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Satisfaction with N...
Satisfaction with Nurse-led Follow-up in Prostate Cancer Patients-A Nationwide Population-based Study
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- Bergengren, Oskar (author)
- Uppsala universitet,Urologkirurgi
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- Kaihola, Helena, 1969- (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Borgefeldt, Ann-Charlotte (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Johansson, Eva (author)
- Uppsala universitet,Urologkirurgi
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- Garmo, Hans (author)
- Uppsala Univ Hosp, Reg Canc Ctr, Uppsala, Sweden.,Uppsala University Hospital
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- Bill-Axelson, Anna (author)
- Uppsala universitet,Urologkirurgi
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- English.
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In: European Urology Open Science. - : Elsevier. - 2666-1691 .- 2666-1683. ; 38, s. 25-31
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Abstract
Subject headings
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- Background: Satisfaction with nurse-led follow-up among men with prostate can-cer is high. However, it is unclear whether all men are satisfied or whether there are men who would benefit from being followed by a urologist or a nurse.Objective: To investigate the follow-up distribution between urologists and nurses, and whether the high self-reported satisfaction with nurse-led follow-up is inde-pendent of other factors such as age or comorbidity.Design, setting, and participants: All Swedish men, <= 70 yr of age, with a low-risk prostate cancer diagnosis in 2008, answered a questionnaire 7 yr after diagnosis. The extensive questionnaire included a question on satisfaction with care, answered on a seven-point scale. Participants were divided based on whether they were followed up by a nurse, a urologist, or both.Outcome measurements and statistical analysis: Factors that could influence the level of satisfaction were identified as age, edu-cation, comorbidity, treatment, disease progression, urinary bother, level of infor-mation, and participation in treatment decision. Likelihood ratio tests from ordinal regression were used to test the null hypothesis of similar satisfaction between groups.Results and limitations: Out of 1288 men, 1137 (88%) answered both the question on who performed the follow-up and the question regarding satisfaction. In all, 350 men reported that they were followed up by nurses (31%), 598 (52%) by urologists, and 189 (17%) by both. No differences in satisfaction where seen between the groups. Approximately 50% were satisfied completely, regardless of who performed the follow-up. Results were not affected by age, educational level, comorbidity, treatment, disease progression, urinary bother, information, or participation in treatment decision. Limitations include the nonrandomized, retrospective design and a potential recall bias.Conclusions: Satisfaction with nurse-led follow-up is high, regardless of factors such as age, level of education, comorbidity, and treatment.Patient summary: Men with prostate cancer can be offered nurse-led follow-up on a regular basis and still maintain their satisfaction with health care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- Active surveillance
- Low-risk prostate cancer
- Nurse-led follow-up
- Population based
- Satisfaction
- Self-reported
Publication and Content Type
- ref (subject category)
- art (subject category)
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