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• W2130828049 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Sep 1998DIMENSIONS OF QUALITY OF LIFE IN PROSTATE CANCER ARNON KRONGRAD, MARK S. LITWIN, HONG LAI, and SHENGHAN LAI ARNON KRONGRADARNON KRONGRAD Supported by a grant from the Health Foundation of South Florida. More articles by this author , MARK S. LITWINMARK S. LITWIN More articles by this author , HONG LAIHONG LAI More articles by this author , and SHENGHAN LAISHENGHAN LAI More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62792-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Quality of life research in prostate cancer involves the use of many questionnaires and specific items that may be partly redundant. We examine dimensions of quality of life in prostate cancer in the hope of somewhat simplifying communication of basic information. Materials and Methods: We analyzed cross-sectional survey data on quality of life in patients with prostate cancer belonging to a Southern California HMO. Quality of life was assessed with the University of California, Los Angeles prostate cancer index. Scree plot and parallel analysis were used to identify factors for extraction and orthogonal (varimax) rotation to examine scale loadings. Results: Four extracted factors explained a cumulative variance of 86%. The 8 physical and emotional scales loaded on 1 general factor explained 41% of the cumulative variance. Urinary function and bother, sexual function and bother, and bowel function and bother scales loaded on factors explained 16, 15 and 14% of the cumulative variance, respectively. Conclusions: The observation of only 1 general quality of life factor diverges from consistent previous observations of distinct physical and emotional factors in other types of patients, and the tight interaction of emotional and physical scales supports the vulnerability hypothesis, “with age the increasing interactions across dimensions of health leave a patient vulnerable in all when any is affected.” The tight interaction of physical and emotional scales in these but not other patients opens the door theoretically to better evaluation of and targeting of health services for patients with prostate cancer. References 1 : Sex or survival: trade-offs between quality and quantity of life. J Clin. Oncol.1991; 9: 328. Crossref, Medline, Google Scholar 2 : Older patients' willingness to trade off urologic adverse outcomes for a better chance at five-year survival in the clinical setting of prostate cancer. J. Amer. Geriat. Soc.1995; 43: 379. 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Crossref, Medline, Google Scholar From the Departments of Urology, Medicine, and Epidemiology and Public Health, and Sylvester Comprehensive Cancer Center, University of Miami School of Medicine, and the Geriatric Research Education and Clinical Center, VA Medical Center, Miami, Florida, and Departments of Urology and Health Services, Schools of Medicine and Public Health, University of California, Los Angeles, Los Angeles, California© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited by Jayadevappa R, Chhatre S, Gallo J, Wittink M, Morales K, Bruce Malkowicz S, Lee D, Guzzo T, Caruso A, Van Arsdalen K, Wein A and Sanford Schwartz J (2015) Treatment preference and patient centered prostate cancer care: Design and rationaleContemporary Clinical Trials, 10.1016/j.cct.2015.09.024, VOL. 45, (296-301), Online publication date: 1-Nov-2015. 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Ko C, Rusin L, Schoetz D, Moreau L, Coller J, Murray J, Roberts P and Arnell T (2000) Does better functional result equate with better quality of life?Diseases of the Colon & Rectum, 10.1007/BF02238022, VOL. 43, NO. 6, (829-835), Online publication date: 1-Jun-2000. Volume 160Issue 3 Part 1September 1998Page: 807-810 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information ARNON KRONGRAD Supported by a grant from the Health Foundation of South Florida. More articles by this author MARK S. LITWIN More articles by this author HONG LAI More articles by this author SHENGHAN LAI More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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