Open AccessPatient perceptions and preferences about prostate fiducial markers and ultrasound motion monitoring procedures in radiation therapy treatment
Author(s) -
Brown Amy,
Pain Tilley,
Preston Robyn
Publication year - 2021
Publication title -
journal of medical radiation sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.484
H-Index - 18
eISSN - 2051-3909
pISSN - 2051-3895
DOI - 10.1002/jmrs.438
Subject(s) - preference , perception , fiducial marker , medicine , prostate cancer , population , descriptive statistics , clarity , family medicine , psychology , physical therapy , medical physics , clinical psychology , radiology , cancer , biochemistry , statistics , chemistry , mathematics , environmental health , neuroscience , economics , microeconomics
Abstract Introduction Patient experiences and preferences of image‐guidance procedures in prostate cancer radiotherapy are largely unknown. This study explored experiences and preferences of patients undergoing both fiducial marker (FM) insertion and Clarity ultrasound (US) procedures. Methods A sequential explanatory mixed method approach was used. A questionnaire ( n = 40) ranked experiences from 0 to 10 (worst) in the domains of invasiveness; pain; physical discomfort; and psychological discomfort. Responses were analysed with descriptive and inferential statistics. Semi‐structured interviews ( n = 22) obtained further insights into their perspectives and preferences and were thematically analysed. Results Perceptions of invasiveness varied with 46% reporting FMs more invasive than US and 49% the same for the two procedures. The mean score for FM was 3.6 and 2.1 for US. Mean scores for pain, physical and psychological discomfort were higher for FMs with 3.3, 3.2 and 2.9, respectively, and 1.1, 1.2 and 1.7 respectively for US, only pain achieved significance ( P < 0.05). Three themes emerged from the interviews: Expectations versus Experience; Preferences linked to Priorities; and Motivations. Eleven patients (50%) preferred US; however, 10 (45%) could not illicit a preference. Conclusion Participants found both of the FM and US image‐guidance procedures tolerable and acceptable. Men’s preference was elusive, suggesting a more rigorous preference methodology is required to understand preferences in this population.