Differences in perception of breast cancer treatment between patients, physicians, and nurses and unmet information needs in Japan
| Autor: | Megumi Umeda, Hiromi Okuyama, Seigo Nakamura, Haruna Sakai |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Concordance medicine.medical_treatment Decision Making Information Seeking Behavior Nurses Breast Neoplasms Information needs Drug treatment 03 medical and health sciences Breast cancer 0302 clinical medicine Breast cancer chemotherapy Quality of life (healthcare) Japan Patient Education as Topic Patient needs Physicians Surveys and Questionnaires medicine Humans 030212 general & internal medicine Adverse effect Rank correlation Health Services Needs and Demand Physician-Patient Relations business.industry Nursing research Middle Aged medicine.disease Oncology Adverse events 030220 oncology & carcinogenesis Family medicine Quality of Life Female Original Article Patient Care business Decision-making |
| Zdroj: | Supportive Care in Cancer |
| ISSN: | 1433-7339 0941-4355 |
| Popis: | Purpose Discrepancies exist between healthcare provider and patient perceptions surrounding breast cancer treatment. Significant treatment changes in the last 10 years have made re-evaluation of these perceptions necessary. Methods Physicians and nurses involved in breast cancer treatment, and patients who had received breast cancer chemotherapy (past 5 years), were questioned using an Internet survey. Participants ranked physical concerns (treatment side effects), psychological concerns, priorities for treatment selection, and side effects to be avoided during treatment. Patients were asked about desired treatment information/information sources. Rankings were calculated using the mean value of scores. Spearman’s rank correlation was used to determine the concordance of rankings among groups. Results Survey respondents included 207 patients, 185 physicians, and 150 nurses. Patients and nurses similarly ranked distressing physical concerns; physician rankings differed. Quality of life (QoL) and treatment response ranked high with physicians and patients when considering future treatment; nurses prioritized QoL. All three groups generally agreed on ranking of psychological concerns experienced during chemotherapy, explanation of treatment options, and how treatment decisions were made, although more patients thought treatment decisions should be made independently. Healthcare providers reported providing explanations of treatment side effects and information on physical/psychological support options while patients felt both were lacking. Concordance was calculated as 0.47 (patient–physician), 0.83 (patient–nurse), and 0.76 (physician–nurse). Patients desired additional information, preferring healthcare providers as the source. Conclusions Specific areas for improvement in breast cancer patient care were identified; programs should be implemented to address unmet needs and improve treatment in these areas. Electronic supplementary material The online version of this article (10.1007/s00520-019-05029-z) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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