MP27-12 DETERMINANTS OF INFORMATION NEEDS IN LONG-TERM PROSTATE CANCER SURVIVORS

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality of Life1 Apr 2015MP27-12 DETERMINANTS OF INFORMATION NEEDS IN LONG-TERM PROSTATE CANCER SURVIVORS Jennifer Bernat, Daniela Wittmann, Sarah Hawley, David Haggstrom, May Darwish-Yassine, and Ted Skolarus Jennifer BernatJennifer Bernat More articles by this author , Daniela WittmannDaniela Wittmann More articles by this author , Sarah HawleySarah Hawley More articles by this author , David HaggstromDavid Haggstrom More articles by this author , May Darwish-YassineMay Darwish-Yassine More articles by this author , and Ted SkolarusTed Skolarus More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1174AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Many prostate cancer (PCa) survivors have lasting symptoms and disease-related concerns for which they struggle to find information (info). The extent to which info-needs are driven by difficulty searching, symptom burden or other survivor characteristics remains unknown, yet critically important to appropriately support PCa survivors. For these reasons, we investigated long-term PCa survivor info-needs and factors associated with info-seeking METHODS We used data from the Michigan Prostate Cancer Survivor Study, a state-based survey of long-term PCa survivor outcomes (N=2499, response rate = 38%). Participants reported on 6 search difficulty measures (e.g., feeling frustrated during a search) using a 4-point scale. We median-split search difficulty into low/high groups across 17 PCa-related topics and conducted multivariable logistic regression to examine factors associated with info-needs. RESULTS Respondents were a median of 9 years since PCa diagnosis and 76 years old. Most were married (78%), white (80%) and treated with prostatectomy (55.1%). Nearly half (47%) reported high search difficulty, and the top three info-needs regarded recurrence (55.5%), effects on spouse/relationship (50.2%) and long-term effects/recovery (44.5%). After adjustment, being non-white and having high search difficulty was associated with all three info-needs. High sexual symptom burden was associated with needing more info regarding relationships and long-term effects/recovery (both p<0.01). Compared to prostatectomy alone, multi-modality treatment was associated with 60% and 80% more info-needs regarding long-term effects/recovery and recurrence, respectively (Table). CONCLUSIONS Concerns about PCa recurrence, relationships and long-term effects impact PCa survivors for many years after diagnosis. Healthcare providers should continue to assess for these concerns particularly among non-white survivors, those with high search difficulty and sexual symptom burden, or who were treated with multiple modalities. Table. Factors associated with information needs in long-term prostate cancer survivors (N=2499) Recurrence Effects on spouse/relationship Long-term effects/recovery Factors OR1; 95% CI; p OR; 95% CI; p OR; 95% CI; p Age ≤64 years ref ref ref 65-74 years 1.22; 0.85-1.73; 0.28 0.91; 0.62-1.34; 0.64 0.92; 0.64-1.33; 0.67 ≥75 years 1.05; 0.72-1.54; 0.80 0.62; 0.40-0.96; 0.03∗ 0.72; 0.48-1.08; 0.11 Race White ref ref ref Non-white 1.36; 1.00-1.85; 0.05∗ 2.46; 1.76-3.44; 0.00∗∗∗ 1.43; 1.04-1.96; 0.03∗ Marital Status Not Married ref ref ref Married 0.97; 0.72-1.33; 0.87 2.64; 1.74-4.02; 0.00∗∗∗ 1.01; 0.72-1.40; 0.97 Income < $20,000 ref ref ref $20,000-34,999 1.31; 0.83-2.07; 0.25 1.48; 0.84-2.59; 0.17 0.94; 0.58-1.52; 0.80 $35,000-49,999 1.44; 0.89-2.33; 0.14 1.52; 0.85-2.72; 0.16 1.08; 0.65-1.80; 0.76 $50,000-74,999 1.40; 0.85-2.32; 0.19 1.15; 0.63-2.12; 0.65 0.99; 0.58-1.68; 0.96 > $75,000 1.72; 1.03-2.87; 0.04∗ 1.38; 0.74-2.56; 0.32 1.26; 0.73-2.16; 0.41 Treatment Type Prostatectomy ref ref ref Combination2 1.79; 1.41-2.28; 0.00∗∗∗ 1.09; 0.82-1.44; 0.56 1.63; 1.26-2.12; 0.00∗∗∗ Sexual Symptom Burden Low ref ref ref High 1.13; 0.88-1.44; 0.33 2.05; 1.54-2.72; 0.00∗∗∗ 1.60; 1.23-2.07; 0.00∗∗∗ Bowel Symptom Burden Low ref ref ref High 0.88; 0.56-1.40; 0.33 1.15; 0.68-1.95; 0.61 2.28; 1.43-3.63; 0.00∗∗∗ Search Difficulty Low ref ref ref High 1.41; 1.11-1.80; 0.01∗∗ 1.79; 1.36-2.37; 0.00∗∗∗ 1.79; 1.39-2.32; 0.00∗∗∗ Note: 1Adjusted odds ratios. We controlled for the following additional covariates: education, time since diagnosis, and urinary, vitality and emotional symptom burden levels. 2Includes a combination of treatments (e.g., radical prostatectomy, external radiation, hormone replacement therapy). ∗ p < 0.05; ∗∗ p < 0.01; ∗∗∗ p < 0.001. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e307 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jennifer Bernat More articles by this author Daniela Wittmann More articles by this author Sarah Hawley More articles by this author David Haggstrom More articles by this author May Darwish-Yassine More articles by this author Ted Skolarus More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...