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Localized Prostate Cancer Patients’ Information in Urology Outpatient Practice—Results of a Nationwide Prospective Study in Germany

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Journal of Cancer Therapy 2013年第4期4卷 3-10页

作者： Jens Jaeger Lothar WeiBbach holger pfaff Nicole Ernstmann University of Cologne Institute of Medical SociologyHealth Services Research and Rehabilitation Science(IMVR)CologneGermany Stiftung Maennergesundheit BerlinGermany.

Purpose: Many studies demonstrate the importance of an empathic communication with prostate cancer patients and show various information needs. Most of the studies are cross sectional. The present analysis aims to 1) provide detailed prospective data on the actual quality of patient information provided by urologists in private practice in Germany;and 2) explore sociodemographic, communicative, and health- and treatment related determinants of the quality of provider-patient-communication. Methods: HAROW is a prospective, observational study designed to collect clinical data and patient reported outcomes of different treatment options (hormonal therapy, active surveillance, radiation, operation, watchful waiting) for newly diagnosed patients with localized prostate cancer under real conditions. At 6-month intervals, general clinical data, patient reported outcomes and patients’ assessment of patient-physician-communication are documented. A total of 1893 questionnaires at t0 (initial diagnosis) and t1 (six months after diagnosis) were analyzed. A linear regression model was estimated. Results: The mean age of the men was 68.38 years, and most lived with their spouse or partner (94.1%). Most patients were informed about treatment options (t0 96%, t1 93.2%), but much fewer received information about self-help groups (t0 36.4%, t1 45.8%), rehabilitation (t0 59.9%, t1 68%), and second medical opinion (t0 57.2%, t1 59.3%). Older men (p = 0.02) and men living alone (p = 0.048) received less information than others. Physician empathy (p = 0.000) and prostatectomy treatment (p = 0.020) were positively associated with receiving more information. Conclusion: There is room for improvement in terms of informing prostate cancer patients about rehabilitation, second medical opinion and self-help groups. Urologists being empathetic share more information with their patients. Some patients receive less information than others, especially older patients living alone.

关键词： Prostate Cancer Patient Information Empathy

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Is WDLR （Wish for Decision Latitude Reduction） Linked to Work Engagement？ An Exploratory Study Among Knowledge Workers

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Psychology Research 2013年第7期3卷 385-395页

作者： Birgit S. Lehner Julia Jung Brigitte Stieler-Lorenz Anika Nitzsche Natalie Pomorin holger pfaff University of Cologne Cologne Germany Core BusinessDevelopment GmbH Berlin Germany University ofCologne Cologne Germany University ofDuisburg-Essen Essen Germany

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The association between critical life events, sociodemographic data and physical activity in the development of myocardial infarction in smokers and ex-smokers

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Open Journal of Preventive Medicine 2012年第3期2卷 403-409页

作者： Anna Schmidt Elke Driller Melanie Neumann Julia Jung Andrea Staratschek-Jox Christian Schneider Jürgen Wolf holger pfaff Department III for Internal Medicine University Hospital of Cologne Germany First Department of Internal Medicine Molecular Tumour Biology and Tumour Immunology & Centre for Integrated Oncology (CIO) University Hospital of Cologne Germany Gerhard Kienle Institute for Medical Theory Integrative and Anthroposophic Medicine Integrated Curriculum for Anthroposophic Medicine (ICURAM) Medical Department of the Private University of Witten/Herdecke Germany Institute for Medical Sociology Health Services Research and Rehabilitation Science (IMVR) Faculty of Human Science and Fac- ulty of Medicine University of Cologne Germany LIMES (Life and Medical Sciences Bonn) Genomics and Immunoregulation University of Bonn Germany

Background: Psychosocial factors attract interest in investigating the occurrence of cardiovascular disease. Design This study aimed to examine the impact of critical life events on the development of myocardial infarction in smokers and ex-smokers. We hypothesized that critical life events increase the risk of the disease. Methods: Data were taken from the Cologne Smoking Study (CoSmoS), a retrospective multicentre case-control study that examines which psychosocial factors may lead to a higher risk for smokers and ex-smokers of suffering from a myocardial infarction. Our sample consisted of n = 278 myocardial infarction participants and control participants. Both groups had a history of smoking. Logistic regression was used in the analysis. Results: The study results of the smoking and ex-smoking participants showed that sociodemographic data like gender and age have an effect on the development of myocardial infarction. Physical activity seems to offer protection aganist myocardial infarction. Final, the unexpected result that the experience of at least one critical life event seems to have a positive effect on health and so lowers the risk of myocardial infarction. Conclusions: Socio-demographic data and physical activity have an effect on the development of myocardial infarction. Participants with experience of critical life events appear to be strengthened after the events and possess adequate resources to protect their health.

关键词： Life Events Physical Activity Myocardial Infarction Smokers

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