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Urinary Incontinence, Patient Satisfaction, and Decisional Regret after Prostate Cancer Treatment: A French National Study
Abstract : BACKGROUND: Complications of prostate cancer treatments have a substantial impact on the patient's quality of life. We evaluated the prevalence of urinary consequences and factors affecting patient satisfaction and decisional regret after treatment. METHODS: A retrospective self-administered questionnaire was sent to all members of the National Association of Prostate Cancer Patients in France. RESULTS: From the 226 completed questionnaires received, the following information was obtained: 110 patients underwent surgery only, 29 received radiotherapy plus hormone therapy, 28 received radiotherapy only, and 49 received other combination treatments. The median follow-up period was 58.1 months. After treatment, the presence of urinary incontinence was reported by 34.5% of patients treated by radical prostatectomy, by 10.3% treated by radiotherapy plus hormone therapy, by 17.8% treated by curitherapy or radiotherapy only, and by 38.7% treated by other combination therapy (p~= 0.01). The main reasons for decisional regret were the fact that patients received incomplete information about prostate cancer (40%) and consequences of treatment that affected the urinary system (34%). The information received about cancer was considered complete in 32.3% of the satisfied group and 14.3% of the decisional regret group (p~= 0.003) and with regard to urinary incontinence the information received was considered complete in 41.4 and 17.4% respectively (p~\textless 0.01). CONCLUSIONS: Urinary consequences of prostate cancer treatment are common and impact the quality of life. Patients need clear information to be able to participate in therapeutic decision-making and to avoid subsequent decisional regret.
Keywords :
Aged
Middle Aged
80 and over
Emotions
Complications
Patient Satisfaction
Prostatectomy
Postoperative Complications
France
Self Report
Quality of life
Prostate cancer
Prostatic Neoplasms
Decision Making
Humans
Male
Prevalence
Retrospective Studies
Functional outcomes
Radical prostatectomy
Urinary Incontinence
Urinary~incontinence
https://hal.umontpellier.fr/hal-02365966
Contributeur : Pascale Roussel <>
Soumis le : vendredi 15 novembre 2019 - 16:00:45
Dernière modification le : vendredi 15 novembre 2019 - 16:02:02
Contributeur : Pascale Roussel <>
Soumis le : vendredi 15 novembre 2019 - 16:00:45
Dernière modification le : vendredi 15 novembre 2019 - 16:02:02