Gilbert Scott M, Sanda Martin G, Dunn Rodney L, Greenfield Thomas K, Hembroff Larry, Klein Eric, Saigal Christopher S, Pisters Louis, Michalski Jeff, Sandler Howard M, Litwin Mark S, Wei John T
H. Lee Moffitt Cancer Center, Tampa, Florida.
Department of Urology, Emory University, Atlanta, Georgia.
J Urol. 2014 May;191(5):1265-71. doi: 10.1016/j.juro.2013.12.008. Epub 2013 Dec 12.
After being diagnosed with prostate cancer men must assimilate information regarding the cancer. Satisfaction with information reflects the evaluation of information sources used before treatment to select a therapy. We describe the use and helpfulness of several information sources available to prostate cancer survivors. We also identified factors associated with satisfaction with information.
A total of 1,204 men with newly diagnosed prostate cancer were enrolled in the prospective, multicenter Prostate Cancer Outcomes and Satisfaction with Therapy Quality Assessment study. The validated satisfaction with information domain of the Service Satisfaction Scale-Cancer was administered to subjects 2 months after treatment. The relationship between several factors, such as demographics, socioeconomic factors, cancer severity and types of information sources, and satisfaction with information were evaluated using multiple regression.
Sources of information endorsed by subjects varied by race, education and study site. The most helpful sources were treatment description by the treating physician (33.1%), Internet sites (18.9%) and books (18.1%). In multiple variable models patient age (p = 0.005) and information provided by the physician regarding outcomes in their patients (p = 0.01) were independently associated with patient satisfaction with the information provided.
Various information sources were used and endorsed as helpful by subjects, although results for physician patients was the only source independently associated with satisfaction with information. Providing patients with information about possible or expected courses of care and outcomes may improve satisfaction.
被诊断患有前列腺癌后,男性必须吸收有关该癌症的信息。对信息的满意度反映了在治疗前用于选择治疗方法的信息来源的评估。我们描述了前列腺癌幸存者可获得的几种信息来源的使用情况和帮助程度。我们还确定了与信息满意度相关的因素。
共有1204名新诊断为前列腺癌的男性参加了前瞻性、多中心前列腺癌治疗结果与治疗质量满意度评估研究。在治疗2个月后,对受试者进行了经过验证的癌症服务满意度量表中信息领域的满意度调查。使用多元回归评估了人口统计学、社会经济因素、癌症严重程度和信息来源类型等几个因素与信息满意度之间的关系。
受试者认可的信息来源因种族、教育程度和研究地点而异。最有帮助的信息来源是主治医生的治疗描述(33.1%)、互联网网站(18.9%)和书籍(18.1%)。在多变量模型中,患者年龄(p = 0.005)和医生提供的关于其患者治疗结果的信息(p = 0.01)与患者对所提供信息的满意度独立相关。
受试者使用并认可了各种信息来源,尽管对医生患者来说,结果是与信息满意度唯一独立相关的来源。向患者提供有关可能或预期的护理过程和结果的信息可能会提高满意度。