Cargando…

Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic

Prostate cancer (PC) treatment leads to impairment of sexual function. The Prostate Cancer Supportive Care (PCSC) Program’s Sexual Rehabilitation clinic (SRC) assists patients and their partners with sexual recovery using a biopsychosocial approach to rehabilitation. This study characterizes patient...

Descripción completa

Detalles Bibliográficos
Autores principales: Wong, Julie, Witherspoon, Luke, Wu, Eugenia, Sheikholeslami, Sara, Liao, Wen, Yuen, Wallace, Bentley, Jenna, Zarowski, Christine, Sundar, Monita, Elliott, Stacy, Higano, Celestia S., Flannigan, Ryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589360/
https://www.ncbi.nlm.nih.gov/pubmed/33092185
http://dx.doi.org/10.3390/jcm9103363
_version_ 1783600560970137600
author Wong, Julie
Witherspoon, Luke
Wu, Eugenia
Sheikholeslami, Sara
Liao, Wen
Yuen, Wallace
Bentley, Jenna
Zarowski, Christine
Sundar, Monita
Elliott, Stacy
Higano, Celestia S.
Flannigan, Ryan
author_facet Wong, Julie
Witherspoon, Luke
Wu, Eugenia
Sheikholeslami, Sara
Liao, Wen
Yuen, Wallace
Bentley, Jenna
Zarowski, Christine
Sundar, Monita
Elliott, Stacy
Higano, Celestia S.
Flannigan, Ryan
author_sort Wong, Julie
collection PubMed
description Prostate cancer (PC) treatment leads to impairment of sexual function. The Prostate Cancer Supportive Care (PCSC) Program’s Sexual Rehabilitation clinic (SRC) assists patients and their partners with sexual recovery using a biopsychosocial approach to rehabilitation. This study characterizes patients seen in the SRC between July 2013–1 July 2019. Data was retrospectively abstracted from clinic records. In total, 965 patients were seen over 3391 appointments during the study period. Median age (standard deviation (SD)) was 66 years (SD = 7.1), 82.0% were partnered, yet 81.7% attended appointments alone. 88.0% were treated with surgery, 5.1% with brachytherapy, 3.7% with external beam radiation (EBRT), 1.8% with combined brachytherapy and EBRT, and 1.4% with androgen deprivation therapy. In total, 708 patients (73.4%) attended ≥1 follow-up appointment. Median time (SD) between end of prostate cancer treatment to first SRC appointment was 270 days (range 0–7766). The mean (SD) self-reported overall sexual satisfaction (extracted from International Index of Erectile Function-5 (IIEF-5)) significantly increased both with erectile aids (1.69 (SD = 1.52) to 2.26 (SD = 1.66), p < 0.001, n = 148) and without erectile aids (1.71 (SD = 1.44) to 2.35 (SD = 1.57), p < 0.001, n = 235). This study provides guidance for further investigation to refine treatment, wait-times, support, and/or resource offerings in this type of program.
format Online
Article
Text
id pubmed-7589360
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-75893602020-10-29 Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic Wong, Julie Witherspoon, Luke Wu, Eugenia Sheikholeslami, Sara Liao, Wen Yuen, Wallace Bentley, Jenna Zarowski, Christine Sundar, Monita Elliott, Stacy Higano, Celestia S. Flannigan, Ryan J Clin Med Article Prostate cancer (PC) treatment leads to impairment of sexual function. The Prostate Cancer Supportive Care (PCSC) Program’s Sexual Rehabilitation clinic (SRC) assists patients and their partners with sexual recovery using a biopsychosocial approach to rehabilitation. This study characterizes patients seen in the SRC between July 2013–1 July 2019. Data was retrospectively abstracted from clinic records. In total, 965 patients were seen over 3391 appointments during the study period. Median age (standard deviation (SD)) was 66 years (SD = 7.1), 82.0% were partnered, yet 81.7% attended appointments alone. 88.0% were treated with surgery, 5.1% with brachytherapy, 3.7% with external beam radiation (EBRT), 1.8% with combined brachytherapy and EBRT, and 1.4% with androgen deprivation therapy. In total, 708 patients (73.4%) attended ≥1 follow-up appointment. Median time (SD) between end of prostate cancer treatment to first SRC appointment was 270 days (range 0–7766). The mean (SD) self-reported overall sexual satisfaction (extracted from International Index of Erectile Function-5 (IIEF-5)) significantly increased both with erectile aids (1.69 (SD = 1.52) to 2.26 (SD = 1.66), p < 0.001, n = 148) and without erectile aids (1.71 (SD = 1.44) to 2.35 (SD = 1.57), p < 0.001, n = 235). This study provides guidance for further investigation to refine treatment, wait-times, support, and/or resource offerings in this type of program. MDPI 2020-10-20 /pmc/articles/PMC7589360/ /pubmed/33092185 http://dx.doi.org/10.3390/jcm9103363 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wong, Julie
Witherspoon, Luke
Wu, Eugenia
Sheikholeslami, Sara
Liao, Wen
Yuen, Wallace
Bentley, Jenna
Zarowski, Christine
Sundar, Monita
Elliott, Stacy
Higano, Celestia S.
Flannigan, Ryan
Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic
title Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic
title_full Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic
title_fullStr Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic
title_full_unstemmed Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic
title_short Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program’s Sexual Rehabilitation Clinic
title_sort clinic utilization and characteristics of patients accessing a prostate cancer supportive care program’s sexual rehabilitation clinic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589360/
https://www.ncbi.nlm.nih.gov/pubmed/33092185
http://dx.doi.org/10.3390/jcm9103363
work_keys_str_mv AT wongjulie clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT witherspoonluke clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT wueugenia clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT sheikholeslamisara clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT liaowen clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT yuenwallace clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT bentleyjenna clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT zarowskichristine clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT sundarmonita clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT elliottstacy clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT higanocelestias clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic
AT flanniganryan clinicutilizationandcharacteristicsofpatientsaccessingaprostatecancersupportivecareprogramssexualrehabilitationclinic