Practice Patterns and Patient Experience of Care Among US Veterans with Prostate Cancer: A 10-Year Scoping Review

Mital Patel, Erin Turner, Natalie C. Edwards, Olubiyi Aworunse, Samir Bhattacharyya
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Abstract

This study evaluated and synthesized the literature on prostate cancer practice patterns and patient experience of care within the US Veterans Affairs (VA) population. A scoping review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews standards. Search terms were prostate cancer, Veterans, treatment patterns, healthcare, resource, patient experience, quality of care, healthcare quality. The search was limited to human studies published in English in the past 10 years (2013-2022). Studies were included if they evaluated treatment patterns, health care resource use, and/or patient experience of care among US Veterans with prostate cancer. Among 150 included studies, most were retrospective VA database evaluations (n = 119, 79.3%) or retrospective cohort studies (n = 8, 5.3%), with the remaining being prospective observational cohort studies (n = 16, 10.7%), randomized controlled trials (n = 5, 3.3%), a meta-analysis (n = 1, 0.7%), and a provider survey (n = 1, 0.7%). Sample sizes ranged from 11 to 214,649 patients. The most common topics were pharmacological therapies (n = 28), racial/ethnic disparities (n = 27), and definitive radiation therapy or radical prostatectomy (n = 24). Some studies indicated Veterans may not have access to the same quality of prostate cancer care compared with the general population. Opportunities for improvement in shared decision making remain. Some findings from this scoping review indicate that Veterans may not have access to the same quality of prostate cancer care compared with the US general population. Research is needed to confirm whether observed practice pattern differences are warranted given the potential negative care impact.
美国退伍军人前列腺癌患者的诊疗模式和护理体验:十年范围审查
本研究评估并综合了有关美国退伍军人事务局(VA)人群中前列腺癌诊疗模式和患者护理体验的文献。 根据《系统综述和荟萃分析扩展报告的首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews)标准进行了范围界定综述。检索词为前列腺癌、退伍军人、治疗模式、医疗保健、资源、患者体验、护理质量、医疗保健质量。搜索仅限于过去 10 年(2013-2022 年)内用英语发表的人类研究。对美国退伍军人前列腺癌患者的治疗模式、医疗资源使用情况和/或患者就医体验进行评估的研究均被纳入。 在 150 项纳入的研究中,大部分是退伍军人数据库回顾性评估(119 项,占 79.3%)或回顾性队列研究(8 项,占 5.3%),其余为前瞻性观察性队列研究(16 项,占 10.7%)、随机对照试验(5 项,占 3.3%)、荟萃分析(1 项,占 0.7%)和医疗服务提供者调查(1 项,占 0.7%)。样本量从 11 到 214,649 例患者不等。最常见的主题是药物疗法(n = 28)、种族/民族差异(n = 27)以及确定性放射治疗或根治性前列腺切除术(n = 24)。一些研究表明,与普通人群相比,退伍军人可能无法获得同等质量的前列腺癌治疗。在共同决策方面仍有改进的余地。 本次范围界定综述的一些研究结果表明,与美国普通人群相比,退伍军人可能无法获得同等质量的前列腺癌治疗。鉴于潜在的负面护理影响,需要进行研究以确认观察到的实践模式差异是否合理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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