English, Article edition: Health-Related Quality-of-Life Assessments in Patients with Advanced Cancer of the Prostate Jan Adolfsson

User activity

Share to:
 
Bookmark: http://trove.nla.gov.au/version/94714
Physical Description
  • article
Language
  • English

Edition details

Title
  • Health-Related Quality-of-Life Assessments in Patients with Advanced Cancer of the Prostate
Author
  • Jan Adolfsson
Physical Description
  • article
Notes
  • Health-related quality of life (HR-QOL) research, in general, is developing. It is becoming increasingly recognised as being important and knowledge on how to assess HR-QOL is spreading. Modern HR-QOL research should assess prevalence and severity of symptoms or functions, as well as the bother that symptoms or changes in functions inflict and whether this bother affects the overall well-being of the patient. In the prostate cancer field, HR-QOL assessments have evolved rapidly during the last decade. The importance of HR-QOL and associated research in prostate cancer is being more and more appreciated. Most published studies concern patients with early prostate cancer; studies in patients with late advanced stages are less frequent. In early stages, patients often have no or few symptoms from the disease. HR-QOL aspects for these patients are thus often associated with anxiety and treatment adverse effects such as changes in sexual, urinary and bowel functions. Changes in these functions also often affect HR-QOL in patients with more advanced local stages of prostate cancer or metastatic disease. Moreover, HR-QOL in these patients is also affected by endocrine treatment aiming to castrate the patient. Monotherapy with antiandrogens as endocrine treatment may be the treatment alternative that affects HR-QOL the least. This alternative may, however, not be as effective as castration. In the palliative phase, patients with prostate cancer have problems common to patients dying of other cancers. HR-QOL research should be encouraged and the knowledge on how HR-QOL can be assessed needs to be disseminated. HR-QOL assessments should be as natural in outcomes research as survival assessments. The technology of assessing HR-QOL needs to be further investigated and improved particularly with respect to the understanding of differences in performance between instruments using summary scores and item-specific assessments. Also, we need an increased understanding of the mechanisms behind patients' trade-offs and of how information should be communicated to patients in order to give the best possibilities for making informed treatment decisions.
  • Antiandrogens, Pharmacoeconomics, Prostate cancer, Quality of life, Surgery
  • RePEc:wkh:phecon:v:21:y:2003:i:4:p:241-247
Language
  • English
Contributed by
OAIster

Get this edition

  • Set up My libraries

    How do I set up "My libraries"?

    In order to set up a list of libraries that you have access to, you must first login or sign up. Then set up a personal list of libraries from your profile page by clicking on your user name at the top right of any screen.

  • All (1)
  • Unknown (1)
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.

User activity


e.g. test cricket, Perth (WA), "Parkes, Henry"

Separate different tags with a comma. To include a comma in your tag, surround the tag with double quotes.

Be the first to add a tag for this edition

Be the first to add this to a list

Comments and reviews

What are comments? Add a comment

No user comments or reviews for this version

Add a comment