Influence of migrant background on patient preference and expectations in breast and gynecological malignancies (NOGGO-expression V study): results of a prospective multicentre study in 606 patients in Germany.

Autor: Dimitrova D; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Naghavi B; Charité Comprehensive Cancer Center, Charité University Medicine, Berlin, Germany., Richter R; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Nasser S; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Chekerov R; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Braicu EI; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., David M; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Blohmer J; Department of Gynecology and Breast Care Center, Charité University Medicine, Charité Campus Mitte, Berlin, Germany., Inci G; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany., Torsten U; Department of Gynecology, Vivantes Klinikum Neukölln Berlin, Berlin, Germany., Oskay-Özcelik G; Gynecological Oncology Medical Practice Berlin Spandau, Berlin, Germany., Blau I; Medical Care Center Evangelisches Waldkrankenhaus am Standort Pankow, Berlin, Germany., Fersis N; Helios Klinikum Duisburg, Duisburg, Germany., Holzgreve A; Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany., Keil E; Klinik Oranienburg, Oberhavel Kliniken GmbH, Oranienburg, Germany., Keller M; North-Eastern-German Society of Gynecological Oncology, Oranienburg, Germany., Keilholz U; Charité Comprehensive Cancer Center, Charité University Medicine, Berlin, Germany., Sehouli J; Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. jalid.sehouli@charite.de.
Jazyk: angličtina
Zdroj: BMC cancer [BMC Cancer] 2021 Sep 12; Vol. 21 (1), pp. 1018. Date of Electronic Publication: 2021 Sep 12.
DOI: 10.1186/s12885-021-08731-6
Abstrakt: Background: An effective cross-cultural doctor-patient communication is vital for health literacy and patient compliance. Building a good relationship with medical staff is also relevant for the treatment decision-making process for cancer patients. Studies about the role of a specific migrant background regarding patient preferences and expectations are lacking. We therefore conducted a multicentre prospective survey to explore the needs and preferences of patients with a migrant background (PMB) suffering from gynecological malignancies and breast cancer to evaluate the quality of doctor-patient communication and cancer management compared to non-migrants (NM).
Methods: This multicentre survey recruited patients with primary or recurrence of breast, ovarian, peritoneal, or fallopian tube cancer. The patients either filled out a paper form, participated via an online survey, or were interviewed by trained staff. A 58-item questionnaire was primarily developed in German and then translated into three different languages to reach non-German-speaking patients.
Results: A total of 606 patients were included in the study: 54.1% (328) were interviewed directly, 9.1% (55) participated via an online survey, and 36.8% (223) used the paper print version. More than one quarter, 27.4% (166) of the participants, had a migrant background. The majority of migrants and NM were highly satisfied with the communication with their doctors. First-generation migrants (FGM) and patients with breast cancer were less often informed about participation in clinical trials (p < 0.05) and 24.5% of them suggested the help of an interpreter to improve the medical consultation. Second and third-generation migrants (SGM and TGM) experienced more fatigue and nausea than expected.
Conclusions: Our results allow the hypothesis that training medical staff in intercultural competence and using disease-related patient information in different languages can improve best supportive care management and quality of life in cancer patients with migrant status.
(© 2021. The Author(s).)
Databáze: MEDLINE
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