Developing a consensus statement for psychosocial support in active surveillance for prostate cancer

• Published in: BJUI compass 2023-01, Vol.4 (1), p.104-113
• Main Authors: Beckmann, Kerri, Cahill, Declan, Brown, Christian, Van Hemelrijck, Mieke, Kinsella, Netty
• Format: Article
• Language: English
• Subjects: active surveillance; consensus statement; Decision making; Delphi method; Delphi study; Literature reviews; Medical personnel; Patient education; Preferences; Prostate cancer; prostatic neoplasms; psychosocial support systems; Surveillance; Systematic review; Urology
• ISSN: 2688-4526; 2688-4526
• DOI: 10.1002/bco2.155

Purpose Our objective was to prioritise the psychosocial support needs of men on active surveillance for prostate cancer and to develop a consensus statement to provide guidance on best practice psychosocial support for men choosing active surveillance and their families. Subjects and methods We undertook a patient and public involvement Delphi process over two rounds, informed by qualitative data and a comprehensive literature review, to prioritise the information and support needs of men on active surveillance for prostate cancer. Two panels were surveyed, a patient/carer panel (n = 55) and a health care provider panel (n = 114). Based on the findings of the Delphi surveys, an expert active surveillance discussion group developed a consensus statement to guide best practice. Results Patients and health care professionals differed slightly in their ideas concerning priorities for active surveillance psychosocial support. Broadly, agreed priority areas included ‐patients being involved in decision‐making, continuity of care, more streamlined access to health care teams, improved understanding of the risk of prostate cancer progression and information and support provided through both health care professionals and peers. Based on the identified priorities, the expert discussion group agreed on 22 consensus statements for best practice in psychosocial care for active surveillance in respect of (1) principles of an active surveillance programme; (2) structure of consultations; (3) content of information and support; and (4) delivery of information. Conclusion This consensus statement provides a framework for patient‐focused psychosocial support, which, if adopted, should increase uptake and adherence to active surveillance among men with prostate cancer.