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Living better or living longer? Perceptions of patients and health care professionals in oncology

BACKGROUND: Cancer can influence the views of patients on treatment goals and make them different from those of health care professionals (HCPs). It is crucial to understand patient expectations regarding cancer treatment. METHODS: We performed a cross-sectional survey of patients with cancer and HC...

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Autores principales: de Araujo Toloi, Diego, Critchi, Gabriela, Mangabeira, Andrea, Matsushita, Felipe, Riechelmann, Rachel P, Hoff, Paulo M, Saad, Everardo D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cancer Intelligence 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4583241/
https://www.ncbi.nlm.nih.gov/pubmed/26435747
http://dx.doi.org/10.3332/ecancer.2015.574
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author de Araujo Toloi, Diego
Critchi, Gabriela
Mangabeira, Andrea
Matsushita, Felipe
Riechelmann, Rachel P
Hoff, Paulo M
Saad, Everardo D
author_facet de Araujo Toloi, Diego
Critchi, Gabriela
Mangabeira, Andrea
Matsushita, Felipe
Riechelmann, Rachel P
Hoff, Paulo M
Saad, Everardo D
author_sort de Araujo Toloi, Diego
collection PubMed
description BACKGROUND: Cancer can influence the views of patients on treatment goals and make them different from those of health care professionals (HCPs). It is crucial to understand patient expectations regarding cancer treatment. METHODS: We performed a cross-sectional survey of patients with cancer and HCPs to evaluate their perceptions about treatment priorities and to analyse variables that might influence their opinions. To identify treatment choices, we interviewed all participants using a structured questionnaire with fictitious case vignettes. RESULTS: We enrolled a total of 230 participants, including 144 patients and 86 HCPs (35 nurses, 21 physicians, 30 others). Treatment priority between survival time (28.5% for patients vs. 8.1% for HCP) and quality of life (45.8% vs. 87.2%) differed significantly, with the remaining participants stating they were uncertain or unwilling to respond, or providing invalid responses (P < 0.01). In logistic regression, prioritising survival time was more frequent in patients, adjusting for age and gender (odds ratio (OR) = 3.95; P < 0.01). The view that the physician alone should be responsible for treatment choices was more frequent among patients than HCPs (18.8 vs. 5.8%; P = 0.01). CONCLUSIONS: In Brazil, our results suggest that survival time is more important for patients with cancer than for HCPs, whereas quality of life is more important for HCPs than for patients with cancer, who place great emphasis on physicians as decision-makers. Given that Brazilian patients often rely on physicians for decisions, the potential impact of different priorities between survival time and quality of life when patients and HCPs are compared is unknown.
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spelling pubmed-45832412015-10-02 Living better or living longer? Perceptions of patients and health care professionals in oncology de Araujo Toloi, Diego Critchi, Gabriela Mangabeira, Andrea Matsushita, Felipe Riechelmann, Rachel P Hoff, Paulo M Saad, Everardo D Ecancermedicalscience Clinical Study BACKGROUND: Cancer can influence the views of patients on treatment goals and make them different from those of health care professionals (HCPs). It is crucial to understand patient expectations regarding cancer treatment. METHODS: We performed a cross-sectional survey of patients with cancer and HCPs to evaluate their perceptions about treatment priorities and to analyse variables that might influence their opinions. To identify treatment choices, we interviewed all participants using a structured questionnaire with fictitious case vignettes. RESULTS: We enrolled a total of 230 participants, including 144 patients and 86 HCPs (35 nurses, 21 physicians, 30 others). Treatment priority between survival time (28.5% for patients vs. 8.1% for HCP) and quality of life (45.8% vs. 87.2%) differed significantly, with the remaining participants stating they were uncertain or unwilling to respond, or providing invalid responses (P < 0.01). In logistic regression, prioritising survival time was more frequent in patients, adjusting for age and gender (odds ratio (OR) = 3.95; P < 0.01). The view that the physician alone should be responsible for treatment choices was more frequent among patients than HCPs (18.8 vs. 5.8%; P = 0.01). CONCLUSIONS: In Brazil, our results suggest that survival time is more important for patients with cancer than for HCPs, whereas quality of life is more important for HCPs than for patients with cancer, who place great emphasis on physicians as decision-makers. Given that Brazilian patients often rely on physicians for decisions, the potential impact of different priorities between survival time and quality of life when patients and HCPs are compared is unknown. Cancer Intelligence 2015-09-22 /pmc/articles/PMC4583241/ /pubmed/26435747 http://dx.doi.org/10.3332/ecancer.2015.574 Text en © the authors; licensee ecancermedicalscience. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
de Araujo Toloi, Diego
Critchi, Gabriela
Mangabeira, Andrea
Matsushita, Felipe
Riechelmann, Rachel P
Hoff, Paulo M
Saad, Everardo D
Living better or living longer? Perceptions of patients and health care professionals in oncology
title Living better or living longer? Perceptions of patients and health care professionals in oncology
title_full Living better or living longer? Perceptions of patients and health care professionals in oncology
title_fullStr Living better or living longer? Perceptions of patients and health care professionals in oncology
title_full_unstemmed Living better or living longer? Perceptions of patients and health care professionals in oncology
title_short Living better or living longer? Perceptions of patients and health care professionals in oncology
title_sort living better or living longer? perceptions of patients and health care professionals in oncology
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4583241/
https://www.ncbi.nlm.nih.gov/pubmed/26435747
http://dx.doi.org/10.3332/ecancer.2015.574
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