{"doi":"10.1016/j.urolonc.2015.08.017","title":"Low self-efficacy is associated with decreased emergency department use in underserved men with prostate cancer","abstract":null,"journal":"Urologic Oncology: Seminars and Original Investigations","year":2016,"id":653829,"datarank":0.5877087268989125,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"self_citation_contribution":0.32958368660043297,"citation_network_contribution":0.2581250402984795,"self_endowment_contribution":0.32958368660043297,"citer_contribution":0.2581250402984795,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":8,"citers_with_citation_signal":6,"citers_with_endowment":6,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1392028,"name":"Lorna Kwan","orcid":"0000-0003-2087-6811","position":1,"is_corresponding":false},{"id":1035278,"name":"Sarah E. Connor","orcid":null,"position":2,"is_corresponding":false},{"id":1706055,"name":"Sally L. Maliski","orcid":null,"position":3,"is_corresponding":false},{"id":977388,"name":"Mark S. Litwin","orcid":"0000-0002-2318-344X","position":4,"is_corresponding":false},{"id":1706054,"name":"Avi S. Baskin","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Low self-efficacy is associated with decreased emergency department use in underserved men with prostate cancer","abstract":"<h4>Background</h4>Self-efficacy has been strongly associated with health behavior and health maintenance. We examined the relationship between patient-provider self-efficacy and emergency department usage in low-income, underinsured, or uninsured patients with prostate cancer.<h4>Methods</h4>We prospectively analyzed quality of life, behavior, and self-efficacy data from men enrolled in a state-funded program providing free prostate cancer care. We summarized patient characteristics stratified by self-efficacy scores (high, mid, and low) and by emergency department visit (any vs. none). We conducted a multivariate repeated measures regression analysis with negative binomial distribution to calculate predicted counts of emergency department visits over time across the self-efficacy strata.<h4>Results</h4>Our cohort included 469 men with a maximum follow-up time of 84 months. Of these men, 70 had visited the emergency department during their enrollment for a total of 118 unique visits. The regression analysis demonstrated a decreasing number of emergency department visits over time for the low (P = 0.0633) and mid (P = 0.0450) self-efficacy groups but not for the high self-efficacy group (P = 0.1155). Pain (22.9%), urinary retention (18.6%), and fever (5.9%) were the most common reasons for emergency department visits.<h4>Conclusions</h4>Patients with low and mid self-efficacy had a decreasing number of emergency department usage over time. Those with high self-efficacy did not follow these trends. Interventions to improve communication between patients and primary treatment teams could prove beneficial in avoiding excess emergency department use.","is_dataset_classified":null,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"26411548","pmcid":null,"openalex_id":"https://openalex.org/W1755323604","authors":[],"funders":[],"total_grants":0,"fwci":0.2625,"citation_percentile":0.57310061,"influential_citations":0,"citation_trend":[{"year":2017,"count":1},{"year":2018,"count":1},{"year":2021,"count":2},{"year":2022,"count":1},{"year":2024,"count":2},{"year":2025,"count":1}],"oa_status":"closed","license":"https://www.elsevier.com/legal/tdmrep-license","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S1078143915004408?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1078143915004408?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.urolonc.2015.08.017","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/26411548","host_type":"repository"}],"fields_of_study":["Cancer survivorship and care","Medication Adherence and Compliance","Global Cancer Incidence and Screening"],"mesh_terms":["Emergency Service, Hospital","Follow-Up Studies","Humans","Male","Medically Underserved Area","Middle Aged","Prognosis","Prospective Studies","Prostatic Neoplasms","Quality of Life","Stress, Psychological","Self Efficacy","Neoplasm Grading"],"keywords":["Emergency department","Underinsured","Medicine","Psychological intervention","Prostate cancer","Self-efficacy","Emergency medicine","Cohort","Health care","Cancer","Internal medicine","Health insurance","Psychology","Psychiatry","Emergency Departments","Self Efficacy","Health Services Accessibility","Vulnerable Populations"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"No poverty"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-11T01:15:33.530238Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}