Prostate Cancer Patients' Views on Digital Rectal Examination After Radiation Therapy
Author Information
Author(s): Clément Klein, Ninon Bosc, Sylvie Marty, Laura Calen, Candice Debard, Grégoire Robert, Thibaud Haaser
Primary Institution: University Hospital of Bordeaux
Hypothesis
How do prostate cancer patients perceive the omission of digital rectal examinations during follow-up after radiation therapy?
Conclusion
Patients maintain a positive perception of digital rectal examinations, particularly valuing them symbolically, even when they understand their low clinical utility.
Supporting Evidence
- 40% of patients believed DRE was as important as PSA for monitoring.
- 61% felt DRE indicated the oncologist's competence.
- 63% thought DRE showed concern for their health.
- 64% associated DRE with personal care from their oncologist.
- 36% expected to be examined at each consultation.
Takeaway
Many men who had prostate cancer treatment still think it's important to have a digital rectal exam, even if doctors say it's not necessary.
Methodology
A survey was conducted with 107 men in remission after radiotherapy for prostate cancer to assess their perceptions of the digital rectal examination.
Potential Biases
The study was conducted by a single radiation oncologist, which may introduce bias in patient responses.
Limitations
The study had a small sample size and was conducted at a single center, which may limit the generalizability of the findings.
Participant Demographics
Most participants were over 70 years old, with 69 receiving hormonal therapy.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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