Notice bibliographique
Résumé
Purpose: There are well known negative consequences associated with the diagnosis, management and treatment of prostate cancer.We sought to determine what the perceived unmet information and supportive care needs of Canadian prostate cancer patients were according to treatment.Methods and Materials: Surveys were conducted in 2014-15 using a random sample of men diagnosed with PC in 2012 from three provincial cancer registries (BC, AB, SK).Survey questions included demographics, treatment received, information and support needs.Participants were asked if they had met or unmet needs within last two months regarding 42 topics included in six domains: physical, psychological, sexual, care and support, health information, and prostate cancer-specific.An unmet need (UMN) was defined in the survey as a need that was not fully met as a result of having prostate cancer or its treatments.Results: Provincial response rates ranged from 46%-55%.Patients (n = 810) were grouped into the following treatment categories: active surveillance (AS) (n = 37), watchful waiting (n = 25), surgery (S) (n = 294), S+external beam radiotherapy (EBRT) (n = 24), S+EBRT+hormone therapy (HT) (n = 22), EBRT (n = 68), EBRT+HT (n = 100), brachytherapy (BT) (n = 112), BT+HT (n = 19), EBRT+BT (n = 16), EBRT+BT+HT (n = 30), HT (n = 47), chemotherapy (CT) (n = 16).The mean total number of UMN (maximum 42) ranged from 1.8 to 8.5 across treatment groups.Patients who received local therapies had a higher mean total number of UMN (mean = 3.8) compared to AS (mean = 2.3) (p = 0.034).Treatment groups differed in mean UMN in the five physical domain questions (p = 0.001).Patients receiving CT (mean = 1.6) or EBRT+BT+HT (mean = 0.7) had higher UMN than all others (all means < 0.5).The groups also differed in their mean UMN in the eight prostate cancer specific domain topics (p = 0.04).CT patients had the highest UMN (mean = 1.7).Patients undergoing AS (mean = 0.4) had fewer UMN compared to radiation treatments (BT+HT, EBRT+BT+HT, EBRT+HT) (means = 0.9-1.3).Patients receiving BT+HT (mean = 1.3) had higher UMN compared to EBRT or BT alone (mean = 0.6 for each).Groups also differed in their mean UMN in the nine psychological domain topics (p = 0.05).CT patients (mean = 2.5) had higher UMN than other groups (means = 0.4-1.6).Surgical patients had higher sexual UMN (mean = 0.8) compared to other radiation local therapies (means=0.4-0.6)(p < 0.05) and AS (mean = 0.4) (p = 0.034).UMN regarding cancer fears, uncertainty, sexual feelings and relationships, loss of manhood or hot flushes were reported at high frequency (> 20%) in at least four of the treatment groups.Conclusions: There is a range of UMN for men with PC across different domains and differences between treatment groups.Identification of high UMN may serve as impetus to further address these needs by the healthcare system and community.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,015 | 0,003 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».