Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Quality of Life Research
Gepubliceerd in: Quality of Life Research 9/2013

01-11-2013

Satisfaction with oncology care among patients with advanced cancer and their caregivers

Auteurs: Breffni Hannon, Nadia Swami, Monika K. Krzyzanowska, Natasha Leighl, Gary Rodin, Lisa W. Le, Camilla Zimmermann

Gepubliceerd in: Quality of Life Research | Uitgave 9/2013

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Purpose

Satisfaction with care is important for quality assurance in oncology, but may differ between patients and caregivers. We aimed to assess satisfaction with cancer care in paired analyses of these groups, examine differences between them, and identify areas for potential intervention.

Methods

Patients with advanced cancer and their caregivers were recruited from 24 medical oncology outpatient clinics. Satisfaction with care was measured using the FAMCARE (caregivers) and FAMCARE-Patient (patients) scales. Quality of life (QOL) was measured with the Caregiver QOL Index-Cancer (caregivers) and FACIT-Sp (patients). The paired t test assessed differences in overall satisfaction and individual scores. In addition, scores were dichotomized into satisfied versus not satisfied, and McNemar’s test was used to assess differences. Multivariable linear regression analyses assessed predictors of patient and caregiver satisfaction, respectively.

Results

Satisfaction ratings in the 191 patient–caregiver pairs were high, but patients were more satisfied (p = 0.02). Both groups were least satisfied with information regarding prognosis and pain management. Caregivers were significantly less satisfied than patients regarding coordination of care (p = 0.001) and family inclusion in treatment/care decisions (p < 0.0001). In both groups, higher education was associated with lower satisfaction (p ≤ 0.01), while better QOL predicted greater satisfaction (p < 0.0001).

Conclusions

Communication regarding pain control and prognosis were identified as key areas for improvement. Caregivers seem to desire greater involvement in treatment decisions, though this must be balanced with patient autonomy.
vorige artikel Using group-based trajectory modeling to examine heterogeneity of symptom burden in patients with head and neck cancer undergoing aggressive non-surgical therapy
volgende artikel Physical activity and health-related quality of life among adult women in Cali, Colombia: a cross-sectional study
Literatuur
1.
World Health Organisation. (1989). Quality assurance in health care. Geneva: WHO.
2.
Aspinal, F., Addington-Hall, J., Hughes, R., & Higginson, I. J. (2003). Using satisfaction to measure quality of palliative care: a review of the literature. Journal of Advanced Nursing, 42(4), 324–339.PubMedCrossRef
3.
Heyland, D. K., Cook, D. J., Rocker, G. M., Dodek, P. M., Kutsogiannis, D. J., Skrobik, Y., et al. (2010). The development and validation of a novel questionnaire to measure patient and family satisfaction with end-of-life care: The Canadian Health Care Evaluation Project (CANHELP) Questionnaire. Palliative Medicine, 24(7), 682–695.PubMedCrossRef
4.
Dy, S. M., Shugarman, L. R., Lorenz, K. A., Mularski, R. A., & Lynn, J. (2008). Systematic review of satisfaction with care at the end of life. Journal of American Geriatric Society, 56, 124–129.CrossRef
5.
Schilling, V., Jenkins, V., & Fallowfield, L. (2003). Factors affecting patient and clinician satisfaction with the clinical consultation: Can communication skills training for clinicians improve satisfaction? Psycho-Oncology, 12, 599–611.CrossRef
6.
Blanchard, C. G., Labrecque, M. S., Ruckdeschel, J. C., & Blanchard, E. B. (1990). Physician behaviors, patient perceptions, and patient characteristics as predictors of satisfaction of hospitalized adult cancer patients. Cancer, 65(1), 186–192.PubMedCrossRef
7.
Nguyen, T. V. F., Bosset, J.-F., Monnier, A., Fournier, J., Perrin, V., Baumann, C., et al. (2011). Determinants of patient satisfaction in ambulatory oncology: A cross sectional study based on the OUT-PATSAT35 questionnaire. BMC Cancer, 11, 526–537.PubMedCrossRef
8.
Brédart, A., Razavi, D., Delvaux, N., Goodman, V., Farvacques, C., & Van Heer, C. (1998). A comprehensive assessment of satisfaction with care for cancer patients. Supportive Care in Cancer, 6(6), 518–523.PubMedCrossRef
9.
Ptacek, J. T., & Ptacek, J. J. (2001). Patients’ perceptions of receiving bad news about cancer. Journal of Clinical Oncology, 19(21), 4160–4164.PubMed
10.
Grunfeld, E., Fitzpatrick, R., Mant, D., Yudkin, P., Adewuyi-Dalton, R., Stewart, J., et al. (1999). Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: Results from a randomized controlled trial. The British Journal of General Practice, 49(446), 705–710.PubMed
11.
Kleeburg, U. R., Tews, J.-T., Ruprecht, T., Hoing, M., Kuhlmann, A., & Runge, C. (2005). Patient satisfaction and quality of care in cancer outpatients: Results of the PASQAC study. Supportive Care in Cancer, 13, 303–310.CrossRef
12.
Wiggers, J. H., Donovan, K. O., Redman, S., & Sanson-Fisher, R. W. (1990). Cancer patient satisfaction with care. Cancer, 66, 610–616.PubMedCrossRef
13.
Von Essen, L., Larsson, G., Oberg, K., & Sjödén, P. O. (2002). ‘Satisfaction with care’: Associations with health-related quality of life and psychosocial function among Swedish patients with endocrine gastrointestinal tumours. European Journal of Cancer Care, 11(2), 91–99.CrossRef
14.
Sitzia, J., & Wood, N. (1997). Patient satisfaction: A review of issues and concepts. Social Science and Medicine, 45(12), 1829–1843.PubMedCrossRef
15.
Girgis, A., Johnson, C., Aoun, S., & Currow, D. (2006). Challenges experienced by informal caregivers in cancer. Cancer Forum, 30(1).
16.
Institute of Medicine National Research Council. (2001). Improving palliative care for cancer: Summary and recommendations. Washington, DC: National Academy Press.
17.
Northouse, L., Williams, A. L., Given, B., & McCorkle, R. (2012). Psychosocial care for family caregivers of patients with cancer. Journal of Clinical Oncology, 30(11), 1227–1234.PubMedCrossRef
18.
Fox, J. G., & Storms, D. M. (1981). A different approach to socio-demographic predictors of satisfaction with healthcare. Social Science & Medicine. Part A, Medical Sociology, 15(5), 557–564.CrossRef
19.
Linder-Pelz, S. (1982). Social psychological determinants of patient satisfaction: A test of 5 hypotheses. Social Science and Medicine, 16, 583–589.PubMedCrossRef
20.
Fakhoury, W., McCarthy, M., & Addington-Hall, J. (1996). Determinants of informal caregivers’ satisfaction with services for dying cancer patients. Social Science and Medicine, 42(5), 721–731.PubMedCrossRef
21.
DuBenske, L. L., Chih, M.-Y., Gustafson, D. H., Dinauer, S., & Cleary, J. F. (2010). Caregivers’ participation in the oncology clinic visit mediates the relationship between their information competence and their need fulfillment and clinic visit satisfaction. Patient Education and Counselling, 81S, S94–S99.CrossRef
22.
Hwang, S. S., Chang, V. T., Alejandro, Y., Osenenko, P., Davis, C., Cogswell, J., et al. (2003). Caregiver unmet needs, burden, and satisfaction in symptomatic advanced cancer patients at a Veterans Affairs (VA) medical center. Palliative and Supportive Care, 1, 319–329.PubMedCrossRef
23.
Heyland, D. K., Frank, C., Tranmer, J., Paul, N., Pichora, D., Jiang, X., et al. (2009). Satisfaction with End-of-Life Care: A longitudinal study of patients and their family caregivers in the last months of life. Journal of Palliative Care, 25(4), 245–256.PubMed
24.
Addington-Hall, J. M., MacDonald, L. D., Anderson, H. R., Chamberlain, J., Freeling, P., Bland, J. M., et al. (1992). Randomised controlled trial of effects of coordinating care for terminally ill cancer patients. BMJ: British Medical Journal, 305, 1317–1322.PubMedCrossRef
25.
Ringdal, G. I., Jordhoy, M. S., & Kaasa, S. (2002). Family satisfaction with end-of-life care for cancer patients in a cluster randomized trial. Journal of Pain and Symptom Management, 24(1), 53–63.PubMedCrossRef
26.
Aoun, S., Bird, S., Kristjanson, L. J., & Currow, D. (2010). Reliability testing of the FAMCARE-2 scale: Measuring family carer satisfaction with palliative care. Palliative Medicine, 24(7), 674–681.PubMedCrossRef
27.
Zimmermann, C., Swami, N., Rodin, G., Tannock, I., Krzyzanowska, M. K., Leighl, N. B., Oza, A. M., Moore, M. J., Rydall, A., & Donner, A. (2012). Cluster-randomized trial of early palliative care for patients with metastatic cancer. Journal of Clinical Oncology, 30, suppl, abstr 9003.
28.
29.
Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5(6), 649–655.PubMedCrossRef
30.
Katzman, R., Brown, T., Fuld, P., Peck, A., Schechter, R., & Schimmel, H. (1983). Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. American Journal of Psychiatry, 140(6), 734–739.PubMed
31.
Kristjanson, L. J. (1993). Validity and reliability testing of the FAMCARE scale: Measuring family satisfaction with advanced cancer care. Social Science and Medicine, 36, 693–701.PubMedCrossRef
32.
Ringdal, G. I., Jordhoy, M. S., & Kaasa, S. (2003). Measuring quality of palliative care: Psychometric properties of the FAMCARE Scale. Quality of Life Research, 12(2), 167–176.PubMedCrossRef
33.
Medigovich, K., Porock, D., Kristjanson, L. J., & Smith, M. (1999). Predictors of family satisfaction with an australian palliative home care service: A test of discrepancy theory. Journal of Palliative Care, 15(4), 48–56.PubMed
34.
Follwell, M., Burman, D., Le, L. W., Wakimoto, K., Seccareccia, D., Bryson, J., et al. (2009). Phase II study of an outpatient palliative care intervention in patients with metastatic cancer. Journal of Clinical Oncology, 27(2), 206–213.PubMedCrossRef
35.
Lo, C., Burman, D., Rodin, G., & Zimmermann, C. (2009). Measuring patient satisfaction in oncology palliative care: Psychometric properties of the FAMCARE-patient scale. Quality of Life Research, 18, 747–752.PubMedCrossRef
36.
Lo, C., Burman, D., Hales, S., Swami, N., Rodin, G., & Zimmermann, C. (2009). The FAMCARE-Patient scale: Measuring satisfaction with care of outpatients with advanced cancer. European Journal of Cancer, 45, 3182–3188.PubMedCrossRef
37.
Chang, V. T., Hwang, S. S., & Feuerman, M. (2000). Validation of the Edmonton system assessment scale. Cancer, 88, 2164–2171.PubMedCrossRef
38.
Bedard, G., Zeng, L., Zhang, L., Lauzon, N., Holden, L., Tsao, M., Danjoux, C., Barnes, E., Sahgal, A., Poon, M., & Chow, E. (2012). Minimal clinically important differences in the edmonton symptom assessment system in patients with advanced cancer. Journal of Pain & Symptom Management, [Epub ahead of print].
39.
Bruera, E., Kuehn, N., Miller, M. J., Selmser, P., & Macmillan, K. (1991). The Edmonton symptom assessment system (ESAS): A simple method for the assessment of palliative care patients. Journal of Palliative Care, 7, 6–9.PubMed
40.
Weitzner, M. A., Jacobsen, P. B., Wagner, H., Jr, Friedland, J., & Cox, C. (1999). The Caregiver Quality of Life Index-Cancer (CQOLC) scale: Development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Quality of Life Research, 8(1–2), 55–63.PubMedCrossRef
41.
Weitzner, M. A., & McMillan, S. C. (1999). The Caregiver Quality of Life Index-Cancer (CQOLC) scale: Revalidation in a home hospice setting. Journal of Palliative Care, 15(2), 13–20.PubMed
42.
Weitzner, M. A., McMillan, S. C., & Jacobsen, P. B. (1999). Family caregiver quality of life: Differences between curative and palliative cancer treatment settings. Journal of Pain and Symptom Management, 17(6), 418–428.PubMedCrossRef
43.
Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579.PubMed
44.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). Annals of Behavioural Medicine, 24(1), 49–58.CrossRef
45.
Isaksen, A. S., Thuen, F., & Hanested, B. (2003). Patients with cancer and their close relatives. Cancer Nursing, 26(1), 68–74.PubMedCrossRef
46.
Malacrida, R., Bettelini, C. M., Degrate, A., Martinez, M., Badia, F., Piazza, J., et al. (1998). Reasons for dissatisfaction: A survey of relatives of intensive care patients who died. Critical Care Medicine, 26, 1187–1193.PubMedCrossRef
47.
Jefford, M., & Tattersall, M. H. N. (2002). Informing and involving cancer patients in their own care. The Lancet Oncology, 3, 629–637.
48.
Aubin, M., Vézina, L., Parent, R., Fillion, L., Allard, P., Bergeron, R., et al. (2006). Impact of an educational program on pain management in patients with cancer living at home. Oncology Nursing Forum, 33(96), 1183–1188.PubMedCrossRef
49.
Kiely, B. E., McCaughan, G., Christodoulou, S., Beale, P. J., Grimison, P., Trotman, J., et al. (2013). Using scenarios to explain life expectancy in advanced cancer: Attitudes of people with a cancer experience. Supportive Care in Cancer, 21, 369–376.PubMedCrossRef
50.
Zimmermann, C., Riechelmann, R., Krzyzanowska, M., Rodin, G., & Tannock, I. (2008). Effectiveness of specialized palliative care: A systematic review. JAMA: The Journal of the American Medical Association, 299(14), 1698–1709.
51.
Zimmer, J. G., Groth-Juncker, A., & McCusker, J. (1985). A randomized controlled study of a home health care team. American Journal of Public Health, 75(2), 134–141.PubMedCrossRef
52.
von Gruenigen, V. E., Hutchins, J. R., Reidy, A. M., Gibbons, H. E., Daly, B. J., Eldermire, E. M., et al. (2006). Gynaecologic oncology patients’ satisfaction and symptom severity during palliative chemotherapy. Health and Quality of Life Outcomes, 4, 84–90.CrossRef
53.
Brédart, A., Coens, C., Aaronson, N., Chie, W. C., Efficace, F., Conroy, T., et al. (2007). Determinants of patient satisfaction in oncology settings from European and Asian countries: Preliminary results based on the EORTC IN-PATSAT32 questionnaire. European Journal of Cancer (Oxford, England: 1990), 43(2), 323–330.CrossRef
54.
Brédart, A., Razavi, D., Robertson, C., Didier, F., Scaffidi, E., Fonzo, D., et al. (2001). Assessment of quality of care in an oncology institute using information on patients’ satisfaction. Oncology, 61, 120–128.PubMedCrossRef
55.
Fröjd, C., Lampic, C., Larsson, G., & von Essen, L. (2009). Is satisfaction with doctors’ care related to health-related quality of life, anxiety and depression among patients with carcinoid tumours? A longitudinal report. Scandinavian Journal of Caring Sciences, 1, 107–116.CrossRef
56.
Wong, W. S., & Fielding, R. (2008). The association between patient satisfaction and quality of life in Chinese lung and liver cancer patients. Medical Care, 46(3), 293–302.PubMedCrossRef
57.
Morris, S. M., & Thomas, C. (2001). The carer’s place in the cancer situation: Where does the carer stand in the medical setting? European Journal of Cancer Care, 10, 87–95.PubMedCrossRef
58.
Fitzpatrick, R. (1991). Surveys of patient satisfaction: I-Important general considerations. BMJ: British Medical Journal, 302, 887–889.PubMedCrossRef
59.
Carter, G. L., Lewin, T. J., Gianacas, L., Clover, K., & Adams, C. (2011). Caregiver satisfaction with outpatient oncology services: Utility of the FAMCARE instrument and development of the FAMCARE-6. Supportive Care in Cancer, 19, 565–572.PubMedCrossRef
60.
Metagegevens
Titel
Satisfaction with oncology care among patients with advanced cancer and their caregivers
Auteurs
Breffni Hannon
Nadia Swami
Monika K. Krzyzanowska
Natasha Leighl
Gary Rodin
Lisa W. Le
Camilla Zimmermann
Publicatiedatum
01-11-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 9/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0371-3

Andere artikelen Uitgave 9/2013

Quality of Life Research 9/2013 Naar de uitgave

OriginalPaper

Increases in physical activity may affect quality of life differently in men and women: the PACE project

OriginalPaper

Impact of telemonitoring on older adults health-related quality of life: the Tele-ERA study

OriginalPaper

Deriving clinically meaningful cut-scores for fatigue in a cohort of breast cancer survivors: a Health, Eating, Activity, and Lifestyle (HEAL) Study

OriginalPaper

Integrating health-related quality of life with sickness leave days for return-to-work assessment in traumatic limb injuries

OriginalPaper

Development of a vision-targeted health-related quality of life item measure

OriginalPaper

Patient-reported outcomes in the practice-based opportunities for weight reduction (POWER) trial