To assess the patient's perceived causes of PCa and relation to treatment satisfaction an internet based survey study was designed. Prostate cancer (PCa) is a profoundly personal disease considering the location and common sequelae of treatment. Deeply held patient self-perceptions regarding the etiology of a patient's PCa may generate lasting beliefs that impact satisfaction with treatment selection.
Third-party web-based surveys were sent to patients receiving radical prostatectomy for clinically localized PCa. Patients were queried regarding demographic characteristics, family history, socioeconomic status, sexual function, urinary control and factors believed to cause their PCa.
Among respondents (293/524, 55.9%), 237 (81.5%) provided primary causes for PCa. Evidence-based answer was provided by 128 (53.5%) patients while 49 (20.5%) provided a wide range of non-evidence based responses. Forty patients (16.7%) were undecided, and 20 (8.3%) offered belief-based responses. Evidence based responses were more common in patients with a family history of PCa (p<0.01), however no significant differences were seen among race, educational level or income. Patients providing an evidence based cause of PCa were more likely to be potent (p<0.01). Providing a non-evidence based cause for PCa was associated with considering surgery as a wrong decision in treatment selection.
Among men with localized PCa, there is a wide spectrum of patient beliefs regarding the etiology of their disease that may reflect background and information sources. Further research is warranted to determine whether patient counseling should incorporate these considerations.
Urology. 2016 Oct 17 [Epub ahead of print]
Michael Leapman, Seyed Behzad Jazayeri, Maria Katsigeorgis, Adele Hobbs, David B Samadi
Department of Urology, Mount Sinai Hospital, New York, NY., Department of Urology, Lenox Hill Hospital, New York, NY., Department of Urology, Mount Sinai Hospital, New York, NY; University of California San Francisco School of Medicine, San Francisco, CA, USA; Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA., Department of Urology, Lenox Hill Hospital, New York, NY. Electronic address: .