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Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders

OBJECTIVES: We looked at subjective attitude towards active surveillance (AS) as the first option for cancer management in a cohort of patients seeking first medical help for uroandrological disorders prior to a formal discussion with a caregiver. DESIGN: Cross-sectional observational study. SETTING...

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Autores principales: Capogrosso, Paolo, Boeri, Luca, Ventimiglia, Eugenio, Camozzi, Ilenya, Cazzaniga, Walter, Chierigo, Francesco, Scano, Roberta, Briganti, Alberto, Montorsi, Francesco, Salonia, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119427/
https://www.ncbi.nlm.nih.gov/pubmed/30158231
http://dx.doi.org/10.1136/bmjopen-2018-022495
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author Capogrosso, Paolo
Boeri, Luca
Ventimiglia, Eugenio
Camozzi, Ilenya
Cazzaniga, Walter
Chierigo, Francesco
Scano, Roberta
Briganti, Alberto
Montorsi, Francesco
Salonia, Andrea
author_facet Capogrosso, Paolo
Boeri, Luca
Ventimiglia, Eugenio
Camozzi, Ilenya
Cazzaniga, Walter
Chierigo, Francesco
Scano, Roberta
Briganti, Alberto
Montorsi, Francesco
Salonia, Andrea
author_sort Capogrosso, Paolo
collection PubMed
description OBJECTIVES: We looked at subjective attitude towards active surveillance (AS) as the first option for cancer management in a cohort of patients seeking first medical help for uroandrological disorders prior to a formal discussion with a caregiver. DESIGN: Cross-sectional observational study. SETTING: Uroandrological outpatient clinic of a European academic centre. PARTICIPANTS: Data of 1059 patients at their first access for uroandrological purposes from January 2014 to December 2016 were analysed. INTERVENTION: Patients were invited to complete a survey with closed questions investigating their attitude towards AS, prior to any clinical evaluation. Likewise, patients were invited to score the importance given to different aspects of personal life in the case of a cancer diagnosis, using a 10-point Likert scale. PRIMARY AND SECONDARY OUTCOMES MEASURES: The reported opinion towards AS management for cancer was assessed. Logistic regression analyses tested participants’ sociodemographic characteristics associated with a positive opinion on AS. RESULTS: Positive, negative and doubtful attitudes towards AS were observed in 347 (33%), 331 (31%) and 381 (36%) patients, respectively. Female patients were more likely to report a negative attitude towards AS (38.7% vs 29.6%, p=0.04) while patients with previous parenthood more frequently reported a positive opinion on AS (37.2% vs 29.9%, p=0.005). Patient age emerged as the only predictor of a positive attitude towards AS (OR 1.03; 95% CI 1.01 to 1.04, p<0.001), with a 46% and 33% probability of being pro-AS for a patient aged 65 and 45 years, respectively. CONCLUSIONS: One out of three patients would express positive feedbacks on AS in the unfortunate case of tumour diagnosis, only according to his/her baseline personal opinion and prior to any discussion with a cancer caregiver. The older the patient, the higher the probability of being compliant with a conservative management for cancer.
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spelling pubmed-61194272018-09-04 Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders Capogrosso, Paolo Boeri, Luca Ventimiglia, Eugenio Camozzi, Ilenya Cazzaniga, Walter Chierigo, Francesco Scano, Roberta Briganti, Alberto Montorsi, Francesco Salonia, Andrea BMJ Open Urology OBJECTIVES: We looked at subjective attitude towards active surveillance (AS) as the first option for cancer management in a cohort of patients seeking first medical help for uroandrological disorders prior to a formal discussion with a caregiver. DESIGN: Cross-sectional observational study. SETTING: Uroandrological outpatient clinic of a European academic centre. PARTICIPANTS: Data of 1059 patients at their first access for uroandrological purposes from January 2014 to December 2016 were analysed. INTERVENTION: Patients were invited to complete a survey with closed questions investigating their attitude towards AS, prior to any clinical evaluation. Likewise, patients were invited to score the importance given to different aspects of personal life in the case of a cancer diagnosis, using a 10-point Likert scale. PRIMARY AND SECONDARY OUTCOMES MEASURES: The reported opinion towards AS management for cancer was assessed. Logistic regression analyses tested participants’ sociodemographic characteristics associated with a positive opinion on AS. RESULTS: Positive, negative and doubtful attitudes towards AS were observed in 347 (33%), 331 (31%) and 381 (36%) patients, respectively. Female patients were more likely to report a negative attitude towards AS (38.7% vs 29.6%, p=0.04) while patients with previous parenthood more frequently reported a positive opinion on AS (37.2% vs 29.9%, p=0.005). Patient age emerged as the only predictor of a positive attitude towards AS (OR 1.03; 95% CI 1.01 to 1.04, p<0.001), with a 46% and 33% probability of being pro-AS for a patient aged 65 and 45 years, respectively. CONCLUSIONS: One out of three patients would express positive feedbacks on AS in the unfortunate case of tumour diagnosis, only according to his/her baseline personal opinion and prior to any discussion with a cancer caregiver. The older the patient, the higher the probability of being compliant with a conservative management for cancer. BMJ Publishing Group 2018-08-29 /pmc/articles/PMC6119427/ /pubmed/30158231 http://dx.doi.org/10.1136/bmjopen-2018-022495 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Urology
Capogrosso, Paolo
Boeri, Luca
Ventimiglia, Eugenio
Camozzi, Ilenya
Cazzaniga, Walter
Chierigo, Francesco
Scano, Roberta
Briganti, Alberto
Montorsi, Francesco
Salonia, Andrea
Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
title Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
title_full Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
title_fullStr Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
title_full_unstemmed Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
title_short Attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
title_sort attitude towards active surveillance: a cross-sectional survey among patients with uroandrological disorders
topic Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119427/
https://www.ncbi.nlm.nih.gov/pubmed/30158231
http://dx.doi.org/10.1136/bmjopen-2018-022495
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