Collier Tony, Smith Shievon, Greenwood Michelle, Ng Kenrick
Prostate Cancer UK, 53 Tooley Street, London, SE1 2QN, UK.
St Bartholomew's Hospital, Barts Health NHS Trust, London, EC1A 7BE, UK.
Oncol Ther. 2020 Dec;8(2):197-207. doi: 10.1007/s40487-020-00132-2. Epub 2020 Oct 9.
This article is co-authored by a patient with metastatic hormone-sensitive prostate cancer who is receiving abiraterone and androgen deprivation therapy treatment in Manchester, UK. The patient relates his personal experiences struggling with the diagnosis, his experience with treatment and the physical, emotional and psychosexual impact on his life. After his diagnosis, the patient has become an outspoken advocate and fundraiser for prostate cancer awareness and wants to ensure that novel treatments with proven efficacy and tolerability, such as abiraterone, are available for all men in his condition. The specialist nursing and physician perspectives, provided by healthcare professionals based in London who are not directly involved in this patient's care, were written in response to the challenges and concerns highlighted by this patient. The role of the specialist nurse as a key healthcare professional in the cancer patient journey, particularly in managing the complex physical and emotional side effects of treatment, is highlighted in this perspective piece. The physician reviews the current difficulties of establishing an effective screening programme in prostate cancer, the common side effects of hormone treatment and the significant progress and challenges in novel drug development and prescription in metastatic hormone-sensitive prostate cancer. While written primarily from the perspective of a patient and healthcare professionals in England, many messages in this commentary would resonate with patients and professionals involved in the care of prostate cancer worldwide.
本文由一名转移性激素敏感性前列腺癌患者共同撰写，该患者正在英国曼彻斯特接受阿比特龙和雄激素剥夺治疗。患者讲述了自己在面对诊断时的挣扎经历、治疗体验以及治疗对其生活在身体、情感和性心理方面的影响。确诊后，该患者成为了前列腺癌认知的直言倡导者和筹款人，并希望确保像阿比特龙这样已证实具有疗效和耐受性的新型治疗方法能供所有处于他这种情况的男性使用。由伦敦的医疗保健专业人员提供的专科护理和医生观点，他们未直接参与该患者的护理，是针对该患者所强调的挑战和担忧而撰写的。在这篇观点文章中，突出了专科护士作为癌症患者治疗过程中关键医疗保健专业人员的作用，尤其是在管理治疗复杂的身体和情感副作用方面。医生回顾了当前在前列腺癌中建立有效筛查项目的困难、激素治疗的常见副作用以及转移性激素敏感性前列腺癌新药研发和处方方面的重大进展和挑战。虽然本文主要是从一名英国患者和医疗保健专业人员的角度撰写的，但这篇评论中的许多信息会引起全球参与前列腺癌护理的患者和专业人员的共鸣。
