title: Symptom burden and information needs in prostate cancer survivors: a case for tailored long-term survivorship care.
abstract: To determine the relationship between long-term prostate cancer survivors' symptom burden and information needs.
  
  
  
  We used population-based data from the Michigan Prostate Cancer Survivor Study (2499 men). We examined unadjusted differences in long-term information needs according to symptom burden and performed multivariable logistic regression to examine symptom burden and information needs adjusting for patient characteristics.
  
  
  
  High symptom burden was reported across all domains (sexual 44.4%, urinary 14.4%, vitality 12.7%, bowel 8.4%, emotional 7.6%) with over half of respondents (56%) reporting they needed more information. Top information needs involved recurrence, relationships, and long-term effects. Prostate cancer survivors with high symptom burden more often searched for information regardless of domain (P < 0.05). High sexual burden was associated with greater need for information about relationships [odds ratio (OR) 2.05, 95% confidence interval (CI) 1.54-2.72] and long-term effects (OR 1.60, 95% CI 1.23-2.07). High bowel burden was associated with greater information need for long-term effects (OR 2.28, 95% CI 1.43-3.63).
  
  
  
  Long-term prostate cancer survivors with high symptom burden need more supportive information. Tailoring information to these needs may be an efficient approach to support the growing population of long-term prostate cancer survivors.
authors.affiliation: Indiana University, Indianapolis, IN, USA.
authors.forename: Jennifer K
authors.identifier: 0000-0003-0096-0987
authors.initials: JK
authors.lastname: Bernat
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Daniela A
authors.initials: DA
authors.lastname: Wittman
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Sarah T
authors.initials: ST
authors.lastname: Hawley
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Hamstra
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Helfand
authors.affiliation: Indiana University, Indianapolis, IN, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Haggstrom
authors.affiliation: Michigan Public Health Institute, Okemos, MI, USA.
authors.forename: May
authors.initials: M
authors.lastname: Darwish-Yassine
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.|VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
authors.forename: Ted A
authors.initials: TA
authors.lastname: Skolarus
mesh_terms: D000359:Aftercare; D000368:Aged; D054626:Consumer Health Information; D003430:Cross-Sectional Studies; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000401:mortality; D015996:Survival Rate; D017741:Survivors
keywords: information needs; quality; self-management; survivorship; tailoring