Symptom burden and information needs in prostate cancer survivors: a case for tailored long-term survivorship care

Jennifer K. Bernat, Daniela A. Wittman, Sarah T. Hawley, Daniel A. Hamstra, Alexander M. Helfand, David Haggstrom, May Darwish-Yassine, Ted A. Skolarus

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Objectives: To determine the relationship between long-term prostate cancer survivors’ symptom burden and information needs. Patients and Methods: We used population-based data from the Michigan Prostate Cancer Survivor Study (2499 men). We examined unadjusted differences in long-term information needs according to symptom burden and performed multivariable logistic regression to examine symptom burden and information needs adjusting for patient characteristics. Results: High symptom burden was reported across all domains (sexual 44.4%, urinary 14.4%, vitality 12.7%, bowel 8.4%, emotional 7.6%) with over half of respondents (56%) reporting they needed more information. Top information needs involved recurrence, relationships, and long-term effects. Prostate cancer survivors with high symptom burden more often searched for information regardless of domain (P < 0.05). High sexual burden was associated with greater need for information about relationships [odds ratio (OR) 2.05, 95% confidence interval (CI) 1.54–2.72] and long-term effects (OR 1.60, 95% CI 1.23–2.07). High bowel burden was associated with greater information need for long-term effects (OR 2.28, 95% CI 1.43–3.63). Conclusions: Long-term prostate cancer survivors with high symptom burden need more supportive information. Tailoring information to these needs may be an efficient approach to support the growing population of long-term prostate cancer survivors.

Original languageEnglish (US)
Pages (from-to)372-378
Number of pages7
JournalBJU International
Volume118
Issue number3
DOIs
StatePublished - Sep 1 2016

    Fingerprint

Keywords

  • information needs
  • quality
  • self-management
  • survivorship
  • tailoring

ASJC Scopus subject areas

  • Medicine(all)
  • Urology

Cite this

Bernat, J. K., Wittman, D. A., Hawley, S. T., Hamstra, D. A., Helfand, A. M., Haggstrom, D., Darwish-Yassine, M., & Skolarus, T. A. (2016). Symptom burden and information needs in prostate cancer survivors: a case for tailored long-term survivorship care. BJU International, 118(3), 372-378. https://doi.org/10.1111/bju.13329