Emotional Distress Increases the Likelihood of Undergoing Surgery among Men with Localized Prostate Cancer.

ABSTRACT:

Purpose

We determined whether among men with clinically localized prostate cancer, particularly men with low risk disease, greater emotional distress increases the likelihood of undergoing surgery vs radiation or active surveillance.

Materials and methods

Participants were 1,531 patients recruited from 2 academic and 3 community facilities (nonHispanic white 83%, nonHispanic black 11% and Hispanic 6%; low risk 36%, intermediate risk 49% and high risk 15%; choice of active surveillance 24%, radiation 27% and surgery 48%). Emotional distress was assessed shortly after diagnosis and after men made a treatment decision with the Distress Thermometer. We used multinomial logistic regression with robust standard errors to test if emotional distress at either point predicted treatme

SUBMITTER: Orom H 

PROVIDER: S-EPMC5241229 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature