Perception of Curability Among Advanced Cancer Patients: An International Collaborative Study
Background There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative c...
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| Veröffentlicht in: | The oncologist (Dayton, Ohio) Ohio), 2018-04, Vol.23 (4), p.501-506 |
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| creator | Yennurajalingam, Sriram Rodrigues, Luis Fernando Shamieh, Omar Tricou, Colombe Filbet, Marilène Naing, Kyaw Ramaswamy, Akhileshwaran Perez‐Cruz, Pedro Emilio Bautista, Mary Jocelyn S. Bunge, Sofia Muckaden, Mary Ann Sewram, Vikash Fakrooden, Sarah Noguera‐Tejedor, Antonio Rao, Shobha S. Liu, Diane Park, Minjeong Williams, Janet L. Lu, Zhanni Cantu, Hilda Hui, David Reddy, Suresh K. Bruera, Eduardo |
| description | Background
There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative care across the globe.
Materials and Methods
Secondary analysis of a study to understand the core concepts in end‐of‐life care among advanced cancer patients receiving palliative care from 11 countries across the world. Advanced cancer patients were surveyed using a Patient Illness Understanding survey and Control Preference Scale. Descriptive statistics and multicovariate logistic regression analysis were performed.
Results
Fifty‐five percent (763/1,390) of patients receiving palliative care inaccurately reported that their cancer is curable. The median age was 58, 55% were female, 59% were married or had a partner, 48% were Catholic, and 35% were college educated. Sixty‐eight percent perceived that the goal of therapy was “to get rid of their cancer,” and 47% perceived themselves as “seriously ill.” Multicovariate logistic regression analysis shows that accurate perception of curability was associated with female gender (odds ratio [OR] 0.73, p = .027), higher education (OR 0.37, p |
| doi_str_mv | 10.1634/theoncologist.2017-0264 |
| format | Article |
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There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative care across the globe.
Materials and Methods
Secondary analysis of a study to understand the core concepts in end‐of‐life care among advanced cancer patients receiving palliative care from 11 countries across the world. Advanced cancer patients were surveyed using a Patient Illness Understanding survey and Control Preference Scale. Descriptive statistics and multicovariate logistic regression analysis were performed.
Results
Fifty‐five percent (763/1,390) of patients receiving palliative care inaccurately reported that their cancer is curable. The median age was 58, 55% were female, 59% were married or had a partner, 48% were Catholic, and 35% were college educated. Sixty‐eight percent perceived that the goal of therapy was “to get rid of their cancer,” and 47% perceived themselves as “seriously ill.” Multicovariate logistic regression analysis shows that accurate perception of curability was associated with female gender (odds ratio [OR] 0.73, p = .027), higher education (OR 0.37, p < .0001), unemployment status (OR 0.69, p = .02), and being from France (OR 0.26, p < .0001) and South Africa (OR 0.52, p = .034); inaccurate perception of curability was associated with better Karnofsky performance status (OR 1.02 per point, p = .0005), and being from Philippines (OR 15.49, p < .0001), Jordan (OR 8.43, p < .0001), Brazil (OR 2.17, p = .0037), and India (OR 2.47, p = .039).
Conclusion
Inaccurate perception of curability in advanced cancer patients is 55% and significantly differs by gender, education, performance status, employment status, and country of origin. Further studies are needed to develop strategies to reduce this misperception of curability in advanced cancer patients.
Implications for Practice
The findings of this study indicate that inaccurate perception of curability among advanced cancer patients is 55%. Inaccurate perception of curability significantly differs by gender, education, performance status, employment status, and country of origin. There is great need to facilitate improved patient–physician communication so as to improve health care outcomes and patient satisfaction.
The aim of this study was to determine the frequency of perception of curability among cancer patients living with advanced cancer. The predictive factors associated with an inaccurate perception of curability are also examined.</description><identifier>ISSN: 1083-7159</identifier><identifier>EISSN: 1549-490X</identifier><identifier>DOI: 10.1634/theoncologist.2017-0264</identifier><identifier>PMID: 29158371</identifier><language>eng</language><publisher>United States: AlphaMed Press</publisher><subject>Adult ; Aged ; Attitude to Health ; Cancer ; Communication ; Decision Making ; Decision‐making preference ; Female ; Humans ; International Cooperation ; Male ; Middle Aged ; Neoplasms - pathology ; Neoplasms - psychology ; Neoplasms - therapy ; Palliative care ; Palliative Care - psychology ; Perception of curability ; Physician-Patient Relations ; Prognosis ; Prognostic awareness ; Symptom Management and Supportive Care ; Terminal Care - psychology</subject><ispartof>The oncologist (Dayton, Ohio), 2018-04, Vol.23 (4), p.501-506</ispartof><rights>AlphaMed Press 2017</rights><rights>AlphaMed Press 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4720-c533c177749771ae0b339aee1d865297b3afc27303fe314b8ebf6613428886ba3</citedby><cites>FETCH-LOGICAL-c4720-c533c177749771ae0b339aee1d865297b3afc27303fe314b8ebf6613428886ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896700/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896700/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27903,27904,45553,45554,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29158371$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yennurajalingam, Sriram</creatorcontrib><creatorcontrib>Rodrigues, Luis Fernando</creatorcontrib><creatorcontrib>Shamieh, Omar</creatorcontrib><creatorcontrib>Tricou, Colombe</creatorcontrib><creatorcontrib>Filbet, Marilène</creatorcontrib><creatorcontrib>Naing, Kyaw</creatorcontrib><creatorcontrib>Ramaswamy, Akhileshwaran</creatorcontrib><creatorcontrib>Perez‐Cruz, Pedro Emilio</creatorcontrib><creatorcontrib>Bautista, Mary Jocelyn S.</creatorcontrib><creatorcontrib>Bunge, Sofia</creatorcontrib><creatorcontrib>Muckaden, Mary Ann</creatorcontrib><creatorcontrib>Sewram, Vikash</creatorcontrib><creatorcontrib>Fakrooden, Sarah</creatorcontrib><creatorcontrib>Noguera‐Tejedor, Antonio</creatorcontrib><creatorcontrib>Rao, Shobha S.</creatorcontrib><creatorcontrib>Liu, Diane</creatorcontrib><creatorcontrib>Park, Minjeong</creatorcontrib><creatorcontrib>Williams, Janet L.</creatorcontrib><creatorcontrib>Lu, Zhanni</creatorcontrib><creatorcontrib>Cantu, Hilda</creatorcontrib><creatorcontrib>Hui, David</creatorcontrib><creatorcontrib>Reddy, Suresh K.</creatorcontrib><creatorcontrib>Bruera, Eduardo</creatorcontrib><title>Perception of Curability Among Advanced Cancer Patients: An International Collaborative Study</title><title>The oncologist (Dayton, Ohio)</title><addtitle>Oncologist</addtitle><description>Background
There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative care across the globe.
Materials and Methods
Secondary analysis of a study to understand the core concepts in end‐of‐life care among advanced cancer patients receiving palliative care from 11 countries across the world. Advanced cancer patients were surveyed using a Patient Illness Understanding survey and Control Preference Scale. Descriptive statistics and multicovariate logistic regression analysis were performed.
Results
Fifty‐five percent (763/1,390) of patients receiving palliative care inaccurately reported that their cancer is curable. The median age was 58, 55% were female, 59% were married or had a partner, 48% were Catholic, and 35% were college educated. Sixty‐eight percent perceived that the goal of therapy was “to get rid of their cancer,” and 47% perceived themselves as “seriously ill.” Multicovariate logistic regression analysis shows that accurate perception of curability was associated with female gender (odds ratio [OR] 0.73, p = .027), higher education (OR 0.37, p < .0001), unemployment status (OR 0.69, p = .02), and being from France (OR 0.26, p < .0001) and South Africa (OR 0.52, p = .034); inaccurate perception of curability was associated with better Karnofsky performance status (OR 1.02 per point, p = .0005), and being from Philippines (OR 15.49, p < .0001), Jordan (OR 8.43, p < .0001), Brazil (OR 2.17, p = .0037), and India (OR 2.47, p = .039).
Conclusion
Inaccurate perception of curability in advanced cancer patients is 55% and significantly differs by gender, education, performance status, employment status, and country of origin. Further studies are needed to develop strategies to reduce this misperception of curability in advanced cancer patients.
Implications for Practice
The findings of this study indicate that inaccurate perception of curability among advanced cancer patients is 55%. Inaccurate perception of curability significantly differs by gender, education, performance status, employment status, and country of origin. There is great need to facilitate improved patient–physician communication so as to improve health care outcomes and patient satisfaction.
The aim of this study was to determine the frequency of perception of curability among cancer patients living with advanced cancer. The predictive factors associated with an inaccurate perception of curability are also examined.</description><subject>Adult</subject><subject>Aged</subject><subject>Attitude to Health</subject><subject>Cancer</subject><subject>Communication</subject><subject>Decision Making</subject><subject>Decision‐making preference</subject><subject>Female</subject><subject>Humans</subject><subject>International Cooperation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasms - pathology</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Palliative care</subject><subject>Palliative Care - psychology</subject><subject>Perception of curability</subject><subject>Physician-Patient Relations</subject><subject>Prognosis</subject><subject>Prognostic awareness</subject><subject>Symptom Management and Supportive Care</subject><subject>Terminal Care - psychology</subject><issn>1083-7159</issn><issn>1549-490X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EoqXwF8BHLin-SPzBAWkVFahUsZUKEhdkOc5ka5S1F9tZtP-eRC39uPU0M5p535nRg9A7Sk6p4PWHcg0xuDjGjc_llBEqK8JE_Qwd06bWVa3Jz-dzThSvJG30EXqV829C5pSzl-iIadooLukx-nUJycGu-BhwHHA7Jdv50ZcDXm1j2OBVv7fBQY_bJSR8aYuHUPJHvAr4PBRIwS5iO-I2jqPtYprrPeCrMvWH1-jFYMcMb27jCfrx-ex7-7W6WH85b1cXlaslI5VrOHdUSllrKakF0nGuLQDtlWiYlh23g2OSEz4Ap3WnoBuEoLxmSinRWX6CPt347qZuC72bL0x2NLvktzYdTLTePO4Ef202cW8apYUkZDZ4f2uQ4p8JcjFbnx3MDwWIUzZUC6G1Uo2YR-XNqEsx5wTD3RpKzALHPIJjFjhmgTMr3z688k73n8b9G3_9CIen-pr1t3ZNGaeE_wOKOqWB</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Yennurajalingam, Sriram</creator><creator>Rodrigues, Luis Fernando</creator><creator>Shamieh, Omar</creator><creator>Tricou, Colombe</creator><creator>Filbet, Marilène</creator><creator>Naing, Kyaw</creator><creator>Ramaswamy, Akhileshwaran</creator><creator>Perez‐Cruz, Pedro Emilio</creator><creator>Bautista, Mary Jocelyn S.</creator><creator>Bunge, Sofia</creator><creator>Muckaden, Mary Ann</creator><creator>Sewram, Vikash</creator><creator>Fakrooden, Sarah</creator><creator>Noguera‐Tejedor, Antonio</creator><creator>Rao, Shobha S.</creator><creator>Liu, Diane</creator><creator>Park, Minjeong</creator><creator>Williams, Janet L.</creator><creator>Lu, Zhanni</creator><creator>Cantu, Hilda</creator><creator>Hui, David</creator><creator>Reddy, Suresh K.</creator><creator>Bruera, Eduardo</creator><general>AlphaMed Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201804</creationdate><title>Perception of Curability Among Advanced Cancer Patients: An International Collaborative Study</title><author>Yennurajalingam, Sriram ; Rodrigues, Luis Fernando ; Shamieh, Omar ; Tricou, Colombe ; Filbet, Marilène ; Naing, Kyaw ; Ramaswamy, Akhileshwaran ; Perez‐Cruz, Pedro Emilio ; Bautista, Mary Jocelyn S. ; Bunge, Sofia ; Muckaden, Mary Ann ; Sewram, Vikash ; Fakrooden, Sarah ; Noguera‐Tejedor, Antonio ; Rao, Shobha S. ; Liu, Diane ; Park, Minjeong ; Williams, Janet L. ; Lu, Zhanni ; Cantu, Hilda ; Hui, David ; Reddy, Suresh K. ; Bruera, Eduardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4720-c533c177749771ae0b339aee1d865297b3afc27303fe314b8ebf6613428886ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Attitude to Health</topic><topic>Cancer</topic><topic>Communication</topic><topic>Decision Making</topic><topic>Decision‐making preference</topic><topic>Female</topic><topic>Humans</topic><topic>International Cooperation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasms - pathology</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Palliative care</topic><topic>Palliative Care - psychology</topic><topic>Perception of curability</topic><topic>Physician-Patient Relations</topic><topic>Prognosis</topic><topic>Prognostic awareness</topic><topic>Symptom Management and Supportive Care</topic><topic>Terminal Care - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yennurajalingam, Sriram</creatorcontrib><creatorcontrib>Rodrigues, Luis Fernando</creatorcontrib><creatorcontrib>Shamieh, Omar</creatorcontrib><creatorcontrib>Tricou, Colombe</creatorcontrib><creatorcontrib>Filbet, Marilène</creatorcontrib><creatorcontrib>Naing, Kyaw</creatorcontrib><creatorcontrib>Ramaswamy, Akhileshwaran</creatorcontrib><creatorcontrib>Perez‐Cruz, Pedro Emilio</creatorcontrib><creatorcontrib>Bautista, Mary Jocelyn S.</creatorcontrib><creatorcontrib>Bunge, Sofia</creatorcontrib><creatorcontrib>Muckaden, Mary Ann</creatorcontrib><creatorcontrib>Sewram, Vikash</creatorcontrib><creatorcontrib>Fakrooden, Sarah</creatorcontrib><creatorcontrib>Noguera‐Tejedor, Antonio</creatorcontrib><creatorcontrib>Rao, Shobha S.</creatorcontrib><creatorcontrib>Liu, Diane</creatorcontrib><creatorcontrib>Park, Minjeong</creatorcontrib><creatorcontrib>Williams, Janet L.</creatorcontrib><creatorcontrib>Lu, Zhanni</creatorcontrib><creatorcontrib>Cantu, Hilda</creatorcontrib><creatorcontrib>Hui, David</creatorcontrib><creatorcontrib>Reddy, Suresh K.</creatorcontrib><creatorcontrib>Bruera, Eduardo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The oncologist (Dayton, Ohio)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yennurajalingam, Sriram</au><au>Rodrigues, Luis Fernando</au><au>Shamieh, Omar</au><au>Tricou, Colombe</au><au>Filbet, Marilène</au><au>Naing, Kyaw</au><au>Ramaswamy, Akhileshwaran</au><au>Perez‐Cruz, Pedro Emilio</au><au>Bautista, Mary Jocelyn S.</au><au>Bunge, Sofia</au><au>Muckaden, Mary Ann</au><au>Sewram, Vikash</au><au>Fakrooden, Sarah</au><au>Noguera‐Tejedor, Antonio</au><au>Rao, Shobha S.</au><au>Liu, Diane</au><au>Park, Minjeong</au><au>Williams, Janet L.</au><au>Lu, Zhanni</au><au>Cantu, Hilda</au><au>Hui, David</au><au>Reddy, Suresh K.</au><au>Bruera, Eduardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perception of Curability Among Advanced Cancer Patients: An International Collaborative Study</atitle><jtitle>The oncologist (Dayton, Ohio)</jtitle><addtitle>Oncologist</addtitle><date>2018-04</date><risdate>2018</risdate><volume>23</volume><issue>4</issue><spage>501</spage><epage>506</epage><pages>501-506</pages><issn>1083-7159</issn><eissn>1549-490X</eissn><abstract>Background
There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative care across the globe.
Materials and Methods
Secondary analysis of a study to understand the core concepts in end‐of‐life care among advanced cancer patients receiving palliative care from 11 countries across the world. Advanced cancer patients were surveyed using a Patient Illness Understanding survey and Control Preference Scale. Descriptive statistics and multicovariate logistic regression analysis were performed.
Results
Fifty‐five percent (763/1,390) of patients receiving palliative care inaccurately reported that their cancer is curable. The median age was 58, 55% were female, 59% were married or had a partner, 48% were Catholic, and 35% were college educated. Sixty‐eight percent perceived that the goal of therapy was “to get rid of their cancer,” and 47% perceived themselves as “seriously ill.” Multicovariate logistic regression analysis shows that accurate perception of curability was associated with female gender (odds ratio [OR] 0.73, p = .027), higher education (OR 0.37, p < .0001), unemployment status (OR 0.69, p = .02), and being from France (OR 0.26, p < .0001) and South Africa (OR 0.52, p = .034); inaccurate perception of curability was associated with better Karnofsky performance status (OR 1.02 per point, p = .0005), and being from Philippines (OR 15.49, p < .0001), Jordan (OR 8.43, p < .0001), Brazil (OR 2.17, p = .0037), and India (OR 2.47, p = .039).
Conclusion
Inaccurate perception of curability in advanced cancer patients is 55% and significantly differs by gender, education, performance status, employment status, and country of origin. Further studies are needed to develop strategies to reduce this misperception of curability in advanced cancer patients.
Implications for Practice
The findings of this study indicate that inaccurate perception of curability among advanced cancer patients is 55%. Inaccurate perception of curability significantly differs by gender, education, performance status, employment status, and country of origin. There is great need to facilitate improved patient–physician communication so as to improve health care outcomes and patient satisfaction.
The aim of this study was to determine the frequency of perception of curability among cancer patients living with advanced cancer. The predictive factors associated with an inaccurate perception of curability are also examined.</abstract><cop>United States</cop><pub>AlphaMed Press</pub><pmid>29158371</pmid><doi>10.1634/theoncologist.2017-0264</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The oncologist (Dayton, Ohio), 2018-04, Vol.23 (4), p.501-506 |
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| source | Wiley Online Journals; Oxford Journals Open Access Collection; MEDLINE; PubMed Central; EZB Electronic Journals Library |
| subjects | Adult Aged Attitude to Health Cancer Communication Decision Making Decision‐making preference Female Humans International Cooperation Male Middle Aged Neoplasms - pathology Neoplasms - psychology Neoplasms - therapy Palliative care Palliative Care - psychology Perception of curability Physician-Patient Relations Prognosis Prognostic awareness Symptom Management and Supportive Care Terminal Care - psychology |
| title | Perception of Curability Among Advanced Cancer Patients: An International Collaborative Study |
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