Details

Autor(en) / Beteiligte

• Pozzar, Rachel A.
• Xiong, Niya
• Hong, Fangxin
• Wright, Alexi A.
• Goff, Barbara A.
• Underhill-Blazey, Meghan L.
• Tulsky, James A.
• Hammer, Marilyn J.
• Berry, Donna L.

Titel

Perceived patient-centered communication, quality of life, and symptom burden in individuals with ovarian cancer

Ist Teil von

• Gynecologic oncology, 2021-11, Vol.163 (2), p.408-418

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2021

Quelle

MEDLINE

Beschreibungen/Notizen

• To describe perceptions of patient-centered communication (PCC); assess whether physician specialty, patient characteristics, or health system characteristics are associated with PCC; and identify associations between PCC, health-related quality of life (HRQoL), and symptom burden among individuals with ovarian cancer. Cross-sectional, descriptive survey of English-speaking adults with ovarian cancer. PCC, HRQoL, and ovarian cancer symptom burden were assessed with the PCC-Ca-36, the FACT-G, and the FOSI-18, respectively. PCC-Ca-36 scores were summarized using descriptive statistics. Predictors of PCC-Ca-36, FACT-G, and FOSI-18 scores were identified using multiple linear regression. Participants (n = 176) had a mean age of 59.4 years (SD = 12.1). The majority (65.9%) had advanced-stage disease, while 42.0% were receiving treatment. The mean PCC-Ca-36 total score was 4.09 (SD = 0.78) out of a possible 5, indicating participants often perceived that clinicians engaged in PCC. Among the PCC functions, participants reported that clinicians least often enabled patient self-management (M = 3.65, SD = 0.99), responded to emotions (M = 3.84, SD = 1.04), and managed uncertainty (M = 3.91, SD = 0.93). In multivariable analyses, neither physician specialty nor patient and health system characteristics were significantly associated with overall PCC. Greater overall PCC predicted better overall HRQoL; better social/family, emotional, and functional well-being; and lower overall and physical symptom burden (all p ≤ 0.05). Greater PCC is significantly associated with better HRQoL and lower symptom burden among individuals with ovarian cancer. Promotion of PCC is a promising strategy to improve patient-reported outcomes in the ovarian cancer care setting. •Participants least often perceived that clinicians enabled self-management, responded to emotions, or managed uncertainty•Physician specialty, patient characteristics, and health system characteristics did not predict overall PCC•Greater overall PCC predicted better health-related quality of life and lower symptom burden•Enabling patient self-management represents a key opportunity to improve PCC and health-related quality of life