MP74: Prostate Cancer: Localized: Surgical Therapy IV
MP74-17: A new MOdel of care for men with emotional and sexual concerns after robotic surgery for prostate Cancer (MOCA)- a feasibility study of patient reported outcome measures
Introduction: Prostate cancer is an increasingly diagnosed problem. Previously, a pathway for patients post prostatectomy had been developed from patient focus group results. This was developed into a document for PCUK and NICE endorsed. The next step is a feasibility study to see if this pathway is a viable option for patients.
Methods: 20 patients were contacted via telephone and asked their opinion on the previously developed pathway, over a one month period, as part of quality improvement. Details were recorded as part of paitent reported outcome measures.
Results: 20 patients were contacted and 100% responded. Thematic analyses led to identification of the following subject areas and generation of overarching themes.
Subject
Themes generated
Side effects post-surgery and chemotherapy Requirement for additional CNS dedicated to chemo patients Gender related issues/ Age related issues Implementationof national standards for psychosexual care/ early access to therapy needed Standardized pathway for follow-up required Lack of therapy for emotional and sexual concerns including counselling and medical therapy or devices Post-operative problems for which specialist care is required Requirement for explanation on side effects of surgery
Age related issues- ED an issue to younger pts
Requirement for Tailored Care
Requirement for additional care if on chemotherapy or steroids
Faster side effect care
Pre-operative pathway requirement, including addressing incontinence and PFE
Impact on relationships- important to understand implications of operation Pre-operative counselling Additional CNS needed Access to continence devices Survivorship support group National pathway with continence devices and PFE and ED therapy
Younger patients- age related implications
Timing of pathway- early access
Pre-operative counselling
Failure to engage with therapy
Collaboration between primary and secondary care
Group therapy
The subject areas were drawn out of the patient focus group and healthcare professional interviews, after manual tabulation. Subject areas were identified by being highlighted and the overarching themes into which these fit were named.
Conclusions: This feasibility study demonstrates areas for further development of this pathway prior to implementation. This study highlights the acceptance of this pathway by patients having had prostate cancer surgery. Source of
