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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Exploring patients’ experience and perception of being diagnosed with bladder cancer: a mixed-methods approach
BJU International, Volume 125, No. 5, Year 2020
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Description
Objective: To determine patient experience and perception following a diagnosis of non-muscle-invasive bladder cancer (NMIBC). Patient and methods: Patients were part of a prospective multicentre observational study recruiting patients with NMIBC for a urine biomarker study (DETECT II; ClinicalTrials.gov: NCT02781428). A mixed-methods approach comprising: (i) the Brief Illness Perception Questionnaire (Brief-IPQ) and (ii) semi-structured interviews to explore patients’ experience of having haematuria, and initial and subsequent experience with a NMIBC diagnosis. Both assessments were completed at 6 months after NMIBC diagnosis. Results: A total of 213 patients completed the Brief-IPQ. Patients felt that they had minimal symptoms (median [interquartile range, IQR] score 2 [0–5]) and were not particularly affected emotionally (median [IQR] score 3 [1–6]) with a minimal effect to their daily life (median [IQR] score 2 [0–5]). However, they remained concerned about their cancer diagnosis (median [IQR] score 5 [3–8]) and felt that they had no personal control over the cancer (median [IQR] score 2 [2–5]) and believed that their illness would affect them for some time (median [IQR] score 6 [3–10]). A significant association with a lower personal control of the disease (P ' 0.05) and a poorer understanding of the management of NMIBC (P ' 0.05) was seen in patients aged '70 years. Many patients were uncertain about the cause of bladder cancer. Qualitative analysis found that at initial presentation of haematuria, most patients were not aware of the risk of bladder cancer. Patients were most anxious and psychologically affected between the interval of cystoscopy diagnosis and transurethral resection of bladder tumour (TURBT). Following TURBT, most patients were positive about their cancer prognosis. Conclusion: Patients with NMIBC have a poor perception of disease control and believe that their disease will continue over a prolonged period of time. This is particularly more pertinent in the elderly. Patients are most psychologically affected during the interval between cancer diagnosis following cystoscopy and TURBT. Health awareness about bladder cancer remained poor with a significant number of patients unaware of the causes of bladder cancer. Psychological support and prompt TURBT following bladder cancer diagnosis would help improve the mental health of patients with NMIBC. © 2020 The Authors BJU International Published by John Wiley & Sons Ltd on behalf of BJU International.
Authors & Co-Authors
Tan, Weishen
United Kingdom, London
University College London
United Kingdom, Harrow
Northwick Park Hospital
Feber, Andrew
United Kingdom, London
University College London
United Kingdom, London
Ucl Cancer Institute
Williams, Norman R.
United Kingdom, London
University College London
Brew-Graves, Chris
United Kingdom, London
University College London
Kelly, John D.
United Kingdom, London
University College London
United Kingdom, London
University College London Hospitals Nhs Foundation Trust
Khetrapal, Pramit
Unknown Affiliation
Sridhar, Ashwin Narasimha
Unknown Affiliation
Baker, Hilary
Unknown Affiliation
Evans, Steve A.
Unknown Affiliation
Cook, Jonathan A.
Unknown Affiliation
Mills, Robert D.
Unknown Affiliation
Rané, Abhay R.M.
Unknown Affiliation
Collins, Gary S.
Unknown Affiliation
Harris, Marion T.
Unknown Affiliation
Wilson, David C.
Unknown Affiliation
Madaan, Sanjeev
Unknown Affiliation
Moore, James L.
Unknown Affiliation
Cain, Mark P.
Unknown Affiliation
Gregory, Helen
Unknown Affiliation
Mostafid, Hugh A.
Unknown Affiliation
Morrison, John C.
Unknown Affiliation
McDonald, K.
Unknown Affiliation
Henderson, Alex
Unknown Affiliation
Kotze, Maritha J.
Unknown Affiliation
Peracha, Amjad M.
Unknown Affiliation
Poile, Charlotte
Unknown Affiliation
Barber, Neil J.
Unknown Affiliation
Statistics
Citations: 17
Authors: 27
Affiliations: 6
Identifiers
Doi:
10.1111/bju.15008
ISSN:
14644096
Research Areas
Cancer
Health System And Policy
Mental Health
Study Design
Cohort Study
Study Approach
Qualitative