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Disease insight and treatment perception of men on active surveillance for early prostate cancer
BJU International, 07/15/09

van den Bergh RCN et al. - In a study to investigate the levels of knowledge of prostate cancer (PCa) and perception of active surveillance (AS) in men on AS, it was found that adequate knowledge of PCa levels and realistic perceptions of the AS strategy in pts with early PCa and on AS was found. These findings suggest adequate counselling by the physician or pt self-education.

Methods

150 Dutch men recently diagnosed with early PCa participating in a prospective protocol-based AS programme (PRIAS study) received questionnaires, including a 15-item measure on their general knowledge of PCa, and open-ended questions on the most important disadvantages and advantages of AS, and on specific perception of AS.
Knowledge scores were assessed and potentially associated factors, the stated (dis)advantages and specific perceptions were explored.

Results

The questionnaire response rate was 86% (129/150).
Participants provided correct answers to a median (interquartile range) of 13 (12–14) of 15 (87%) knowledge items.
Younger and higher educated men had higher knowledge scores.
In line with a priori hypotheses, the most frequently reported advantage and disadvantage of AS were the delay of side-effects and risk of disease progression, respectively.
Specific negative experiences included the feeling of losing control over treatment decisions, distress at follow-up visits, and desire for a more active participation in disease management.
No conceptually wrong understandings or expectations of AS were identified.

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