Nicole Ernstmann|L. Weißbach|Jan Herden|Nicola Winter|Lena Ansmann
Patient–physician communication and health?related quality of life of patients with localised prostate cancer undergoing radical prostatectomy – a longitudinal multilevel analysis
University Hospital Bonn|University Hospital Cologne|University Hospital Cologne|University of Cologne
objectives examine whether patientphysician communication associated healthrelated quality life hrq ol sample patients localised prostate cancer undergoing radical prostatectomy rp patients methods harow hormonal therapy active surveillance radiation operation watchful waiting prospective observational study designed collect data different treatment options newly diagnosed patients localised prostate cancer reallife conditions 6months intervals clinical data damico risk categories charlson comorbidity index aspects patientprovider communication standardised psychosocialcare instrument patients assessment communication cologne patient questionnaire hrq ol european organization research treatment cancer quality life questionnaire assessed data analysed longitudinal multilevel analysis results completed questionnaires 1772 patients undergoing rp analysed 3year followup period patients rated patientprovider communication generally high slight variations course treatment 3238 hrq ol patients varied substantial time reported subscales global hrq ol 711772 physical functioning 891921 role functioning 810881 emotional functioning 744840 cognitive functioning 843877 social functioning 777840 longitudinal multilevel models showed significant associations patientprovider communication terms devotion support shared decisionmaking functional aspects hrq ol conclusion patientprovider communication valuable resource support patients prostate cancer coping disease improve hrq ol future interventions designed especially urologists enhance awareness importance communication relationship patients prostate cancer treatment outcomes