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Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals

PURPOSE: The aims of this study were to analyze agreement on information needs within a group of early-state prostate cancer patients and to compare information preferences of patients with the view of health-care professionals about patients’ needs. METHODS: Sample consists of patients (n = 128) an...

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Autores principales: Rüesch, Peter, Schaffert, René, Fischer, Susanne, Feldman-Stewart, Deb, Ruszat, Robin, Spörri, Peter, Zurkirchen, Markus, Schmid, Hans-Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938857/
https://www.ncbi.nlm.nih.gov/pubmed/24287503
http://dx.doi.org/10.1007/s00520-013-2052-8
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author Rüesch, Peter
Schaffert, René
Fischer, Susanne
Feldman-Stewart, Deb
Ruszat, Robin
Spörri, Peter
Zurkirchen, Markus
Schmid, Hans-Peter
author_facet Rüesch, Peter
Schaffert, René
Fischer, Susanne
Feldman-Stewart, Deb
Ruszat, Robin
Spörri, Peter
Zurkirchen, Markus
Schmid, Hans-Peter
author_sort Rüesch, Peter
collection PubMed
description PURPOSE: The aims of this study were to analyze agreement on information needs within a group of early-state prostate cancer patients and to compare information preferences of patients with the view of health-care professionals about patients’ needs. METHODS: Sample consists of patients (n = 128) and six subgroups of health-care professionals (urologists, n = 32; nurses, n = 95; radiotherapy technologists (RTTs), n = 36; medical oncologists, n = 19; radiation oncologists, n = 12; general practitioners (GPs), n = 10). Information needs have been assessed with 92 questions concerning prostate cancer and its treatment. Respondents judged the importance of addressing each question. Within- and between-group agreements of patients and health-care professional groups were estimated with raw agreement indices as well as chance-corrected Kappa and Gwet’s AC1 measures. Finally, group-specific core items rated with high importance as well as high agreement were defined. RESULTS: Patients rated on average (median) half, i.e., 51 out 92 items as essential (interquartile range (IQR) = 36–66), 26 items as desired (IQR = 14–38), and 10 items as avoidable (IQR = 2–22). Within-group agreement on the presented information topics is modest for any participating group (AC1(patients) = 0.319; AC1(professionals) = 0.295–0.398). Agreement between patients and professionals is low too (AC1 = 0.282–0.329). Defining group-specific core sets of information topics results in 51 items being part of at least one core set. Concordance of the item core sets of patients and professionals is moderate with κ = 0.38–0.66, sensitivity of professionals’ core sets for patients’ preferences varies between 56 and 74 %. CONCLUSIONS: Results emphasize the need for dialogue between doctor/professional and patient in identifying the information needed by individual patients and support the importance of shared decision making.
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spelling pubmed-39388572014-03-06 Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals Rüesch, Peter Schaffert, René Fischer, Susanne Feldman-Stewart, Deb Ruszat, Robin Spörri, Peter Zurkirchen, Markus Schmid, Hans-Peter Support Care Cancer Original Article PURPOSE: The aims of this study were to analyze agreement on information needs within a group of early-state prostate cancer patients and to compare information preferences of patients with the view of health-care professionals about patients’ needs. METHODS: Sample consists of patients (n = 128) and six subgroups of health-care professionals (urologists, n = 32; nurses, n = 95; radiotherapy technologists (RTTs), n = 36; medical oncologists, n = 19; radiation oncologists, n = 12; general practitioners (GPs), n = 10). Information needs have been assessed with 92 questions concerning prostate cancer and its treatment. Respondents judged the importance of addressing each question. Within- and between-group agreements of patients and health-care professional groups were estimated with raw agreement indices as well as chance-corrected Kappa and Gwet’s AC1 measures. Finally, group-specific core items rated with high importance as well as high agreement were defined. RESULTS: Patients rated on average (median) half, i.e., 51 out 92 items as essential (interquartile range (IQR) = 36–66), 26 items as desired (IQR = 14–38), and 10 items as avoidable (IQR = 2–22). Within-group agreement on the presented information topics is modest for any participating group (AC1(patients) = 0.319; AC1(professionals) = 0.295–0.398). Agreement between patients and professionals is low too (AC1 = 0.282–0.329). Defining group-specific core sets of information topics results in 51 items being part of at least one core set. Concordance of the item core sets of patients and professionals is moderate with κ = 0.38–0.66, sensitivity of professionals’ core sets for patients’ preferences varies between 56 and 74 %. CONCLUSIONS: Results emphasize the need for dialogue between doctor/professional and patient in identifying the information needed by individual patients and support the importance of shared decision making. Springer Berlin Heidelberg 2013-11-28 2014 /pmc/articles/PMC3938857/ /pubmed/24287503 http://dx.doi.org/10.1007/s00520-013-2052-8 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by-nc/2.5/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Rüesch, Peter
Schaffert, René
Fischer, Susanne
Feldman-Stewart, Deb
Ruszat, Robin
Spörri, Peter
Zurkirchen, Markus
Schmid, Hans-Peter
Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
title Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
title_full Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
title_fullStr Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
title_full_unstemmed Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
title_short Information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
title_sort information needs of early-stage prostate cancer patients: within- and between-group agreement of patients and health professionals
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938857/
https://www.ncbi.nlm.nih.gov/pubmed/24287503
http://dx.doi.org/10.1007/s00520-013-2052-8
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