Barriers and enablers of active surveillance for prostate cancer: a qualitive study of clinicians
Details
Publication Year 2024-09-11,Volume 133,Issue #Suppl 3,Page 48-56
Journal Title
BJU International
Publication Type
Research article
Abstract
OBJECTIVES: To identify and explore barriers to, and enablers of active surveillance (AS) in men with low-risk prostate cancer (LRPC), as perceived by prostate cancer clinicians. SUBJECTS AND METHODS: Urologists and radiation oncologists in Australia and New Zealand were purposively sampled for a cross-section on gender and practice setting (metropolitan/regional; public/private). Using a grounded theory approach, semi-structed interviews were conducted with participants. Interviews were coded independently by two researchers using open, axial and selective coding. A constant comparative approach was used to analyse data as it was collected. Thematic saturation was reached after 18 interviews, and a detailed model of barriers to, and enablers of, AS for prostate cancer, as perceived by clinicians was developed. RESULTS: A model explaining what affects clinician decision making regarding AS in LRPC emerged. It was underpinned by three broad themes: (i) clinician perception of patients' barriers and enablers; (ii) clinician perception of their own barriers and enablers; and (iii) engagement with healthcare team and resource availability. CONCLUSIONS: Clinicians unanimously agree that AS is an evidence-based approach for managing LRPC. Despite this many men do not undergo AS for LRPC, which is due to the interplay of patient and clinician factors, and their interaction with the wider healthcare system. This study identifies strategies to mitigate barriers and enhance enablers, which could increase access to AS by patients with LRPC.
Publisher
Wiley
Keywords
Australia; New Zealand; Prostate cancer; active surveillance; qualitive methodology
Department(s)
Surgical Oncology
PubMed ID
37696615
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Refer to copyright notice on published article.


Creation Date: 2023-11-21 05:54:24
Last Modified: 2024-09-05 06:55:56

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