Yifei Ma1,2, Wei Xu1, Zhigao Liang3, Yiming Li4, Hongyu Yu2, Chunshan Yang5,6, Jidong Li7, Shuang Liang3, Tielong Liu1, Jianru Xiao1. 1. Department of Orthopedic Oncology, Changzheng Hospital, Second Military Medical University, Shanghai, China. 2. Department of Pathology, Changzheng Hospital, Second Military Medical University, Shanghai, China. 3. Department of Education and Inspiration, Pudong Special Education School, Shanghai, China. 4. Department of Neuro-oncology, Neurosurgery Institute, Beijing, China. 5. Department of PET/CT Radiology, Panorama Medical Imaging Center, Shanghai, China. 6. Department of PET/CT Radiology Center, Number 85 Hospital of PLA, Shanghai, China. 7. Department of Stomatology, The First People's Hospital of Shangqiu, Shangqiu, Henan Province, China.
Abstract
BACKGROUND: Patient-oncologist alliance and psychosocial well-being have strong associations with adherence to cancer management. For patients with cancer of unknown primary (CUP), adherence is crucial to treatment or occult primary screening plans. There has been no study investigating the relationship between alliance, psychosocial factors, and adherence in such patients or in Chinese sociocultural settings. METHODS: The measures of alliance, psychosocial well-being, and adherence willingness were administered to patients with CUP, with a mean age of 58.33 ± 11.24 years. Multiple linear regression models were applied to investigate the independent relationship between alliance and adherence by controlling for socioeconomic and psychosocial confounders. RESULTS: Alliance was found to be independently and positively associated with greater adherence willingness and adherence to treatment and follow-up screening after controlling for significant confounders, including medical conditions, psychosocial well-being variables, and socioeconomic factors. CONCLUSION: Stronger patient-oncologist alliance may foster enhanced adherence to treatment and follow-up screening in patients with CUP. Patient-oncologist alliance seems affected by socioeconomic factors and psychosocial well-being in the Chinese sociocultural settings.
BACKGROUND:Patient-oncologist alliance and psychosocial well-being have strong associations with adherence to cancer management. For patients with cancer of unknown primary (CUP), adherence is crucial to treatment or occult primary screening plans. There has been no study investigating the relationship between alliance, psychosocial factors, and adherence in such patients or in Chinese sociocultural settings. METHODS: The measures of alliance, psychosocial well-being, and adherence willingness were administered to patients with CUP, with a mean age of 58.33 ± 11.24 years. Multiple linear regression models were applied to investigate the independent relationship between alliance and adherence by controlling for socioeconomic and psychosocial confounders. RESULTS: Alliance was found to be independently and positively associated with greater adherence willingness and adherence to treatment and follow-up screening after controlling for significant confounders, including medical conditions, psychosocial well-being variables, and socioeconomic factors. CONCLUSION: Stronger patient-oncologist alliance may foster enhanced adherence to treatment and follow-up screening in patients with CUP. Patient-oncologist alliance seems affected by socioeconomic factors and psychosocial well-being in the Chinese sociocultural settings.
Authors: Teresa Thomas; Andrew Althouse; Lauren Sigler; Robert Arnold; Edward Chu; Douglas B White; Margaret Rosenzweig; Kenneth Smith; Thomas J Smith; Yael Schenker Journal: Psychooncology Date: 2021-03-08 Impact factor: 3.955