Determinants of self-reported functional status (EPIC-26) in prostate cancer patients prior to treatment

Purpose The self-reported functional status (sr-FS) of prostate cancer (PCa) patients varies substantially between patients and health-care providers before treatment. Information about this issue is important for evaluating comparisons between health-care providers and to assist in treatment decisi...

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Veröffentlicht in:World journal of urology 2021-01, Vol.39 (1), p.27-36
Hauptverfasser: Roth, Rebecca, Dieng, Sebastian, Oesterle, Alisa, Feick, Günter, Carl, Günther, Hinkel, Andreas, Steiner, Thomas, Kaftan, Björn Theodor, Kunath, Frank, Hadaschik, Boris, Oostdam, Simba-Joshua, Palisaar, Rein Jüri, Koralewski, Mateusz, Beyer, Burkhard, Haben, Björn, Tsaur, Igor, Wesselmann, Simone, Kowalski, Christoph
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container_end_page 36
container_issue 1
container_start_page 27
container_title World journal of urology
container_volume 39
creator Roth, Rebecca
Dieng, Sebastian
Oesterle, Alisa
Feick, Günter
Carl, Günther
Hinkel, Andreas
Steiner, Thomas
Kaftan, Björn Theodor
Kunath, Frank
Hadaschik, Boris
Oostdam, Simba-Joshua
Palisaar, Rein Jüri
Koralewski, Mateusz
Beyer, Burkhard
Haben, Björn
Tsaur, Igor
Wesselmann, Simone
Kowalski, Christoph
description Purpose The self-reported functional status (sr-FS) of prostate cancer (PCa) patients varies substantially between patients and health-care providers before treatment. Information about this issue is important for evaluating comparisons between health-care providers and to assist in treatment decision-making. There have been few reports on correlates of pretherapeutic sr-FS. The objective of the article, therefore, is to describe clinical and sociodemographic correlates of pretherapeutic sr-FS, based on a subset of the TrueNTH Global Registry, a prospective cohort study. Methods A total of 3094 PCa patients receiving local treatment in 44 PCa centers in Germany were recruited between July 2016 and April 2018. Multilevel regression models were applied to predict five pretherapeutic sr-FS (EPIC-26) scores based on clinical characteristics (standard set suggested by the International Consortium for Health Outcomes Measurement), sociodemographic characteristics, and center characteristics. Results Impaired pretherapeutic sr-FS tended to be associated with lower educational level and poorer disease characteristics—except for “urinary incontinence” which was only associated with age. Notably, age was a risk factor (“urinary incontinence,” “urinary irritative/obstructive,” “sexual”) as well as a protective factor (“hormonal”) for pretherapeutic sr-FS. Pretherapeutic sr-FS varies little across centers. Conclusions Pretherapeutic sr-FS varies by clinical patient characteristics and age as well as by socioeconomic status. The findings point out the benefit of collecting and considering socioeconomic information in addition to clinical and demographic patient characteristics for treatment decision-making and fair comparisons between health-care providers.
doi_str_mv 10.1007/s00345-020-03097-z
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Information about this issue is important for evaluating comparisons between health-care providers and to assist in treatment decision-making. There have been few reports on correlates of pretherapeutic sr-FS. The objective of the article, therefore, is to describe clinical and sociodemographic correlates of pretherapeutic sr-FS, based on a subset of the TrueNTH Global Registry, a prospective cohort study. Methods A total of 3094 PCa patients receiving local treatment in 44 PCa centers in Germany were recruited between July 2016 and April 2018. Multilevel regression models were applied to predict five pretherapeutic sr-FS (EPIC-26) scores based on clinical characteristics (standard set suggested by the International Consortium for Health Outcomes Measurement), sociodemographic characteristics, and center characteristics. Results Impaired pretherapeutic sr-FS tended to be associated with lower educational level and poorer disease characteristics—except for “urinary incontinence” which was only associated with age. Notably, age was a risk factor (“urinary incontinence,” “urinary irritative/obstructive,” “sexual”) as well as a protective factor (“hormonal”) for pretherapeutic sr-FS. Pretherapeutic sr-FS varies little across centers. Conclusions Pretherapeutic sr-FS varies by clinical patient characteristics and age as well as by socioeconomic status. The findings point out the benefit of collecting and considering socioeconomic information in addition to clinical and demographic patient characteristics for treatment decision-making and fair comparisons between health-care providers.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-020-03097-z</identifier><identifier>PMID: 32040715</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Decision making ; Medicine ; Medicine &amp; Public Health ; Nephrology ; Oncology ; Patients ; Prostate cancer ; Regression analysis ; Risk factors ; Sociodemographics ; Socioeconomic factors ; Topic Paper ; Urinary incontinence ; Urology</subject><ispartof>World journal of urology, 2021-01, Vol.39 (1), p.27-36</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. 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Information about this issue is important for evaluating comparisons between health-care providers and to assist in treatment decision-making. There have been few reports on correlates of pretherapeutic sr-FS. The objective of the article, therefore, is to describe clinical and sociodemographic correlates of pretherapeutic sr-FS, based on a subset of the TrueNTH Global Registry, a prospective cohort study. Methods A total of 3094 PCa patients receiving local treatment in 44 PCa centers in Germany were recruited between July 2016 and April 2018. Multilevel regression models were applied to predict five pretherapeutic sr-FS (EPIC-26) scores based on clinical characteristics (standard set suggested by the International Consortium for Health Outcomes Measurement), sociodemographic characteristics, and center characteristics. 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Information about this issue is important for evaluating comparisons between health-care providers and to assist in treatment decision-making. There have been few reports on correlates of pretherapeutic sr-FS. The objective of the article, therefore, is to describe clinical and sociodemographic correlates of pretherapeutic sr-FS, based on a subset of the TrueNTH Global Registry, a prospective cohort study. Methods A total of 3094 PCa patients receiving local treatment in 44 PCa centers in Germany were recruited between July 2016 and April 2018. Multilevel regression models were applied to predict five pretherapeutic sr-FS (EPIC-26) scores based on clinical characteristics (standard set suggested by the International Consortium for Health Outcomes Measurement), sociodemographic characteristics, and center characteristics. Results Impaired pretherapeutic sr-FS tended to be associated with lower educational level and poorer disease characteristics—except for “urinary incontinence” which was only associated with age. Notably, age was a risk factor (“urinary incontinence,” “urinary irritative/obstructive,” “sexual”) as well as a protective factor (“hormonal”) for pretherapeutic sr-FS. Pretherapeutic sr-FS varies little across centers. Conclusions Pretherapeutic sr-FS varies by clinical patient characteristics and age as well as by socioeconomic status. The findings point out the benefit of collecting and considering socioeconomic information in addition to clinical and demographic patient characteristics for treatment decision-making and fair comparisons between health-care providers.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32040715</pmid><doi>10.1007/s00345-020-03097-z</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4077-3708</orcidid><orcidid>https://orcid.org/0000-0002-2841-4921</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Decision making
Medicine
Medicine & Public Health
Nephrology
Oncology
Patients
Prostate cancer
Regression analysis
Risk factors
Sociodemographics
Socioeconomic factors
Topic Paper
Urinary incontinence
Urology
title Determinants of self-reported functional status (EPIC-26) in prostate cancer patients prior to treatment
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