Quality of life and satisfaction among prostate cancer patients followed in a dedicated survivorship clinic

BACKGROUND Integrating quality‐of‐life (QOL) outcomes into clinics may assist providers in identifying and responding to problems experienced by cancer survivors. To date, however, patient‐reported outcomes (PROs) such as QOL are used infrequently to guide care. We integrated QOL assessments into a...

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Bibliographic Details
Published in:Cancer 2015-05, Vol.121 (9), p.1484-1491
Main Authors: Gilbert, Scott M., Dunn, Rodney L., Wittmann, Daniela, Montgomery, Jeffrey S., Hollingsworth, John M., Miller, David C., Hollenbeck, Brent K., Wei, John T., Montie, James E.
Format: Article
Language:English
Subjects:
Adult
Aged
Cancer
Cancer surgery
Clinics
Disease control
Follow-Up Studies
Humans
Male
Men
Middle Aged
Oncology
Oncology Service, Hospital
Patient satisfaction
Patients
Personal Satisfaction
Prostate cancer
Prostatectomy
Prostatic Neoplasms - psychology
Prostatic Neoplasms - surgery
Quality of Life
quality of life assessment
Survival
Survivors
survivorship care
Treatment Outcome
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Summary:BACKGROUND Integrating quality‐of‐life (QOL) outcomes into clinics may assist providers in identifying and responding to problems experienced by cancer survivors. To date, however, patient‐reported outcomes (PROs) such as QOL are used infrequently to guide care. We integrated QOL assessments into a prostate cancer survivorship clinic and compared recovery and satisfaction among men managed in the survivorship clinic with those followed with more routine care. METHODS We conducted a before‐after study comparing 235 men treated surgically for prostate cancer who received routine follow‐up care with 102 men managed in a survivorship clinic characterized by point‐of‐care QOL reporting and integration of QOL scores (EPIC) following radical prostatectomy. We then assessed baseline and postprostatectomy QOL at 6 and 12 months, as well as patient satisfaction, and compared outcomes between groups. RESULTS Although baseline QOL was comparable, scores were generally higher among the survivorship group at 6 months and 1 year compared with those followed with routine care. In particular, sexual function scores were significantly higher among patients managed in the survivorship clinic (52.2 vs 33.6 at 1 year, P 
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.29215