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  1. The CaPSURE database : A methodology for clinical practice and research in prostate cancer.

    Article - En anglais

    Objectives

    Implicit in the modern concept of patient outcome assessment is a shift from primary reliance on clinical indicators to a broader definition that includes physical, psychological, and social well-being.

    This is especially true of prostate cancer, where treatment can profoundly alter patient well-being.

    We have initiated a longitudinal observational database, CaPSURE (Cancer of the Prostate Strategic Urologic Research Endeavor) to document the impact of prostate cancer on resource utilization, clinical outcomes, health-related quality of life, and survival in typical practice settings.

    Methods

    Observational databases have been used in the treatment of other conditions.

    We have incorporated many well-tested elements in our study.

    Data are collected from two sources 

    The physician and the patient.

    The urologist enrolls eligible patients into the study, completes a medical history, and records current status, treatment, and laboratory results at each office visit.

    Patients complete quarterly questionnaires on health-related quality of life, resource utilization, work loss, and satisfaction with care.

    Results

    Currently 21 sites participate in CaPSURE with 1419 patients enrolled by April 1996.

    Twenty percent of patients are newly diagnosed with prostate cancer.

    Time since diagnosis averages 3.0 years (SD=3.1) ; mean age at diagnosis is 68.9 years (SD=7.9, range=39.6 to 90.7).

    The majority of patients (72%) are diagnosed with Stage B cancer. (...)

    Mots-clés Pascal : Adénocarcinome, Prostate, Base donnée, Informatique, Dépistage, Evolution, Traitement, Qualité vie, Coût, Résultat, Homme, Tumeur maligne, Appareil urinaire pathologie, Appareil génital mâle pathologie, Prostate pathologie, Informatique biomédicale, Economie santé

    Mots-clés Pascal anglais : Adenocarcinoma, Prostate, Database, Computer science, Medical screening, Evolution, Treatment, Quality of life, Costs, Result, Human, Malignant tumor, Urinary system disease, Male genital diseases, Prostate disease, Biomedical data processing, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0022803

    Code Inist : 002B28G. Création : 21/05/1997.