MP46-03 GENDER DIFFERENCES OF UNMET SUPPORTIVE CARE NEEDS IN RADICAL CYSTECTOMY PATIENTS ALONG THE SURVIVORSHIP CONTINUUM
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Résumé
You have accessJournal of UrologyCME1 Apr 2023MP46-03 GENDER DIFFERENCES OF UNMET SUPPORTIVE CARE NEEDS IN RADICAL CYSTECTOMY PATIENTS ALONG THE SURVIVORSHIP CONTINUUM Rhea Coriaty, Conrad Maciejewski, and Julie Trudel Rhea CoriatyRhea Coriaty More articles by this author , Conrad MaciejewskiConrad Maciejewski More articles by this author , and Julie TrudelJulie Trudel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003292.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The unmet supportive care needs of patients undergoing radical cystectomy might differ over the survivorship continuum and they have yet to be comprehensively assessed. Understanding the gender difference of radical cystectomy patients as it relates to their unmet needs is essential to optimize patient-centered care. The main objective of this quality improvement project is to compare the unmet needs between female and male radical cystectomy patients at the acute, extended and permanent phases of survivorship. METHODS: The participants were recruited from the Diana Wood Cancer Survivorship Clinic at the Ottawa Hospital between January 2019 and March 2022. This quality improvement project evaluated longitudinally the unmet supportive care needs before and after radical cystectomy (2-3 and 12 months post cystectomy). The Cancer Survivors Unmet Need Measure questionnaire (CaSUN) (Hodgkinson et al., 2007) was the validated questionnaire used, containing questions from 5 dimensions: Existential Survivorship, Comprehensive Care, Information, Quality of Life, Relationships. Chi-square and Fisher Exact tests were used for descriptive and proportion comparison analyses. RESULTS: The participants consisted of 118 radical cystectomy patients (response rate: 100%). The mean age was 68 years (range: 32 - 85 years) and 75% were male. The findings show statistically significant gender differences during the acute phase (before surgery). Women tend to have more needs related to quality of life (p=0.02), relationships (p=0.03) and pertaining to their existence as cancer survivors (p>0.05). As for Existential Survivorship, 51% of women had at least one supportive care need, compared to 36 % of men. For Quality of Life and Relationships, 41% and 35% of women had at least one supportive care need compared to 15% and 20% of men, respectively. CONCLUSIONS: There is a dearth of studies on differences of unmet supportive care needs between male and female radical cystectomy patients across survivorship continuum. The findings show a gender difference in unmet needs before radical cystectomy, which becomes less apparent with time. Women seem to have more needs regarding quality of life, relationships, and existence as a cancer survivor, thus needing help to make changes in their quality of life and to deal with the impact that cancer has had on their relationships with their partner. Also, women’s needs pertained to management of stress, emotional support and management about cancer recurrence. Addressing these findings would enhance women’s experience as survivors. Source of Funding: Diana Wood Cancer Survivorship Program © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e631 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rhea Coriaty More articles by this author Conrad Maciejewski More articles by this author Julie Trudel More articles by this author Expand All Advertisement PDF downloadLoading ...
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 | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,056 | 0,004 |
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 ».