Andrew G Matthew1, Orit Raz2, Kristen L Currie1, Alyssa S Louis3, Haiyan Jiang4, Tal Davidson5, Neil E Fleshner1, Antonio Finelli1, John Trachtenberg1. 1. a Department of Surgical Oncology , University Health Network , Toronto , ON , Canada. 2. b Department of Urology , Macquarie University Hospital , Sydney , Australia. 3. c Department of Medicine , University of Toronto , Toronto , ON , Canada. 4. d Department of Biostatistics , University Health Network , Toronto , ON , Canada. 5. e Department of Psychology , York University , Toronto , ON , Canada.
Abstract
OBJECTIVE: To quantify distress in men treated with radical prostatectomy (RP) or active surveillance (AS). METHODS: In a retrospective cross-sectional design, we assessed men through questionnaire and investigator-designed questions. RESULTS: RP patients worried more about cancer spread than AS patients. RP patients were influenced by friends for treatment decision, whereas AS patients were influenced by urologists. RP group report declines in intimacy and instrumental. AS men worried more about future health and dying than post-RP men. CONCLUSION: Fear of disease progression may be a motivating factor in choosing RP. AS patients adhere to their treatment decision in spite of distress.
OBJECTIVE: To quantify distress in men treated with radical prostatectomy (RP) or active surveillance (AS). METHODS: In a retrospective cross-sectional design, we assessed men through questionnaire and investigator-designed questions. RESULTS: RP patients worried more about cancer spread than AS patients. RP patients were influenced by friends for treatment decision, whereas AS patients were influenced by urologists. RP group report declines in intimacy and instrumental. AS men worried more about future health and dying than post-RP men. CONCLUSION: Fear of disease progression may be a motivating factor in choosing RP. AS patients adhere to their treatment decision in spite of distress.
Authors: Gabriela Ilie; Joshua White; Ross Mason; Ricardo Rendon; Greg Bailly; Joseph Lawen; David Bowes; Nikhilesh Patil; Derek Wilke; Cody MacDonald; Robert Rutledge; David Bell Journal: Am J Mens Health Date: 2020 Sep-Oct