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Published in: Journal of Genetic Counseling 1/2007

01-02-2007 | Original Research

Living with Multiple Endocrine Neoplasia Type 1: Decent Care-Insufficient Medical and Genetic Information A Qualitative Study of MEN 1 Patients in a Swedish Hospital

Authors: Nina Strømsvik, Karin Nordin, Gunilla Berglund, Lars F. Engebretsen, Mats G. Hansson, Eva Gjengedal

Published in: Journal of Genetic Counseling | Issue 1/2007

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Abstract

This qualitative study explores how 29 Swedish patients with Multiple Endocrine Neoplasia type 1 (MEN1) experience living with the condition, appraisal of the clinical follow-up program, and surveys their future expectations. The aim of this study is to build knowledge about this patient group in order to provide optimal care. The participants describe physical, psychological, and social limitations in their daily activities and how these limitations influence quality of life. Our findings indicate that a majority of patients have adjusted to their situation, describing themselves as being healthy despite physical symptoms and treatment. The participants received decent care in the clinical follow-up program, - however, greater effort should be put into patient information. These patients might benefit from genetic counseling. Health professionals involved should recognize their potential impact and influence on a patient’s ability to adjust to these circumstances. Antonovsky`s Sense of Coherence theory is used to discuss these findings.
Literature
go back to reference Anderson, J. M. (1996). Empowering patients: Issues and strategies. Social Science and Medicine, Sept, 43. Anderson, J. M. (1996). Empowering patients: Issues and strategies. Social Science and Medicine, Sept, 43.
go back to reference Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco: Jossey Bass. Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco: Jossey Bass.
go back to reference Arman, M., Rehnsfeldt, A., Lindholm, L., & Hamrin, E. (2002). The face of suffering among women with breast cancer –being in a field of forces. Cancer Nurs, 25, 429–438.CrossRef Arman, M., Rehnsfeldt, A., Lindholm, L., & Hamrin, E. (2002). The face of suffering among women with breast cancer –being in a field of forces. Cancer Nurs, 25, 429–438.CrossRef
go back to reference Baker, D. L., Schuette, L., & Uhlman, W. R. (1998). A guide to genetic counseling. Wiley-Liss, Inc. Baker, D. L., Schuette, L., & Uhlman, W. R. (1998). A guide to genetic counseling. Wiley-Liss, Inc.
go back to reference Bassett, J., Forbes, S. A., Pannett, A. A. J., Lloyd. S. E., Christie, P. T., Wooding, C., Christie, P. T., et al. (1998). Characterization of Mutations in Patients with Multiple Endocrine Neoplasia Type 1. Am J Hum Genet, 62, 232–244.CrossRef Bassett, J., Forbes, S. A., Pannett, A. A. J., Lloyd. S. E., Christie, P. T., Wooding, C., Christie, P. T., et al. (1998). Characterization of Mutations in Patients with Multiple Endocrine Neoplasia Type 1. Am J Hum Genet, 62, 232–244.CrossRef
go back to reference Berglund, G., Liden, A., Hansson, M. G., Øberg, K., & Sjøden, P. O. (2003). Quality of life in patients with multiple endocrine neoplasia type 1 (MEN1). Familial Cancer, 2, 27–33.CrossRef Berglund, G., Liden, A., Hansson, M. G., Øberg, K., & Sjøden, P. O. (2003). Quality of life in patients with multiple endocrine neoplasia type 1 (MEN1). Familial Cancer, 2, 27–33.CrossRef
go back to reference Bottorff, J. L., Ratner, P., Johnson, J., Lovato, C., & Joab, A. (1998). Communicating cancer risk information: The challenges of uncertainty. Patient Educ Couns, 33, 67–81.CrossRef Bottorff, J. L., Ratner, P., Johnson, J., Lovato, C., & Joab, A. (1998). Communicating cancer risk information: The challenges of uncertainty. Patient Educ Couns, 33, 67–81.CrossRef
go back to reference Brandi, M. L., Marx, S. J., Aurbach, G. D., & Fitzpatrick, L. A. (1987). Familial multiple endocrineneoplasia type I: A new look at pathophysiology. Endocr Rev, 8, 391–405.CrossRef Brandi, M. L., Marx, S. J., Aurbach, G. D., & Fitzpatrick, L. A. (1987). Familial multiple endocrineneoplasia type I: A new look at pathophysiology. Endocr Rev, 8, 391–405.CrossRef
go back to reference Carty, S., Helm, A. K., Amico, J. A., Clarke, M. R., Foley, T. P., Watson, C. G., & Mulvihill, J. J. (1998). The variable penetrance and spectrum of manifestations of multiple endocrine neoplasia type 1. Surgery, 124(6), 1106–1114.CrossRef Carty, S., Helm, A. K., Amico, J. A., Clarke, M. R., Foley, T. P., Watson, C. G., & Mulvihill, J. J. (1998). The variable penetrance and spectrum of manifestations of multiple endocrine neoplasia type 1. Surgery, 124(6), 1106–1114.CrossRef
go back to reference Chandrasekharappa, S. C., Guru, S. C., Manickam, P., Olufemi, S. E., Collins, F. S., Emmert-Buck, M. R., Debelenko, L. V., et al. (1997). Positional cloning of the gene for multiple endocrineneoplasia-type 1. Science, 276(5311), 404–407.CrossRef Chandrasekharappa, S. C., Guru, S. C., Manickam, P., Olufemi, S. E., Collins, F. S., Emmert-Buck, M. R., Debelenko, L. V., et al. (1997). Positional cloning of the gene for multiple endocrineneoplasia-type 1. Science, 276(5311), 404–407.CrossRef
go back to reference Chapman, E., & Bilton, D. (2004). Patients’ Knowledge of Cystic Fibrosis: Genetic Determinismand Implications for Treatment. J Genet Couns, 13(5), 369–385.CrossRef Chapman, E., & Bilton, D. (2004). Patients’ Knowledge of Cystic Fibrosis: Genetic Determinismand Implications for Treatment. J Genet Couns, 13(5), 369–385.CrossRef
go back to reference Emanuel, J. E., & Emanuel, L. L. (1992). Four models of the physician-patient relationship. J Am Med Assoc, 267(16), 2221–2226.CrossRef Emanuel, J. E., & Emanuel, L. L. (1992). Four models of the physician-patient relationship. J Am Med Assoc, 267(16), 2221–2226.CrossRef
go back to reference Giorgi, A. (ed.). (1985). Phenomeology and psychological research. Pittsburgh: Duquesne University Press. Giorgi, A. (ed.). (1985). Phenomeology and psychological research. Pittsburgh: Duquesne University Press.
go back to reference Glanz, K., Rimer, B. K., & Lewis, F. M. (2002). Health behavior and health education: Theory, research, and practice. 3rd edition. Glanz, K., Rimer, B. K., & Lewis, F. M. (2002). Health behavior and health education: Theory, research, and practice. 3rd edition.
go back to reference Griffin, J. (1986). Well-being. Its meaning, measurement and moral importance. Oxford: Clarendon Press. Griffin, J. (1986). Well-being. Its meaning, measurement and moral importance. Oxford: Clarendon Press.
go back to reference Karges, W., Schaaf, L., Dralle, H., & Boehm, B. O. (2000). Concepts for screening and diagnostic follow-up in multiple endocrine neoplasia type 1 (MEN1). Exp Clin Endocrinol Diabetes, 108(5), 334–340.CrossRef Karges, W., Schaaf, L., Dralle, H., & Boehm, B. O. (2000). Concepts for screening and diagnostic follow-up in multiple endocrine neoplasia type 1 (MEN1). Exp Clin Endocrinol Diabetes, 108(5), 334–340.CrossRef
go back to reference Kvale, S. (1996). InterViews. An introduction to qualitative research interviewing. Sage Publcations. Kvale, S. (1996). InterViews. An introduction to qualitative research interviewing. Sage Publcations.
go back to reference Lindblad, K., Ring, Å. L., Glimelius, B., & Hansson, M. G. (2002). Focus on the individual. Quality of life assessments in Oncology. Acta Oncologica, 41, 507–516.CrossRef Lindblad, K., Ring, Å. L., Glimelius, B., & Hansson, M. G. (2002). Focus on the individual. Quality of life assessments in Oncology. Acta Oncologica, 41, 507–516.CrossRef
go back to reference Lindstrøm, B., & Eriksson, M. (2005). Salutogenesis. Professor Aaron Antonovsky (1923–1994): The father of the salutogenesis. J Epidemiol Commun Health, 59(6), 440–442.CrossRef Lindstrøm, B., & Eriksson, M. (2005). Salutogenesis. Professor Aaron Antonovsky (1923–1994): The father of the salutogenesis. J Epidemiol Commun Health, 59(6), 440–442.CrossRef
go back to reference Marx, S., Spiegel, A. M., Skarulis, M. C., Doppman, J. L., Collins, F. S., & Liotta, L. A. (1998). Multiple endocrine neoplasia type 1: Clinical and genetic topics. Ann Intern Med, 129(6), 484–494.CrossRef Marx, S., Spiegel, A. M., Skarulis, M. C., Doppman, J. L., Collins, F. S., & Liotta, L. A. (1998). Multiple endocrine neoplasia type 1: Clinical and genetic topics. Ann Intern Med, 129(6), 484–494.CrossRef
go back to reference Moons, P., & Norekvål, T. M. (2005). Is sense of coherence a pathway for improving the quality of life of patients who grow up with chronic diseases? A hypothesis. Eur J Cardiovasc Nurs, 5(1), 16–20.CrossRef Moons, P., & Norekvål, T. M. (2005). Is sense of coherence a pathway for improving the quality of life of patients who grow up with chronic diseases? A hypothesis. Eur J Cardiovasc Nurs, 5(1), 16–20.CrossRef
go back to reference Nordenfelt, L. (2000). Action, Ability and Health. Essays in the philosophy of action and welfare, Dordrecht: Kluwer Academic Publishers.CrossRef Nordenfelt, L. (2000). Action, Ability and Health. Essays in the philosophy of action and welfare, Dordrecht: Kluwer Academic Publishers.CrossRef
go back to reference Patrick, D. L., Danis, M., Southerland, L. I., & Hong, G. (1988). Quality of life following intensive care. J Gen Intern Med, (3), 218–223.CrossRef Patrick, D. L., Danis, M., Southerland, L. I., & Hong, G. (1988). Quality of life following intensive care. J Gen Intern Med, (3), 218–223.CrossRef
go back to reference Resta, R. G. (2000). Psyche and helix. Psychological aspects of genetic counseling. Essays by Seymor Kessler, Wiley-Liss Inc. Resta, R. G. (2000). Psyche and helix. Psychological aspects of genetic counseling. Essays by Seymor Kessler, Wiley-Liss Inc.
go back to reference Shumaker, S. A., & Naughton, M. J. (1995). The international assessment of health-related quality of life: A theoretical perspective. Oxford: Rapid Communication of Oxford Ltd. Shumaker, S. A., & Naughton, M. J. (1995). The international assessment of health-related quality of life: A theoretical perspective. Oxford: Rapid Communication of Oxford Ltd.
go back to reference Spijker, V. A., & Kroode, H. F. J. (1997). Psychological aspects of genetic counselling: A review of the experience with Huntington’s disease. Patient Educ Couns, 32, 33–40.CrossRef Spijker, V. A., & Kroode, H. F. J. (1997). Psychological aspects of genetic counselling: A review of the experience with Huntington’s disease. Patient Educ Couns, 32, 33–40.CrossRef
go back to reference Thakker, R. V. (1998). Multiple endocrine neoplasia: Syndromes of the twentieth century. (Editorial). J Clin Endocrinol Metabol, 83, 2617–2620. Thakker, R. V. (1998). Multiple endocrine neoplasia: Syndromes of the twentieth century. (Editorial). J Clin Endocrinol Metabol, 83, 2617–2620.
go back to reference Thesen, J., & Malteud, K. (2001). “Empowerment” og pasientstyrking- et undervisningsopplegg. Tidsskrift for den Norske Legeforening, Nr. 13, 121, 1624–1628. Thesen, J., & Malteud, K. (2001). “Empowerment” og pasientstyrking- et undervisningsopplegg. Tidsskrift for den Norske Legeforening, Nr. 13, 121, 1624–1628.
go back to reference Westerlund, K. (2002). The meaning of Context: An empirical study of Views of Life in Perceptions of Gene Technology and in Narratives about Childlessness, Assisted onception and Adoption. Acta Universitas Upsaliensis, Uppsala Studies in Faiths and Ideologies 10, 296pp, Uppsala, ISBN 91–554-5360–0. Westerlund, K. (2002). The meaning of Context: An empirical study of Views of Life in Perceptions of Gene Technology and in Narratives about Childlessness, Assisted onception and Adoption. Acta Universitas Upsaliensis, Uppsala Studies in Faiths and Ideologies 10, 296pp, Uppsala, ISBN 91–554-5360–0.
go back to reference Winterling, J., Wasteson, B. G., & Sjøden, P. O. (2004). Substantial Changes in Life. Cancer Nurs, 27(3), 381–388.PubMed Winterling, J., Wasteson, B. G., & Sjøden, P. O. (2004). Substantial Changes in Life. Cancer Nurs, 27(3), 381–388.PubMed
Metadata
Title
Living with Multiple Endocrine Neoplasia Type 1: Decent Care-Insufficient Medical and Genetic Information A Qualitative Study of MEN 1 Patients in a Swedish Hospital
Authors
Nina Strømsvik
Karin Nordin
Gunilla Berglund
Lars F. Engebretsen
Mats G. Hansson
Eva Gjengedal
Publication date
01-02-2007
Published in
Journal of Genetic Counseling / Issue 1/2007
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-006-9047-2

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