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Access to Information Sources and Treatment Considerations Among Men With Local Stage Prostate Cancer - 06/08/11

Doi : 10.1016/j.urology.2009.01.090 
Scott D. Ramsey a, , Steven B. Zeliadt a, b, Neeraj K. Arora c, Arnold L. Potosky d, David K. Blough e, Ann S. Hamilton f, Stephen K. Van Den Eeden g, Ingrid Oakley-Girvan h, David F. Penson i, j
a Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, DC 
b Health Services Research and Development Center of Excellence, Veteran Affairs Puget Sound Health Care System, Seattle, Washington, DC 
c Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland 
d Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 
e School of Pharmacy, University of Washington, Seattle, Washington, DC 
f Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California 
g Division of Research, Kaiser Permanente, Oakland, California 
h Northern California Cancer Center, Fremont, California 
i Department of Urology, University of Southern California, Norris Cancer Center, Los Angeles, California 
j Department of Preventive Medicine, University of Southern California, Norris Cancer Center, Los Angeles, California 

*Reprint requests: Scott D. Ramsey, M.D., Ph.D., Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, M3–B232, Seattle, WA 98109-1024

Résumé

Objectives

To determine the role of information sources in the treatment decision-making process of men diagnosed with local stage prostate cancer. Diagnosed men have access to a large number of information sources about therapy, including print and broadcast media, the Internet, books, and friends with the disease.

Methods

Prospective survey of men with local stage prostate cancer in 3 geographically separate regions was carried out. Most men were surveyed after diagnosis but before starting therapy.

Results

On average, men with local prostate cancer consulted nearly 5 separate sources of information before treatment. The most common source of information was the patient's physician (97%), followed by lay-literature (pamphlets, videos) (76%), other health professionals (71%), friends with prostate cancer (67%), and the Internet (58%). Most men rated the sources they consulted as helpful. Consulting the Internet was associated with considering more treatment options. Several information sources were significantly associated with considering particular treatments, but the magnitude of association was small in relation to patient age, comorbidity, and Gleason score. More than 70% of men stated that they were considering or planning only one type of therapy.

Conclusions

Men with local stage prostate cancer consult a wide range of information sources. Nonphysician information sources appear to influence their treatment considerations, but to a smaller degree than clinical factors.

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Plan


 Supported by the National Cancer Institute contracts N01-PC-35142, N01-PC-35139, and N01-PC-35136 and by the Cancer Surveillance System of the Fred Hutchinson Cancer Research Center, which is funded by Contract No. N01-PC-35142 from the Surveillance, Epidemiology and End Results (SEER) Program of the National Cancer Institute with additional support from the Fred Hutchinson Cancer Research Center and the State of Washington.
 The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the National Cancer Institute.


© 2009  Elsevier Inc. Tous droits réservés.
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Vol 74 - N° 3

P. 509-515 - septembre 2009 Retour au numéro
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