Limited attention has been given to the psychological impact of primary treatments in patients with prostate cancer. Aim of our analysis was to critically analyse the current evidence on the psychological impact of different primary treatments (surgery, radiotherapy and active surveillance), in patients with prostate cancer, using validated questionnaires. We searched in the MEDLINE and Cochrane library database from the literature of the past 15 years (primary fields: prostate neoplasm, AND radical prostatectomy or radiotherapy or active surveillance AND psychological distress or anxiety or depression; secondary fields: urinary, sexual, bowel modifications, non-randomised and randomised trials). Overall eighteen original and review articles were included and critically evaluated. Either radical prostatectomy or active surveillance and radiotherapy are well-tolerated in terms of definite anxiety and depression during the post-treatment follow-up. A mutual influence between functional and psychological modifications induced by treatments has been demonstrated. Urinary symptoms related to incontinence more than sexual and bowel dysfunction are able to induce psychological distress worsening. In conclusion, patients and their clinicians might wish to know how functional and psychological aspects may differently be influenced by treatment choice.

Psychological impact of different primary treatments for prostate cancer. a critical analysis / Maggi, M; Gentilucci, A; Salciccia, S; Gatto, A; Gentile, V; Colarieti, A; Von Heland, M; Busetto, Gm; Del Giudice, F; Sciarra, A.. - In: ANDROLOGIA. - ISSN 0303-4569. - 51:1(2019), pp. 1-10. [10.1111/and.13157]

Psychological impact of different primary treatments for prostate cancer. a critical analysis

Maggi M;Gentilucci A;Salciccia S;Colarieti A;Von Heland M;Busetto GM;Del Giudice F;Sciarra A.
2019

Abstract

Limited attention has been given to the psychological impact of primary treatments in patients with prostate cancer. Aim of our analysis was to critically analyse the current evidence on the psychological impact of different primary treatments (surgery, radiotherapy and active surveillance), in patients with prostate cancer, using validated questionnaires. We searched in the MEDLINE and Cochrane library database from the literature of the past 15 years (primary fields: prostate neoplasm, AND radical prostatectomy or radiotherapy or active surveillance AND psychological distress or anxiety or depression; secondary fields: urinary, sexual, bowel modifications, non-randomised and randomised trials). Overall eighteen original and review articles were included and critically evaluated. Either radical prostatectomy or active surveillance and radiotherapy are well-tolerated in terms of definite anxiety and depression during the post-treatment follow-up. A mutual influence between functional and psychological modifications induced by treatments has been demonstrated. Urinary symptoms related to incontinence more than sexual and bowel dysfunction are able to induce psychological distress worsening. In conclusion, patients and their clinicians might wish to know how functional and psychological aspects may differently be influenced by treatment choice.
2019
active surveillance; prostate neoplasm; psychological distress; radical prostatectomy; radiotherapy
01 Pubblicazione su rivista::01a Articolo in rivista
Psychological impact of different primary treatments for prostate cancer. a critical analysis / Maggi, M; Gentilucci, A; Salciccia, S; Gatto, A; Gentile, V; Colarieti, A; Von Heland, M; Busetto, Gm; Del Giudice, F; Sciarra, A.. - In: ANDROLOGIA. - ISSN 0303-4569. - 51:1(2019), pp. 1-10. [10.1111/and.13157]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1161062
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