Patient-clinician communication among patients with stage I lung cancer
Purpose Limited data exist about patient-centered communication (PCC) and patient-centered outcomes among patients who undergo surgery or stereotactic body radiation therapy (SBRT) for stage I non-small cell lung cancer (NSCLC). We aimed to examine the relationship between PCC and decision-making pr...
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Veröffentlicht in: | Supportive care in cancer 2018-05, Vol.26 (5), p.1625-1633 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Purpose
Limited data exist about patient-centered communication (PCC) and patient-centered outcomes among patients who undergo surgery or stereotactic body radiation therapy (SBRT) for stage I non-small cell lung cancer (NSCLC). We aimed to examine the relationship between PCC and decision-making processes among NSCLC patients, using baseline data from a prospective, multicenter study.
Methods
Patients with stage 1 NSCLC completed a survey prior to treatment initiation. The survey assessed sociodemographic characteristics, treatment decision variables, and patient psychosocial outcomes: health-related quality of life (HRQOL), treatment self-efficacy, decisional conflict, and PCC.
Results
Fifty-two percent (
n
= 85) of 165 individuals planned to receive SBRT. There were no baseline differences detected on patient psychosocial outcomes between those who planned to receive SBRT or surgery. All participants reported high HRQOL (
M
= 72.5, SD = 21.3) out of 100, where higher scores indicate better functioning; high self-efficacy (
M
= 1.5, SD = 0.5) out of 6, where lower numbers indicate higher self-efficacy; minimal decisional conflict (
M
= 15.2, SD = 12.7) out of 100, where higher scores indicate higher decisional conflict; and high levels of patient-centered communication (
M
= 2.4, SD = 0.8) out of 7 where higher scores indicate worse communication. Linear regression analyses adjusting for sociodemographic and clinical variables showed that higher quality PCC was associated with higher self-efficacy (
β =
0.17,
p
= 0.03) and lower decisional conflict (
β =
0.42,
p
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ISSN: | 0941-4355 1433-7339 |
DOI: | 10.1007/s00520-017-3992-1 |