Men's perceptions of prostate cancer diagnosis and care: insights from qualitative interviews in Victoria, Australia
The Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional area than for men in metropolitan Melbourne. We sought to explore the perceptions and experiences of prostate cancer diagnosis, treatment, and care of...
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Published in | BMC cancer Vol. 17; no. 1; p. 704 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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BioMed Central
27.10.2017
BMC |
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Abstract | The Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional area than for men in metropolitan Melbourne. We sought to explore the perceptions and experiences of prostate cancer diagnosis, treatment, and care of men diagnosed with prostate cancer who lived in regional or metropolitan areas and of men who had not been so diagnosed. Our goal was to contribute to the evidence from which can be built continuing improvements in prostate health care.
Using the qualitative method of in-depth interviews to gain access to explanation and meaning, we interviewed 21 men: 10 recruited through the Prostate Cancer Outcome Registry-Victoria and 11 from the community. Transcripts were analysed thematically.
We identified four main themes within which men discussed prostate cancer: Case-finding, Diagnosis, Treatment and Care, and Spreading the Word. Contrasts revealed between regional and metropolitan areas related mostly to the more limited supportive care in regional areas.
It is evident from the perspectives of these men that every aspect of prostate cancer care would benefit from attention: publicising the need to check prostate health, treatment, and supporting men in the years after treatment. Continuing to work on systemic improvements is an important goal for all those committed to men's health. |
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AbstractList | Abstract Background The Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional area than for men in metropolitan Melbourne. We sought to explore the perceptions and experiences of prostate cancer diagnosis, treatment, and care of men diagnosed with prostate cancer who lived in regional or metropolitan areas and of men who had not been so diagnosed. Our goal was to contribute to the evidence from which can be built continuing improvements in prostate health care. Methods Using the qualitative method of in-depth interviews to gain access to explanation and meaning, we interviewed 21 men: 10 recruited through the Prostate Cancer Outcome Registry-Victoria and 11 from the community. Transcripts were analysed thematically. Results We identified four main themes within which men discussed prostate cancer: Case-finding, Diagnosis, Treatment and Care, and Spreading the Word. Contrasts revealed between regional and metropolitan areas related mostly to the more limited supportive care in regional areas. Conclusions It is evident from the perspectives of these men that every aspect of prostate cancer care would benefit from attention: publicising the need to check prostate health, treatment, and supporting men in the years after treatment. Continuing to work on systemic improvements is an important goal for all those committed to men’s health. The Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional area than for men in metropolitan Melbourne. We sought to explore the perceptions and experiences of prostate cancer diagnosis, treatment, and care of men diagnosed with prostate cancer who lived in regional or metropolitan areas and of men who had not been so diagnosed. Our goal was to contribute to the evidence from which can be built continuing improvements in prostate health care. Using the qualitative method of in-depth interviews to gain access to explanation and meaning, we interviewed 21 men: 10 recruited through the Prostate Cancer Outcome Registry-Victoria and 11 from the community. Transcripts were analysed thematically. We identified four main themes within which men discussed prostate cancer: Case-finding, Diagnosis, Treatment and Care, and Spreading the Word. Contrasts revealed between regional and metropolitan areas related mostly to the more limited supportive care in regional areas. It is evident from the perspectives of these men that every aspect of prostate cancer care would benefit from attention: publicising the need to check prostate health, treatment, and supporting men in the years after treatment. Continuing to work on systemic improvements is an important goal for all those committed to men's health. Because otherwise, especially guys, I think, tend to turn off. - According to John, in the waiting room, men were treated ‘like a bunch of cattle’ and, with no anaesthetic, the procedure was painful and uncomfortable. John, regional, 56, prostate cancer Treatment side effects and quality of life Men who had been diagnosed with prostate cancer spoke about the side effects of their treatments; some men who had not been diagnosed also revealed awareness of side effects: hormonal symptoms (such as hot flushes), problems with the bowel and bladder (predominantly incontinence), and difficulties with sexual function. All participants gave informed consent. Because interviews were by telephone and there was a possibility that mailing or scanning and emailing a signed consent form could be onerous, participants were offered the option of giving formal oral consent at the beginning of the interview, once any questions about the process had been answered. BACKGROUNDThe Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional area than for men in metropolitan Melbourne. We sought to explore the perceptions and experiences of prostate cancer diagnosis, treatment, and care of men diagnosed with prostate cancer who lived in regional or metropolitan areas and of men who had not been so diagnosed. Our goal was to contribute to the evidence from which can be built continuing improvements in prostate health care.METHODSUsing the qualitative method of in-depth interviews to gain access to explanation and meaning, we interviewed 21 men: 10 recruited through the Prostate Cancer Outcome Registry-Victoria and 11 from the community. Transcripts were analysed thematically.RESULTSWe identified four main themes within which men discussed prostate cancer: Case-finding, Diagnosis, Treatment and Care, and Spreading the Word. Contrasts revealed between regional and metropolitan areas related mostly to the more limited supportive care in regional areas.CONCLUSIONSIt is evident from the perspectives of these men that every aspect of prostate cancer care would benefit from attention: publicising the need to check prostate health, treatment, and supporting men in the years after treatment. Continuing to work on systemic improvements is an important goal for all those committed to men's health. |
ArticleNumber | 704 |
Author | Evans, Susan Fisher, Jane Mazza, Danielle Ruseckaite, Rasa Kirkman, Maggie Young, Kate Millar, Jeremy |
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Cites_doi | 10.1002/pon.4043 10.1002/pon.3930 10.5694/j.1326-5377.2011.tb02977.x 10.1136/bmj.b4817 10.1111/jrh.12127 10.1111/j.1464-410X.2012.11530.x 10.1111/ecc.12286 10.1155/2013/540707 10.5694/mja12.11241 10.1002/1099-1611(200007/08)9:4<273::AID-PON463>3.0.CO;2-F 10.1002/pon.3867 10.1136/bmjopen-2012-002317 10.1191/1478088706qp063oa 10.1097/NCC.0b013e31827df2a9 10.1136/qhc.12.suppl_1.i25 10.1002/pon.3776 10.1177/1097184X06298777 10.1080/02841860500326000 10.1071/PY13078 10.1016/j.socscimed.2006.06.004 10.1097/NCC.0b013e3182747bef 10.1093/humrep/dev334 10.1038/pcan.2010.55 10.1186/s12894-016-0172-4 10.1007/s00520-013-2052-8 10.1177/135910530000500410 10.1037/hea0000171 10.1158/1055-9965.EPI-04-0522 |
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Keywords | Qualitative research Australia Prostate cancer Men’s health |
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Snippet | The Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional area than... Because otherwise, especially guys, I think, tend to turn off. - According to John, in the waiting room, men were treated ‘like a bunch of cattle’ and, with no... BACKGROUNDThe Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one Victorian regional... Abstract Background The Victorian Prostate Cancer Registry (Australia) revealed poorer rates of survival for men diagnosed with prostate cancer in one... |
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SubjectTerms | Antigens Australia Diagnosis Medical diagnosis Medical screening Mens health Men’s health Metropolitan areas Prostate cancer Qualitative research Rural areas |
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Title | Men's perceptions of prostate cancer diagnosis and care: insights from qualitative interviews in Victoria, Australia |
URI | https://www.ncbi.nlm.nih.gov/pubmed/29078768 https://www.proquest.com/docview/1958842365 https://search.proquest.com/docview/1957486566 https://pubmed.ncbi.nlm.nih.gov/PMC5659031 https://doaj.org/article/17a2a24f33e44e14aeed6ab3b867bb7a |
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