Reporting of paclitaxel-induced peripheral neuropathy symptoms to clinicians among women with breast cancer: a qualitative study
| Autor: | Emily K Krumbach, Jillian G. Syverson, Melissa R Barker, Caroline S. Quinn, Teresa M. Salgado, Kiran Vangipuram, Iris Wenceslao, Daniel L. Hertz, Martha M. Gonzalez, Rebecca S. Etz, Karen B. Farris, Holly L. Reed, N. Lynn Henry |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Paclitaxel Pain medicine Antineoplastic Agents Breast Neoplasms Article 03 medical and health sciences 0302 clinical medicine Breast cancer medicine Humans 030212 general & internal medicine Prospective Studies Qualitative Research Aged business.industry Nursing research Peripheral Nervous System Diseases Middle Aged medicine.disease Discontinuation Peripheral neuropathy Oncology Chemotherapy-induced peripheral neuropathy 030220 oncology & carcinogenesis Family medicine Observational study Female business Qualitative research |
| Zdroj: | Support Care Cancer |
| Popis: | PURPOSE: Cases of chemotherapy-induced peripheral neuropathy (CIPN) under-reporting have been sporadically described in the literature, but no studies have focused on actively examining this behavior. Our primary aim was to identify women who purposefully under-reported CIPN, along with reasons for doing so. A secondary aim was to explore factors enabling or hindering communication of CIPN to clinicians. METHODS: Semi-structured interviews were conducted with women with breast cancer who had received paclitaxel in a prospective observational study. The interview guide was developed based on factors hypothesized to influence side effect disclosure to clinicians. Interviews were recorded, transcribed verbatim, and thematically content analyzed. RESULTS: Thirty-four women were interviewed. Three main themes emerged from the analysis: 1) enablers of CIPN reporting (e.g., positive relationships with the oncology team, sufficient appointment time, existence of alternative communication channels to office visits, expectation of CIPN as a side effect); 2) deterrents to CIPN reporting (e.g., perception of need to complete the full course of therapy, fear of treatment discontinuation, lack of knowledge of long-term consequences of CIPN); and 3) balancing survival versus functional impairment due to CIPN. Women prioritized efficacy over CIPN until physical functioning was meaningfully affected. No patients reported purposeful CIPN under-reporting, but three women admitted having considered doing so. CONCLUSIONS: Despite the lack of evidence of CIPN withholding, women considered both the effectiveness and the toxicity of paclitaxel treatment, as well as beliefs about treatment and long-term consequences of CIPN and relationship with the oncology team, when deciding whether to report CIPN symptoms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|