Erin M Ellis1, Ashley Varner2. 1. a Behavioral Research Program , National Cancer Institute , Rockville , Maryland , USA. 2. b DeCesaris Cancer Institute, Anne Arundel Medical Center , Annapolis , Maryland , USA.
Abstract
OBJECTIVE: Patient-centered decision making requires cancer patients be actively involved and feel sufficiently informed about their care, but patients' preferences for information are often unrecognized or unmet by their oncologist, particularly for more distressing topics. This study examined cancer patients' preferences for information about three care-related topics: (1) diagnostic information, (2) treatment costs, and (3) prognosis. We tested whether factors known to influence information preferences (psychological distress, control preferences, and financial distress) were differently associated with information preferences for each topic. METHODS: Cancer patients (N = 176) receiving ongoing treatment completed a questionnaire that assessed their out-of-pocket treatment costs, psychological distress, preferences for control over their medical decisions, and the amount of information they desired and received from their oncologists about the three topics. RESULTS: Patients' preferences were less often met for treatment cost information than for the other topics, p < 0.001, with half wanting more cost information than they received. One-third of patients also wanted more prognostic information than they received. Patients' preferences for diagnostic information did not differ as a function of financial burden, distress, or control preferences, ps > 0.05. Preferences for cost information were greater among patients who preferred more control over their medical decisions, p = 0.016. Patients' preferences for prognostic information were greater among those desiring more control and with lower distress, ps < 0.05. Financial burden was not associated with information preferences. CONCLUSION: Appreciating the variability in information preferences across topics and patients may aid efforts to meet patients' information needs and improve outcomes.
OBJECTIVE:Patient-centered decision making requires cancerpatients be actively involved and feel sufficiently informed about their care, but patients' preferences for information are often unrecognized or unmet by their oncologist, particularly for more distressing topics. This study examined cancerpatients' preferences for information about three care-related topics: (1) diagnostic information, (2) treatment costs, and (3) prognosis. We tested whether factors known to influence information preferences (psychological distress, control preferences, and financial distress) were differently associated with information preferences for each topic. METHODS:Cancerpatients (N = 176) receiving ongoing treatment completed a questionnaire that assessed their out-of-pocket treatment costs, psychological distress, preferences for control over their medical decisions, and the amount of information they desired and received from their oncologists about the three topics. RESULTS:Patients' preferences were less often met for treatment cost information than for the other topics, p < 0.001, with half wanting more cost information than they received. One-third of patients also wanted more prognostic information than they received. Patients' preferences for diagnostic information did not differ as a function of financial burden, distress, or control preferences, ps > 0.05. Preferences for cost information were greater among patients who preferred more control over their medical decisions, p = 0.016. Patients' preferences for prognostic information were greater among those desiring more control and with lower distress, ps < 0.05. Financial burden was not associated with information preferences. CONCLUSION: Appreciating the variability in information preferences across topics and patients may aid efforts to meet patients' information needs and improve outcomes.
Entities:
Keywords:
cancer/oncology treatment; information preferences
Authors: Areej El-Jawahri; Lara Traeger; Elyse R Park; Joseph A Greer; William F Pirl; Inga T Lennes; Vicki A Jackson; Emily R Gallagher; Jennifer S Temel Journal: Cancer Date: 2013-10-10 Impact factor: 6.860
Authors: Nora B Henrikson; Leah Tuzzio; Elizabeth Trice Loggers; Janice Miyoshi; Diana S M Buist Journal: Support Care Cancer Date: 2013-11-26 Impact factor: 3.603
Authors: Bo Hu; Xiaomeng Yin; Chunyan Du; Hui Zhu; Zhanjun Gao; Xiuli Zhu; Jizhe Wang Journal: Support Care Cancer Date: 2021-08-28 Impact factor: 3.359
Authors: Jiayi Du; Ling Fu; Jiaxin Cui; Zifen An; Pei Fang; Lanhui Tan; Xianmei Meng; Liping Yu Journal: Int J Environ Res Public Health Date: 2022-05-17 Impact factor: 4.614
Authors: Ilana B Solomon; Sarah McGraw; Jenny Shen; Adem Albayrak; Gil Alterovitz; Melanie Davies; Catherine Del Vecchio Fitz; Rachel A Freedman; Lisa N Lopez; Lynette M Sholl; Eliezer Van Allen; Joanne Mortimer; Marwan Fakih; Sumanta Pal; Karen L Reckamp; Yuan Yuan; Stacy W Gray Journal: JCO Precis Oncol Date: 2020-04-14
Authors: Janet S de Moor; Michelle Mollica; Annie Sampson; Brenda Adjei; Sallie J Weaver; Ann M Geiger; Barnett S Kramer; Emily Grenen; Memi Miscally; Henry P Ciolino Journal: JNCI Cancer Spectr Date: 2021-04-09
Authors: Pandora Patterson; Kimberley R Allison; Helen Bibby; Kate Thompson; Jeremy Lewin; Taia Briggs; Rick Walker; Michael Osborn; Meg Plaster; Allan Hayward; Roslyn Henney; Shannyn George; Dominic Keuskamp; Antoinette Anazodo Journal: Cancers (Basel) Date: 2021-05-28 Impact factor: 6.639