Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
Stockholm County Council, Academic Primary Health Care Center, Stockholm, Sweden.
Health Expect. 2022 Oct;25(5):2485-2491. doi: 10.1111/hex.13567. Epub 2022 Jul 27.
Prostate cancer is one of the most common types of cancer in men and could occur without symptoms. Screening has been debated but remains controversial and, in most countries, organized population-based screening does not exist. The aim of this study was to describe men's experiences of receiving a prostate cancer diagnosis after opportunistic screening.
This study is a secondary analysis from interviews with 17 men (aged 56-80 years) who had undergone curative treatment for prostate cancer. Data were collected in an urban region of Sweden through interviews conducted face to face or by telephone. An inductive content analysis was used with Consolidated criteria for Reporting Qualitative research as a reporting checklist.
Two main categories were identified. Screening is a lifesaver enclosed by ethical dilemmas reflects how men considered screening as a lifesaving test. Testing was surrounded by injustice and an eagerness to encourage other men to undergo screening. Facing challenges during diagnosis reflects the men's experiences of being in an unknown field yet expected to engage in decision-making concerning appropriate treatment. Receiving the diagnosis rendered mixed emotions about having a cancer disease, that the treatment could cause lifelong symptom distress and the men described being hesitant to talk about their diagnosis.
The findings highlight men's opinions about screening and that the lack of routine screening represents injustice. The men considered this as an ethical question of lifesaving justice, while stakeholders may argue that screening could lead to unnecessary suffering and overtreatment. Men do not always talk openly about their diagnosis, linked to the fact that it concerns intimate areas. It is important to balance the information in relation to shared decision-making regarding treatment. Health care professionals have an ethical responsibility to support and coach the patient in their decision.
This study was based on interviews with men who had experienced a diagnosis of prostate cancer.
前列腺癌是男性最常见的癌症类型之一，可能无症状发生。筛查一直存在争议，但仍存在争议，而且在大多数国家，没有组织的基于人群的筛查。本研究旨在描述男性在机会性筛查后接受前列腺癌诊断的经历。
本研究是对 17 名（年龄 56-80 岁）接受过前列腺癌根治性治疗的男性进行访谈的二次分析。数据是通过在瑞典城市地区进行的面对面或电话访谈收集的。采用归纳内容分析法，以统一报告定性研究的标准作为报告检查表。
确定了两个主要类别。筛查是一种拯救生命的手段，同时也存在伦理困境，反映了男性将筛查视为拯救生命的测试。检测被不公正和急于鼓励其他男性进行筛查所包围。在诊断过程中面临挑战反映了男性在未知领域的经历，但又期望参与有关适当治疗的决策。接受诊断会导致对患有癌症疾病的混合情绪，即治疗可能会导致终身症状困扰，并且男性描述自己对谈论诊断犹豫不决。
研究结果强调了男性对筛查的看法，以及缺乏常规筛查代表不公正。男性认为这是一个关于拯救生命的正义的伦理问题，而利益相关者可能会认为筛查可能导致不必要的痛苦和过度治疗。男性并不总是公开谈论他们的诊断，这与它涉及到私密区域有关。在与治疗相关的共同决策中，平衡信息非常重要。医疗保健专业人员有责任支持和指导患者做出决策。
本研究基于对经历过前列腺癌诊断的男性进行的访谈。
