title: Prostate cancer and supportive care: a systematic review and qualitative synthesis of men's experiences and unmet needs.
abstract: Prostate cancer is the second most common cancer in men worldwide, accounting for an estimated 1.1 million new cases diagnosed in 2012 (www.globocan.iarc.fr). Currently, there is a lack of specific guidance on supportive care for men with prostate cancer. This article describes a qualitative systematic review and synthesis examining men's experience of and need for supportive care. Seven databases were searched; 20 journal articles were identified and critically appraised. A thematic synthesis was conducted in which descriptive themes were drawn out of the data. These were peer support, support from partner, online support, cancer specialist nurse support, self-care, communication with health professionals, unmet needs (emotional support, information needs, support for treatment-induced side effects of incontinence and erectile dysfunction) and men's suggestions for improved delivery of supportive care. This was followed by the development of overarching analytic themes which were: uncertainty, reframing, and the timing of receiving treatment, information and support. Our results show that the most valued form of support men experienced following diagnosis was one-to-one peer support and support from partners. This review highlights the need for improved access to cancer specialist nurses throughout the care pathway, individually tailored supportive care and psychosexual support for treatment side effects.
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors: A J L
authors: AJ
authors: King
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors: M
authors: M
authors: Evans
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors: T H M
authors: TH
authors: Moore
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors: C
authors: C
authors: Paterson
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors: D
authors: D
authors: Sharp
authors: Urology, Bristol Urological Institute Southmead Hospital, Bristol, UK.
authors: R
authors: R
authors: Persad
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors: A L
authors: AL
authors: Huntley
mesh_terms: D003142:Communication; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D020380:Needs Assessment; D011369:Professional-Patient Relations; D011471:Prostatic Neoplasms / Q000523:psychology / Q000628:therapy*; D012944:Social Support
keywords: peer support; prostate cancer; qualitative synthesis; specialist nurse; supportive care; systematic review
references: Eur J Cancer. 2010 Mar;46(4):765-81
references: 20116997
references: Eur J Cancer Care (Engl). 2014 Nov;23(6):795-802
references: 24661440
references: Can Fam Physician. 2000 Sep;46:1769-71
references: 11013795
references: Health Expect. 2009 Sep;12(3):301-12
references: 19754693
references: J Nurs Scholarsh. 2008;40(1):60-7
references: 18302593
references: Qual Health Res. 2008 Dec;18(12):1609-20
references: 18955461
references: Int J Nurs Stud. 2009 Oct;46(10):1345-54
references: 19358991
references: Patient Educ Couns. 2011 Aug;84(2):200-7
references: 20702055
references: Psychooncology. 2001 Jan-Feb;10(1):66-75
references: 11180578
references: Br J Cancer. 2008 Jun 17;98(12):1903-9
references: 18506142
references: Psychooncology. 2010 Sep;19(9):909-22
references: 20119934
references: Eur J Oncol Nurs. 2010 Apr;14(2):125-33
references: 19914133
references: Eur J Cancer Care (Engl). 2011 Jan;20(1):62-71
references: 20148937
references: Eur J Cancer Care (Engl). 2015 Sep;24(5):618-34
references: 25630851
references: J Cancer Educ. 2012 Jun;27(3):546-58
references: 22544536
references: Oncol Nurs Forum. 2011 Mar;38(2):189-98
references: 21356656
references: Eur J Cancer Care (Engl). 2013 Jul;22(4):522-9
references: 23730947
references: BJU Int. 2010 Oct;106(7):998-1003
references: 20230391
references: Psychooncology. 2005 Jun;14(6):442-9
references: 15386756
references: Br J Health Psychol. 2009 Sep;14(Pt 3):437-58
references: 18718111
references: BMC Med Res Methodol. 2008 Jul 10;8:45
references: 18616818
references: Clin J Oncol Nurs. 2012 Feb;16(1):65-72
references: 22297009
references: Appl Nurs Res. 2007 Nov;20(4):181-7
references: 17996804
references: J Health Serv Res Policy. 2007 Jan;12(1):42-7
references: 17244397
references: Cancer Nurs. 2015 Jan-Feb;38(1):E1-E12
references: 23357889
references: Br J Cancer. 2013 Oct 15;109(8):2121-30
references: 24064968
references: Int J Nurs Stud. 2008 May;45(5):765-74
references: 17482192
references: Cancer Nurs. 2010 Sep-Oct;33(5):382-9
references: 20562621
references: BMC Health Serv Res. 2008 Mar 27;8:65
references: 18371192
references: Qual Health Res. 2009 Apr;19(4):432-43
references: 19229061
references: J Clin Nurs. 2007 Apr;16(4):734-41
references: 17402955
references: Image J Nurs Sch. 1990 Winter;22(4):256-62
references: 2292449
references: Support Care Cancer. 2012 Jun;20(6):1183-92
references: 21625914