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
Hauptverfasser: Nugent, Shannon M., Golden, Sara E., Thomas, Charles R., Deffebach, Mark E., Sukumar, Mithran S., Schipper, Paul H., Tieu, Brandon H., Moghanaki, Drew, Wisnivesky, Juan, Slatore, Christopher
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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  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-017-3992-1