Living better or living longer? Perceptions of patients and health care professionals in oncology
| Autor: | Rachel P. Riechelmann, Gabriela Critchi, Andrea Mangabeira, Felipe Yu Matsushita, Diego de Araujo Toloi, Everardo D. Saad, Paulo M. Hoff |
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| Rok vydání: | 2015 |
| Předmět: |
Cancer Research
medicine.medical_specialty treatment business.industry overall survival media_common.quotation_subject education Alternative medicine Cancer Odds ratio Logistic regression Bioinformatics medicine.disease Quality of life (healthcare) quality of life Oncology Perception Family medicine Health care Clinical Study medicine cancer In patient business media_common |
| Zdroj: | ecancermedicalscience |
| ISSN: | 1754-6605 |
| DOI: | 10.3332/ecancer.2015.574 |
| Popis: | BACKGROUND: Cancer can influence the views of patients on treatment goals and make them different from those of health care professionals (HCPs). It is crucial to understand patient expectations regarding cancer treatment. METHODS: We performed a cross-sectional survey of patients with cancer and HCPs to evaluate their perceptions about treatment priorities and to analyse variables that might influence their opinions. To identify treatment choices, we interviewed all participants using a structured questionnaire with fictitious case vignettes. RESULTS: We enrolled a total of 230 participants, including 144 patients and 86 HCPs (35 nurses, 21 physicians, 30 others). Treatment priority between survival time (28.5% for patients vs. 8.1% for HCP) and quality of life (45.8% vs. 87.2%) differed significantly, with the remaining participants stating they were uncertain or unwilling to respond, or providing invalid responses (P < 0.01). In logistic regression, prioritising survival time was more frequent in patients, adjusting for age and gender (odds ratio (OR) = 3.95; P < 0.01). The view that the physician alone should be responsible for treatment choices was more frequent among patients than HCPs (18.8 vs. 5.8%; P = 0.01). CONCLUSIONS: In Brazil, our results suggest that survival time is more important for patients with cancer than for HCPs, whereas quality of life is more important for HCPs than for patients with cancer, who place great emphasis on physicians as decision-makers. Given that Brazilian patients often rely on physicians for decisions, the potential impact of different priorities between survival time and quality of life when patients and HCPs are compared is unknown. |
| Databáze: | OpenAIRE |
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