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Published VersionCC BY-NC V4.0, Open Access
Journal article
Prostate cancer survivorship essentials framework: guidelines for practitioners
BJU International, Vol.128(S3), pp.18-29
2021
PMID: 32627306
Abstract
Objective:
To develop contemporary and inclusive prostate cancer survivorship guidelines for the Australian setting.
Participants and Methods:
A four-round iterative policy Delphi was used, with a 47-member expert panel that included leaders from key Australian and New Zealand clinical and community groups and consumers from diverse backgrounds, including LGBTQIA people and those from regional, rural and urban settings. The first three rounds were undertaken using an online survey (94–96% response) followed by a fourth final face-to-face panel meeting. Descriptors for men’s current prostate cancer survivorship experience were generated, along with survivorship elements that were assessed for importance and feasibility. From these, survivorship domains were generated for consideration.
Results:
Six key descriptors for men’s current prostate cancer survivorship experience that emerged were: dealing with side effects; challenging; medically focused; uncoordinated; unmet needs; and anxious. In all, 26 survivorship elements were identified within six domains: health promotion and advocacy; shared management; vigilance; personal agency; care coordination; and evidence-based survivorship interventions. Consensus was high for all domains as being essential. All elements were rated high on importance but consensus was mixed for feasibility. Seven priorities were derived for immediate action.
Conclusion:
The policy Delphi allowed a uniquely inclusive expert clinical and community group to develop prostate cancer survivorship domains that extend beyond traditional healthcare parameters. These domains provide guidance for policymakers, clinicians, community and consumers on what is essential for step change in prostate cancer survivorship outcomes.
Details
- Title
- Prostate cancer survivorship essentials framework: guidelines for practitioners
- Authors
- Jeff Dunn - Prostate Cancer Foundation of AustraliaAnna Green - University of Technology SydneyNicholas Ralph - University of Southern QueenslandRobert U. Newton - Edith Cowan UniversityAndrew Kneebone - Royal North Shore HospitalMark Frydenberg - Monash UniversitySuzanne K. Chambers (Corresponding Author) - University of Southern Queensland
- Publication details
- BJU International, Vol.128(S3), pp.18-29
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2021
- DOI
- 10.1111/bju.15159
- ISSN
- 1464-410X; 1464-4096
- PMID
- 32627306
- Copyright note
- © 2020 The Authors This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
- Organisation Unit
- School of Health
- Language
- English
- Record Identifier
- 991087497002621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Urology & Nephrology
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Source: InCites