Patient‐reported experience and outcome measures during treatment for gastroesophageal cancer.
| Autor: | Sundbom, Magnus, Ekfjord, Lena, Willman, Maria, Hedberg, Jakob, Randeniye, Stephan, Christensen, Marianne, Kildal, Morten |
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| Předmět: |
CANCER patient psychology
DEGLUTITION disorders EATING disorders ESOPHAGEAL tumors HEALTH HEALTH care teams LONGITUDINAL method MEDICAL care MENTAL fatigue HEALTH outcome assessment PATIENT satisfaction QUESTIONNAIRES SCALE analysis (Psychology) STATISTICS STOMACH tumors OPERATIVE surgery T-test (Statistics) TELEPHONES WEIGHT loss INFORMATION resources DATA analysis SOCIAL support DESCRIPTIVE statistics TELENURSING |
| Zdroj: | European Journal of Cancer Care; Mar2020, Vol. 29 Issue 2, p1-7, 7p, 2 Charts, 3 Graphs |
| Abstrakt: | Objective: Gastroesophageal cancer has high mortality, and continuous assessment of patient‐reported data is salient for optimisation of supportive care. We aimed to evaluate our multidisciplinary concept with respect to patient‐reported variables. Methods: At diagnosis and later during the treatment, three areas of patient‐reported measures were evaluated: the given information and care, fatigue (Multidimensional Fatigue Inventory [MFI‐20]), dysphagia (Ogilvie dysphagia score) and weight loss. Results: Of 130 outpatients, planned for a surgical procedure and given a contact nurse (CN), 106 responded. During treatment, 81% of the patients were satisfied with their CN. The given information was considered very good or good by >90% and easily understood. Half of the patients reported need for supportive care, which was rated good by 85%. All dimensions of the MFI‐20 test, except mental fatigue, worsened during the treatment period. At diagnosis, 61% of the patients experienced eating problems, leading to 7% weight loss. Although dysphagia improved, weight loss reached 13% at the end of treatment. Conclusion: A multidisciplinary concept can be of value in giving appropriate and understandable information, leading to high satisfaction with the provided care. However, as fatigue and weight loss increased during the treatment period, patients need structured multidisciplinary support. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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