little attention is paid to the impact of treatment-induced sexual dysfunction on the relationship of men with prostate cancer and their partners. A standard consultation with a urologist-sexologist 3 months after treatment to discuss sexual and relational issues is considered as most preferable.
This article summarizes the key side effects associated with ADT and discusses strategies to optimize management. PMID: 30248169 [PubMed - in process]