Evidence map›Paper›PMID 32385837›Full record

Observational studyJournal of cancer survivorship : research and practice2020

Unmet expectations in prostate cancer patients and their association with decision regret.

Barbara M Wollersheim, Marie-Anne van Stam, Ruud J L H Bosch, Floris J Pos, Corinne N Tillier, Henk G van der Poel, Neil K Aaronson

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of cancer survivorship : research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
  2. Article
  3. Outcomes That Matter in Gastrointestinal Cancer Care: A Focus Group Study of Patient-Centred Outcomes Identified by Patients and Care Partners.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Decision regret in patients with rectal cancer undergoing multimodal therapy.Clinical and translational radiation oncology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. "Ultimately, You Realize You're on Your Own": The Impact of Prostate Cancer on Gay and Bisexual Men Couples.International journal of environmental research and public health · 2023
    Article
  15. Article
  16. Shared decision-making and the lessons learned about decision regret in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  17. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  18. Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  19. Article
  20. Hope versus reality: Parent expectations of genomic testing.Patient education and counseling · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Barbara M WollersheimDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Marie-Anne van StamNijmegen School of Management, Radboud University, Nijmegen, The Netherlands.
Ruud J L H BoschDepartment of Oncologic Urology, Franciscus Gasthuis & Vlietland, Rotterdam, The Netherlands.
Floris J PosDepartment of Radiation Oncology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Corinne N TillierDepartment of Urology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Henk G van der PoelDepartment of Urology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Neil K AaronsonDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands. n.aaronson@nki.nl.ORCID 0000-0003-2574-4850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInformation about prostate cancer patients' experiences with their treatment is crucial to optimize shared decision-making. This study examined unmet expectations in prostate cancer patients and their association with decision regret.

methodsWe conducted a prospective, observational, multi-center study of men diagnosed with localized prostate cancer between 2014 and 2016. Questionnaires were completed at baseline (pre-treatment), and up to 12 months after treatment. Unmet expectations were reported as the proportion of patients who experienced side effects as worse than expected. Linear regression analysis was used to identify factors associated significantly (p ≤ 0.05) with unmet expectations and its association with decision regret.

resultsAt 1-year follow-up, the majority of the patients (71%, 210/296) reported at least one unmet expectation. The proportion of patients who reported worse than expected erectile problems was 56%, recovery period = 29%, urinary problems = 28%, fatigue = 24%, and bowel problems = 17%. Unmet expectations were comparable between treatment groups, except for fatigue. A passive role in the decision-making process (eta squared (η

conclusionsUnmet expectations are common among men treated for localized prostate cancer. Involving patients in the treatment decision-making process and offering additional counseling to patients who indicate uncertainty about their decision, may help to avoid unmet expectations. IMPLICATIONS FOR CANCER SURVIVORS: The current study emphasizes the need for involving prostate cancer patients in the decision-making process in order to mitigate unmet expectations.

Indexed as

Choice BehaviorConflict, PsychologicalDecision MakingEmotionsAgedAged, 80 and overCancer SurvivorsHumansLongitudinal StudiesMaleMiddle AgedPatient ParticipationProspective StudiesProstatic NeoplasmsSurveys and QuestionnairesDecision regretProstate cancerShared decision-makingUnmet expectations

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.