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Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty

BACKGROUND: Active surveillance is a management strategy for men diagnosed with early-stage, low-risk prostate cancer in which their cancer is monitored and treatment is delayed. This study investigated the primary coping mechanisms for men following the active surveillance treatment plan, with a sp...

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Autores principales: Mader, Emily M., Li, Hsin H., Lyons, Kathleen D., Morley, Christopher P., Formica, Margaret K., Perrapato, Scott D., Irwin, Brian H., Seigne, John D., Hyams, Elias S., Mosher, Terry, Hegel, Mark T., Stewart, Telisa M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422871/
https://www.ncbi.nlm.nih.gov/pubmed/28482875
http://dx.doi.org/10.1186/s12894-017-0225-3
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author Mader, Emily M.
Li, Hsin H.
Lyons, Kathleen D.
Morley, Christopher P.
Formica, Margaret K.
Perrapato, Scott D.
Irwin, Brian H.
Seigne, John D.
Hyams, Elias S.
Mosher, Terry
Hegel, Mark T.
Stewart, Telisa M.
author_facet Mader, Emily M.
Li, Hsin H.
Lyons, Kathleen D.
Morley, Christopher P.
Formica, Margaret K.
Perrapato, Scott D.
Irwin, Brian H.
Seigne, John D.
Hyams, Elias S.
Mosher, Terry
Hegel, Mark T.
Stewart, Telisa M.
author_sort Mader, Emily M.
collection PubMed
description BACKGROUND: Active surveillance is a management strategy for men diagnosed with early-stage, low-risk prostate cancer in which their cancer is monitored and treatment is delayed. This study investigated the primary coping mechanisms for men following the active surveillance treatment plan, with a specific focus on how these men interact with their social network as they negotiate the stress and uncertainty of their diagnosis and treatment approach. METHODS: Thematic analysis of semi-structured interviews at two academic institutions located in the northeastern US. Participants include 15 men diagnosed with low-risk prostate cancer following active surveillance. RESULTS: The decision to follow active surveillance reflects the desire to avoid potentially life-altering side effects associated with active treatment options. Men on active surveillance cope with their prostate cancer diagnosis by both maintaining a sense of control over their daily lives, as well as relying on the support provided them by their social networks and the medical community. Social networks support men on active surveillance by encouraging lifestyle changes and serving as a resource to discuss and ease cancer-related stress. CONCLUSIONS: Support systems for men with low-risk prostate cancer do not always interface directly with the medical community. Spousal and social support play important roles in helping men understand and accept their prostate cancer diagnosis and chosen care plan. It may be beneficial to highlight the role of social support in interventions targeting the psychosocial health of men on active surveillance.
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spelling pubmed-54228712017-05-12 Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty Mader, Emily M. Li, Hsin H. Lyons, Kathleen D. Morley, Christopher P. Formica, Margaret K. Perrapato, Scott D. Irwin, Brian H. Seigne, John D. Hyams, Elias S. Mosher, Terry Hegel, Mark T. Stewart, Telisa M. BMC Urol Research Article BACKGROUND: Active surveillance is a management strategy for men diagnosed with early-stage, low-risk prostate cancer in which their cancer is monitored and treatment is delayed. This study investigated the primary coping mechanisms for men following the active surveillance treatment plan, with a specific focus on how these men interact with their social network as they negotiate the stress and uncertainty of their diagnosis and treatment approach. METHODS: Thematic analysis of semi-structured interviews at two academic institutions located in the northeastern US. Participants include 15 men diagnosed with low-risk prostate cancer following active surveillance. RESULTS: The decision to follow active surveillance reflects the desire to avoid potentially life-altering side effects associated with active treatment options. Men on active surveillance cope with their prostate cancer diagnosis by both maintaining a sense of control over their daily lives, as well as relying on the support provided them by their social networks and the medical community. Social networks support men on active surveillance by encouraging lifestyle changes and serving as a resource to discuss and ease cancer-related stress. CONCLUSIONS: Support systems for men with low-risk prostate cancer do not always interface directly with the medical community. Spousal and social support play important roles in helping men understand and accept their prostate cancer diagnosis and chosen care plan. It may be beneficial to highlight the role of social support in interventions targeting the psychosocial health of men on active surveillance. BioMed Central 2017-05-08 /pmc/articles/PMC5422871/ /pubmed/28482875 http://dx.doi.org/10.1186/s12894-017-0225-3 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Mader, Emily M.
Li, Hsin H.
Lyons, Kathleen D.
Morley, Christopher P.
Formica, Margaret K.
Perrapato, Scott D.
Irwin, Brian H.
Seigne, John D.
Hyams, Elias S.
Mosher, Terry
Hegel, Mark T.
Stewart, Telisa M.
Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
title Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
title_full Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
title_fullStr Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
title_full_unstemmed Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
title_short Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
title_sort qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422871/
https://www.ncbi.nlm.nih.gov/pubmed/28482875
http://dx.doi.org/10.1186/s12894-017-0225-3
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