PMID- 35103559 OWN - NLM STAT- MEDLINE DCOM- 20220223 LR - 20220501 IS - 1651-226X (Electronic) IS - 0284-186X (Linking) VI - 61 IP - 3 DP - 2022 Mar TI - Long-term satisfaction with curative treatment and follow-up in prostate cancer survivors. PG - 357-362 LID - 10.1080/0284186X.2021.2006775 [doi] AB - PURPOSE: In a cross-sectional observational study to explore long-term satisfaction with treatment among men who had undergone radical prostatectomy (RP) or definitive pelvic radiotherapy (RT) for prostate cancer (PCa). METHODS: After mean 7 years from therapy (range: 6-8), 431 PCa-survivors (RP: n = 313, RT: n = 118) completed a mailed questionnaire assessing persistent treatment-related adverse effects (AEs) (Expanded Prostate cancer Index Composite [EPIC-26]) and seven Quality indicators describing satisfaction with the health care service following a most often general practitioner (GP)-led follow-up plan. A logistic regression model evaluated the associations between long-term satisfaction and treatment modality, age, the seven satisfaction-related Quality indicators, and persistent AEs. The significance level was set at p< .05. RESULTS: Four of five (81%) PCa-survivors reported long-term satisfaction with their treatment. In a multivariable model, satisfaction was positively associated with sufficient information about treatment and AEs, patient-perceived sufficient cooperation between the hospital and the GP and sufficient follow-up of AEs (ref.: insufficient). Age >/=70 years (ref.: <70) and a rising summary score within the EPIC-26 sexual domain additionally increased long-term satisfaction. The treatment modality itself (RP versus RT) did not significantly impact on satisfaction. CONCLUSIONS: The majority of curatively treated PCa-survivors are satisfied with their treatment more than 5 years after primary therapy. Sufficient information, improved cooperation between the hospital specialists and the responsible GP and optimized follow-up of AEs may further increase long-term satisfaction among prostatectomized and irradiated PCa-survivors. FAU - Monsen, Kari V AU - Monsen KV AD - Section for Clinical Cancer Research, Oslo University Hospital, Oslo, Norway. AD - Faculty of Medicine, University of Oslo, Norway. FAU - Fossa, Sophie D AU - Fossa SD AD - Section for Clinical Cancer Research, Oslo University Hospital, Oslo, Norway. AD - Faculty of Medicine, University of Oslo, Norway. FAU - Myklebust, Tor A AU - Myklebust TA AUID- ORCID: 0000-0003-4645-1635 AD - Department of Research and Innovation, More and Romsdal Hospital Trust, Alesund, Norway. AD - Cancer Registry of Norway, Oslo, Norway. FAU - Smeland, Sigbjorn AU - Smeland S AD - Faculty of Medicine, University of Oslo, Norway. AD - Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway. FAU - Dahl, Alv A AU - Dahl AA AD - Section for Clinical Cancer Research, Oslo University Hospital, Oslo, Norway. AD - Faculty of Medicine, University of Oslo, Norway. FAU - Stensvold, Andreas AU - Stensvold A AD - Division of Clinical Oncology, Ostfold Hospital Trust, Kalnes, Norway. LA - eng PT - Journal Article PT - Observational Study DEP - 20220201 PL - Sweden TA - Acta Oncol JT - Acta oncologica (Stockholm, Sweden) JID - 8709065 SB - IM MH - Aged MH - *Cancer Survivors MH - Cross-Sectional Studies MH - Follow-Up Studies MH - Humans MH - Male MH - Personal Satisfaction MH - Prostate MH - Prostatectomy/adverse effects MH - *Prostatic Neoplasms/etiology/radiotherapy MH - Quality of Life MH - Survivors OTO - NOTNLM OT - Prostate cancer OT - general practitioner OT - prostatectomy OT - radiotherapy OT - satisfaction EDAT- 2022/02/02 06:00 MHDA- 2022/02/24 06:00 CRDT- 2022/02/01 12:13 PHST- 2022/02/02 06:00 [pubmed] PHST- 2022/02/24 06:00 [medline] PHST- 2022/02/01 12:13 [entrez] AID - 10.1080/0284186X.2021.2006775 [doi] PST - ppublish SO - Acta Oncol. 2022 Mar;61(3):357-362. doi: 10.1080/0284186X.2021.2006775. Epub 2022 Feb 1.