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Quality of life and understanding of disease status among cancer patients of different ethnic origin

Patients managed in European or North American cancer centres have a variety of ethnic backgrounds and primary languages. To gain insight into the impact of ethnic origin, we have investigated understanding of disease status and quality of life (QoL) for 202 patients. Patients completed questionnair...

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Autores principales: Tchen, N, Bedard, P, Yi, Q-L, Klein, M, Cella, D, Eremenco, S, Tannock, I F
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2376912/
https://www.ncbi.nlm.nih.gov/pubmed/12915871
http://dx.doi.org/10.1038/sj.bjc.6601159
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author Tchen, N
Bedard, P
Yi, Q-L
Klein, M
Cella, D
Eremenco, S
Tannock, I F
author_facet Tchen, N
Bedard, P
Yi, Q-L
Klein, M
Cella, D
Eremenco, S
Tannock, I F
author_sort Tchen, N
collection PubMed
description Patients managed in European or North American cancer centres have a variety of ethnic backgrounds and primary languages. To gain insight into the impact of ethnic origin, we have investigated understanding of disease status and quality of life (QoL) for 202 patients. Patients completed questionnaires in their first language (52 English, 50 Chinese, 50 Italian, 50 Spanish or Portuguese), including the Functional Assessment of Cancer Therapy – General (FACT-G) QoL instrument, questions about disease status, expectations of cure and the language and/or type of interpretation used at initial consultation. Physicians also evaluated their status of disease and expectation of cure, and performance status was estimated by a trained health professional. The initial consultation was usually provided in English (except for 32% of Chinese-speaking patients); interpretation was provided by a family member for 34% of patients with limited English proficiency (LEP) and by a bilingual member of staff for 21%. Patients underestimated their extent of disease and overestimated their probability of cure (P=0.001 and <0.0001, respectively). Estimates of probability of cure by the English speakers were closer to those of their physicians than the other groups (P=0.02). English-speaking patients reported better and Italian-speaking patients poorer overall QoL (P<0.001 for Italian vs other groups). Performance status was correlated with QoL and most closely related with the extent of disease. Understanding of cultural differences is important for optimal management of patients with cancer.
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spelling pubmed-23769122009-09-10 Quality of life and understanding of disease status among cancer patients of different ethnic origin Tchen, N Bedard, P Yi, Q-L Klein, M Cella, D Eremenco, S Tannock, I F Br J Cancer Clinical Patients managed in European or North American cancer centres have a variety of ethnic backgrounds and primary languages. To gain insight into the impact of ethnic origin, we have investigated understanding of disease status and quality of life (QoL) for 202 patients. Patients completed questionnaires in their first language (52 English, 50 Chinese, 50 Italian, 50 Spanish or Portuguese), including the Functional Assessment of Cancer Therapy – General (FACT-G) QoL instrument, questions about disease status, expectations of cure and the language and/or type of interpretation used at initial consultation. Physicians also evaluated their status of disease and expectation of cure, and performance status was estimated by a trained health professional. The initial consultation was usually provided in English (except for 32% of Chinese-speaking patients); interpretation was provided by a family member for 34% of patients with limited English proficiency (LEP) and by a bilingual member of staff for 21%. Patients underestimated their extent of disease and overestimated their probability of cure (P=0.001 and <0.0001, respectively). Estimates of probability of cure by the English speakers were closer to those of their physicians than the other groups (P=0.02). English-speaking patients reported better and Italian-speaking patients poorer overall QoL (P<0.001 for Italian vs other groups). Performance status was correlated with QoL and most closely related with the extent of disease. Understanding of cultural differences is important for optimal management of patients with cancer. Nature Publishing Group 2003-08-18 2003-08-12 /pmc/articles/PMC2376912/ /pubmed/12915871 http://dx.doi.org/10.1038/sj.bjc.6601159 Text en Copyright © 2003 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Clinical
Tchen, N
Bedard, P
Yi, Q-L
Klein, M
Cella, D
Eremenco, S
Tannock, I F
Quality of life and understanding of disease status among cancer patients of different ethnic origin
title Quality of life and understanding of disease status among cancer patients of different ethnic origin
title_full Quality of life and understanding of disease status among cancer patients of different ethnic origin
title_fullStr Quality of life and understanding of disease status among cancer patients of different ethnic origin
title_full_unstemmed Quality of life and understanding of disease status among cancer patients of different ethnic origin
title_short Quality of life and understanding of disease status among cancer patients of different ethnic origin
title_sort quality of life and understanding of disease status among cancer patients of different ethnic origin
topic Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2376912/
https://www.ncbi.nlm.nih.gov/pubmed/12915871
http://dx.doi.org/10.1038/sj.bjc.6601159
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