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The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis

Stephanie Hughes Orcid Logo, Hazel Everitt, Beth Stuart, Becky Band Orcid Logo

Psycho-Oncology, Volume: 33, Issue: 4

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1002/pon.6324

Abstract

BackgroundActive surveillance (AS) for prostate cancer (PCa) is a monitoring pathway for men with low-grade, slow growing PCa and aims to delay or avoid active treatment by treating only in the case of disease progression. Experiences of this pathway vary but living with an untreated cancer can have...

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Published in: Psycho-Oncology
ISSN: 1057-9249 1099-1611
Published: Wiley 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa70708
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spelling 2025-12-04T12:14:06.0494299 v2 70708 2025-10-16 The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2025-10-16 HSOC BackgroundActive surveillance (AS) for prostate cancer (PCa) is a monitoring pathway for men with low-grade, slow growing PCa and aims to delay or avoid active treatment by treating only in the case of disease progression. Experiences of this pathway vary but living with an untreated cancer can have a negative psychological impact on both the patient and their significant other (SO). Literature suggests partners are the primary source of support for men on AS, and therefore it is important to consider SO experiences alongside those of the patient. To the best of our knowledge this is the first UK-based qualitative review looking specifically at experiences of AS for both men with PCa and their SOs.MethodsMEDLINE (Ovid), EMBASE, PsychINFO, CINAHL and Cochrane Library were searched for literature reporting qualitative experiences of AS for PCa for either men on AS or SOs (or both). 2769 records were identified and screened, with 28 meeting the eligibility criteria. Qualitative data were synthesised and included men on AS (n = 428), and SOs (n = 51).ResultsExperiences of the AS pathway vary but reports of uncertainty and anxiety were present in the accounts of both men on AS and SOs. SOs are intertwined throughout every part of the PCa journey, and couples presented as a unit that were on AS together. Both patients and SOs expressed a need for more support, and highly valued peer support. Despite this finding, men expressed a dislike towards ‘support groups’.ConclusionsIncreased recognition in clinical practice of SO involvement in AS is needed. Further research is required to explore the specific types of support that would be most acceptable to this population to address the unmet support needs uncovered in this review. Journal Article Psycho-Oncology 33 4 Wiley 1057-9249 1099-1611 active surveillance; cancer; couples; experiences; oncology; partners; prostate cancer; qualitative; spouses 1 4 2024 2024-04-01 10.1002/pon.6324 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee Prostate Cancer Support Organisation 2025-12-04T12:14:06.0494299 2025-10-16T14:59:00.5737375 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Stephanie Hughes 0000-0003-4801-8245 1 Hazel Everitt 2 Beth Stuart 3 Becky Band 0000-0001-5403-1708 4 70708__35757__a794e45b88b04be8bb96af49eb279ebf.pdf 70708.VoR.pdf 2025-12-04T12:11:08.0017572 Output 821052 application/pdf Version of Record true © 2024 The Authors. This is an open access article under the terms of the Creative Commons Attribution License. true eng https://creativecommons.org/licenses/by/4.0/
title The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
spellingShingle The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
Becky Band
title_short The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
title_full The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
title_fullStr The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
title_full_unstemmed The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
title_sort The experiences of men on active surveillance for prostate cancer and their significant others: A qualitative synthesis
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Stephanie Hughes
Hazel Everitt
Beth Stuart
Becky Band
format Journal article
container_title Psycho-Oncology
container_volume 33
container_issue 4
publishDate 2024
institution Swansea University
issn 1057-9249
1099-1611
doi_str_mv 10.1002/pon.6324
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
active_str 0
description BackgroundActive surveillance (AS) for prostate cancer (PCa) is a monitoring pathway for men with low-grade, slow growing PCa and aims to delay or avoid active treatment by treating only in the case of disease progression. Experiences of this pathway vary but living with an untreated cancer can have a negative psychological impact on both the patient and their significant other (SO). Literature suggests partners are the primary source of support for men on AS, and therefore it is important to consider SO experiences alongside those of the patient. To the best of our knowledge this is the first UK-based qualitative review looking specifically at experiences of AS for both men with PCa and their SOs.MethodsMEDLINE (Ovid), EMBASE, PsychINFO, CINAHL and Cochrane Library were searched for literature reporting qualitative experiences of AS for PCa for either men on AS or SOs (or both). 2769 records were identified and screened, with 28 meeting the eligibility criteria. Qualitative data were synthesised and included men on AS (n = 428), and SOs (n = 51).ResultsExperiences of the AS pathway vary but reports of uncertainty and anxiety were present in the accounts of both men on AS and SOs. SOs are intertwined throughout every part of the PCa journey, and couples presented as a unit that were on AS together. Both patients and SOs expressed a need for more support, and highly valued peer support. Despite this finding, men expressed a dislike towards ‘support groups’.ConclusionsIncreased recognition in clinical practice of SO involvement in AS is needed. Further research is required to explore the specific types of support that would be most acceptable to this population to address the unmet support needs uncovered in this review.
published_date 2024-04-01T05:31:29Z
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