Impact on the quality of life and emotional well-being of patients with prostate cancer according to the treatment received

Impact on the quality of life and emotional well-being of patients with prostate cancer according to the treatment received

Felipe Botero-Rodríguez 1, Liz M. Martínez-Torres 2, Laura A. Vivas-Restrepo 2, Lucía López-Paternostro 2, Jennifer Clavijo-Marín 3, Juan G. Cataño 4

1 Departamento de Epidemiología Clínica y Bioestadística; Semillero de Epidemiología Clínica, Facultad de Medicina; Departamento de Psiquiatría y Salud Mental; Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia; 2 Semillero de Epidemiología Clínica, Facultad de Medicina, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia; 3 Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia; 4 Department of Urology, Unidad Funcional de Cáncer de Próstata y Tumores Genitourinarios, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia

*Correspondence: Felipe Botero-Rodríguez. Email: felipe.botero@javeriana.edu.co

Abstract

To describe and synthesize the existing evidence on the impact on the quality of life and emotional well-being of patients with prostate cancer according to the intervention received. We reviewed the literature in four databases (Medline, Embase, Bolsa de Valores en Salud [BVS], and PsycNet), including terms related to the treatment of prostate cancer, quality of life, and emotional well-being, and prostate cancer. We include 36 articles, which indicate an impact on the part of all the therapies evaluated, which, at the same time, may be mediated in part by the natural course of the disease or other associated factors. Symptoms related to urinary and sexual function of long-term patients were found to be more prevalent in negatively impacting the quality of life. However, some studies showed improved patient quality of life years after starting treatment, which may be related to an adaptive process and the response shift phenomenon. The different treatments for prostate cancer affect the quality of life due to the impact on activities of daily living. It makes periodic and timely assessment and follow-up in mental health pertinent, with cognitive and educational approaches for treating mental health symptoms and decreasing their symptoms burden of disease.

Keywords: Erectile dysfunction. Prostatic neoplasms. Mental health. Prostatectomy. Radiotherapy. Urinary incontinence.

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