Skip to main content
Top
Published in: Clinical and Translational Oncology 11/2018

01-11-2018 | Research Article

The relationship between physician and cancer patient when initiating adjuvant treatment and its association with sociodemographic and clinical variables

Authors: P. Jimenez-Fonseca, C. Calderon, A. Carmona-Bayonas, M. M. Muñoz, R. Hernández, M. Mut Lloret, I. Ghanem, C. Beato, D. Cacho Lavín, A. Ivars Rubio, R. Carrión, C. Jara

Published in: Clinical and Translational Oncology | Issue 11/2018

Login to get access

Abstract

Purpose

The aim of this study was to analyze differences in physician and patient satisfaction in shared decision-making (SDM); patients’ emotional distress, and coping in subjects with resected, non-metastatic cancer.

Methods

602 patients from 14 hospitals in Spain were surveyed. Information was collected regarding physician and patient satisfaction with SDM, participants’ emotional distress and coping, as well as patient sociodemographic and clinical characteristics by means of specific, validated questionnaires.

Results

Overall, 11% of physicians and 19% of patients were dissatisfied with SDM; 22% of patients presented hopelessness or anxious preoccupation as coping strategies, and 56% presented emotional distress. By gender, female patients showed a higher prevalence of dissatisfaction with SDM (23 vs 14%), anxious preoccupation (26 vs 17%), and emotional distress (63 vs 44%) than males. Hopelessness was more prevalent in individuals with stage III disease than those with stages I–II (28 vs 18%).

Conclusion

Physicians must be mindful of the importance of emotional support and individual characteristics when communicating treatment options, benefits, and adverse effects of each alternative to oncological patients.
Literature
1.
go back to reference Mitchell AJ, Chan M, Bhatti H, Halton M, Grassi L, Johansen C, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12:160–74.CrossRef Mitchell AJ, Chan M, Bhatti H, Halton M, Grassi L, Johansen C, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12:160–74.CrossRef
2.
go back to reference Travado L, Reis JC, Watson M, Borràs J. Psychosocial oncology care resources in Europe: a study under the European Partnership for Action Against Cancer (EPAAC). Psychooncology. 2017;530:523–30.CrossRef Travado L, Reis JC, Watson M, Borràs J. Psychosocial oncology care resources in Europe: a study under the European Partnership for Action Against Cancer (EPAAC). Psychooncology. 2017;530:523–30.CrossRef
3.
go back to reference Grassi L, Berardi MA, Ruffilli F, Meggiolaro E, Andritsch E, Sirgo A, et al. Role of psychosocial variables on chemotherapy-induced nausea and vomiting and health-related quality of life among cancer patients: a European study. Psychother Psychosom. 2015;84:339–47.CrossRef Grassi L, Berardi MA, Ruffilli F, Meggiolaro E, Andritsch E, Sirgo A, et al. Role of psychosocial variables on chemotherapy-induced nausea and vomiting and health-related quality of life among cancer patients: a European study. Psychother Psychosom. 2015;84:339–47.CrossRef
4.
go back to reference Grassi L, Travado L, Moncayo FLG, Sabato S, Rossi E. Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: findings from the Southern European Psycho-Oncology Study. J Affect Disord. 2004;83:243–8.CrossRef Grassi L, Travado L, Moncayo FLG, Sabato S, Rossi E. Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: findings from the Southern European Psycho-Oncology Study. J Affect Disord. 2004;83:243–8.CrossRef
5.
go back to reference Faller H, Weis J, Koch U, Brähler E, Härter M, Keller M, et al. Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer. J Psychosom Res. 2016;81:24–30.CrossRefPubMed Faller H, Weis J, Koch U, Brähler E, Härter M, Keller M, et al. Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer. J Psychosom Res. 2016;81:24–30.CrossRefPubMed
6.
go back to reference Ross L, Petersen MA, Johnsen AT, Lundstrøm LH, Groenvold M. Cancer patients’ evaluation of communication: a report from the population-based study ‘The Cancer Patient’s World’. Support Care Cancer. 2013;21:235–44.CrossRef Ross L, Petersen MA, Johnsen AT, Lundstrøm LH, Groenvold M. Cancer patients’ evaluation of communication: a report from the population-based study ‘The Cancer Patient’s World’. Support Care Cancer. 2013;21:235–44.CrossRef
7.
go back to reference Mathews M, Ryan D, Bulman D. What does satisfaction with wait times mean to cancer patients? BMC Cancer. 2015;15:1017.CrossRefPubMed Mathews M, Ryan D, Bulman D. What does satisfaction with wait times mean to cancer patients? BMC Cancer. 2015;15:1017.CrossRefPubMed
8.
go back to reference De Vries AMM, Roten Y, Meystre C, Passchier J, Despland J, Stiefel F. Clinician characteristics, communication, and patient outcome in oncology: a systematic review. Psycho-Oncology. 2014;23:375–81.CrossRef De Vries AMM, Roten Y, Meystre C, Passchier J, Despland J, Stiefel F. Clinician characteristics, communication, and patient outcome in oncology: a systematic review. Psycho-Oncology. 2014;23:375–81.CrossRef
9.
go back to reference Gilbar O, Zusman A. The correlation between coping strategies, doctor–patient/spouse relationships and psychological distress among women cancer patients and their spouses. Psycho-Oncology. 2007;16:1010–8.CrossRef Gilbar O, Zusman A. The correlation between coping strategies, doctor–patient/spouse relationships and psychological distress among women cancer patients and their spouses. Psycho-Oncology. 2007;16:1010–8.CrossRef
10.
go back to reference Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, et al. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Educ. 2015;98:1274–9.CrossRef Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, et al. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Educ. 2015;98:1274–9.CrossRef
11.
go back to reference Scholl I, Kriston L, Dirmaier J, Buchholz A, Härter M. Development and psychometric properties of the Shared Decision Making Questionnaire—physician version (SDM-Q-Doc). Patient Educ Couns. 2012;88:284–90.CrossRef Scholl I, Kriston L, Dirmaier J, Buchholz A, Härter M. Development and psychometric properties of the Shared Decision Making Questionnaire—physician version (SDM-Q-Doc). Patient Educ Couns. 2012;88:284–90.CrossRef
12.
go back to reference Calderon C, Ferrando PJ, Carmona-Bayonas A, Lorenzo-Seva U, Jara C, Beato C, et al. Validation of SDM-Q-Doc Questionnaire to measure shared decision-making physician’s perspective in oncology practice. Clin Transl Oncol. 2017;19:1–8.CrossRef Calderon C, Ferrando PJ, Carmona-Bayonas A, Lorenzo-Seva U, Jara C, Beato C, et al. Validation of SDM-Q-Doc Questionnaire to measure shared decision-making physician’s perspective in oncology practice. Clin Transl Oncol. 2017;19:1–8.CrossRef
13.
go back to reference Kriston L, Scholl I, Hölzel L, Simon D, Loh A, Härter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010;80:94–9.CrossRef Kriston L, Scholl I, Hölzel L, Simon D, Loh A, Härter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010;80:94–9.CrossRef
14.
go back to reference De las Cuevas C, Perestelo-Perez L, Rivero-Santana A, Cebolla-Martí A, Scholl I, Härter M. Validation of the Spanish version of the 9-item Shared Decision-Making Questionnaire. Health Expect. 2015;18:2143–53.CrossRef De las Cuevas C, Perestelo-Perez L, Rivero-Santana A, Cebolla-Martí A, Scholl I, Härter M. Validation of the Spanish version of the 9-item Shared Decision-Making Questionnaire. Health Expect. 2015;18:2143–53.CrossRef
15.
go back to reference Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, Neuner B, et al. Development and first validation of the shared decision-making questionnaire (SDM-Q). Patient Educ Couns. 2006;63:319–27.CrossRef Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, Neuner B, et al. Development and first validation of the shared decision-making questionnaire (SDM-Q). Patient Educ Couns. 2006;63:319–27.CrossRef
16.
go back to reference Watson M, Law MG, dos Santos M, Greer S, Baruch J, Bliss J. The Mini-MAC. J Psychosoc Oncol. 1994;12:33–46.CrossRef Watson M, Law MG, dos Santos M, Greer S, Baruch J, Bliss J. The Mini-MAC. J Psychosoc Oncol. 1994;12:33–46.CrossRef
17.
go back to reference Anagnostopoulos F, Kolokotroni P, Spanea E, Chryssochoou M. The Mini-Mental Adjustment to Cancer (Mini-MAC) scale: construct validation with a Greek sample of breast cancer patients. Psycho-Oncology. 2006;15:79–89.CrossRef Anagnostopoulos F, Kolokotroni P, Spanea E, Chryssochoou M. The Mini-Mental Adjustment to Cancer (Mini-MAC) scale: construct validation with a Greek sample of breast cancer patients. Psycho-Oncology. 2006;15:79–89.CrossRef
18.
go back to reference Vodermaier A, Linden W, Siu C. Screening for emotional distress in cancer patients: a systematic review of assessment instruments. J Natl Cancer Inst. 2009;101:1464–88.CrossRefPubMed Vodermaier A, Linden W, Siu C. Screening for emotional distress in cancer patients: a systematic review of assessment instruments. J Natl Cancer Inst. 2009;101:1464–88.CrossRefPubMed
19.
go back to reference Derogatis LR. BSI 18, Brief Symptom Inventory 18: administration, scoring and procedures manual. Minneapolis: NCS Pearson, Inc.; 2001. Derogatis LR. BSI 18, Brief Symptom Inventory 18: administration, scoring and procedures manual. Minneapolis: NCS Pearson, Inc.; 2001.
20.
go back to reference Andreu Y, Galdón MJ, Dura E, Ferrando M, Murgui S, García A, et al. Psychometric properties of the Brief Symptoms Inventory-18 (BSI-18) in a Spanish sample of outpatients with psychiatric disorders. Psicothema. 2008;20:844–50. Andreu Y, Galdón MJ, Dura E, Ferrando M, Murgui S, García A, et al. Psychometric properties of the Brief Symptoms Inventory-18 (BSI-18) in a Spanish sample of outpatients with psychiatric disorders. Psicothema. 2008;20:844–50.
21.
go back to reference Martín-Fernández R, Abt-Sacks A, Perestelo-Perez L, Serrano-Aguilar P. Shared decision making in breast cancer womens’ attitudes. Rev Esp Salud Publica. 2013;87:59–72.CrossRef Martín-Fernández R, Abt-Sacks A, Perestelo-Perez L, Serrano-Aguilar P. Shared decision making in breast cancer womens’ attitudes. Rev Esp Salud Publica. 2013;87:59–72.CrossRef
22.
go back to reference Padilla-Garrido N, Correa FA, Moreno MO, Calero JB, Lozano EB. La toma de decisiones compartidas desde la perspectiva del paciente oncológico: roles de participación y valoración del proceso. An Sist Sanit Navar. 2017;40:25–33. Padilla-Garrido N, Correa FA, Moreno MO, Calero JB, Lozano EB. La toma de decisiones compartidas desde la perspectiva del paciente oncológico: roles de participación y valoración del proceso. An Sist Sanit Navar. 2017;40:25–33.
23.
go back to reference Meggiolaro E, Berardi MA, Andritsch E, et al. Cancer patients’ emotional distress, coping styles and perception of doctor–patient interaction in European cancer settings. Palliat Support Care. 2016;14:204–11.CrossRef Meggiolaro E, Berardi MA, Andritsch E, et al. Cancer patients’ emotional distress, coping styles and perception of doctor–patient interaction in European cancer settings. Palliat Support Care. 2016;14:204–11.CrossRef
24.
go back to reference Jansen L, Hoffmeister M, Chang-Claude J, Brenner H, Arndt V. Benefit finding and post-traumatic growth in long-term colorectal cancer survivors: prevalence, determinants and associations with quality of life. Br J Cancer. 2011;105:1158–65.CrossRefPubMed Jansen L, Hoffmeister M, Chang-Claude J, Brenner H, Arndt V. Benefit finding and post-traumatic growth in long-term colorectal cancer survivors: prevalence, determinants and associations with quality of life. Br J Cancer. 2011;105:1158–65.CrossRefPubMed
25.
go back to reference Nenova M, DuHamel K, Zemon V, Rini C, Redd WH. Posttraumatic growth, social support, and social constraint in hematopoietic stem cell transplant survivors. Psychooncology. 2013;22:195–202.CrossRef Nenova M, DuHamel K, Zemon V, Rini C, Redd WH. Posttraumatic growth, social support, and social constraint in hematopoietic stem cell transplant survivors. Psychooncology. 2013;22:195–202.CrossRef
26.
go back to reference Yi J, Kim MA. Postcancer experiences of childhood cancer survivors: how is posttraumatic stress related to posttraumatic growth? J Trauma Stress. 2014;27:461–7.CrossRef Yi J, Kim MA. Postcancer experiences of childhood cancer survivors: how is posttraumatic stress related to posttraumatic growth? J Trauma Stress. 2014;27:461–7.CrossRef
28.
go back to reference Jacobsen PB, Holland JC, Steensma DP. Caring for the whole patient: the science of psychosocial care. J Clin Oncol. 2012;30:1151–3.CrossRef Jacobsen PB, Holland JC, Steensma DP. Caring for the whole patient: the science of psychosocial care. J Clin Oncol. 2012;30:1151–3.CrossRef
30.
go back to reference Quinn GP, Gonçalves V, Sehovic I, Bowman ML, Reed DR. Quality of life in adolescent and young adult cancer patients: a systematic review of the literature. Patient Relat Outcome Meas. 2015;6:19–51.CrossRefPubMed Quinn GP, Gonçalves V, Sehovic I, Bowman ML, Reed DR. Quality of life in adolescent and young adult cancer patients: a systematic review of the literature. Patient Relat Outcome Meas. 2015;6:19–51.CrossRefPubMed
31.
go back to reference Ng CG, Mohamed S, Kaur K, Sulaiman AH, Zainal NZ, Taib NA, et al. Perceived distress and its association with depression and anxiety in breast cancer patients. PLoS One. 2017;12:e0172975.CrossRefPubMed Ng CG, Mohamed S, Kaur K, Sulaiman AH, Zainal NZ, Taib NA, et al. Perceived distress and its association with depression and anxiety in breast cancer patients. PLoS One. 2017;12:e0172975.CrossRefPubMed
32.
go back to reference Linden W, Vodermaier A, MacKenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141:343–51.CrossRefPubMed Linden W, Vodermaier A, MacKenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141:343–51.CrossRefPubMed
33.
go back to reference Thorne S, Hislop TG, Kim-Sing C, Oglov V, Oliffe JL, Stajduhar KI. Changing communication needs and preferences across the cancer care trajectory: insights from the patient perspective. Support Care Cancer. 2014;22:1009–15.CrossRef Thorne S, Hislop TG, Kim-Sing C, Oglov V, Oliffe JL, Stajduhar KI. Changing communication needs and preferences across the cancer care trajectory: insights from the patient perspective. Support Care Cancer. 2014;22:1009–15.CrossRef
Metadata
Title
The relationship between physician and cancer patient when initiating adjuvant treatment and its association with sociodemographic and clinical variables
Authors
P. Jimenez-Fonseca
C. Calderon
A. Carmona-Bayonas
M. M. Muñoz
R. Hernández
M. Mut Lloret
I. Ghanem
C. Beato
D. Cacho Lavín
A. Ivars Rubio
R. Carrión
C. Jara
Publication date
01-11-2018
Publisher
Springer International Publishing
Published in
Clinical and Translational Oncology / Issue 11/2018
Print ISSN: 1699-048X
Electronic ISSN: 1699-3055
DOI
https://doi.org/10.1007/s12094-018-1870-z

Other articles of this Issue 11/2018

Clinical and Translational Oncology 11/2018 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine