Discordance between Perceived and Actual Cancer Stage among Cancer Patients in Korea: A Nationwide Survey

Shim, Hye-Young; Park, Jong Hyock; Kim, Soyoung; Shin, Dong Wook; Shin, Ji‐Yeon; Park, Boyoung; Huh, Jung–Sik; Shin, Hee‐Young; Won, Young Joo; Seo, Hong Gwan

doi:10.1371/journal.pone.0090483

Cited by 12 publications

(18 citation statements)

References 38 publications

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“…This has been the study limitation. A study in Korea implicitly showed that there were knowledge gaps between patients' perceived and actual stage of cancer (17). The lower stage found in cervical cancer respondents in this study possibly happened due to the same reason with the above study.…”

Section: N I P U T U W U L a N P U R N A M A S A R Isupporting

confidence: 67%

“…The waiting time to get health service in PHC is also being a key performance indicator of PHC work performance. One way to test the accuracy of communication between doctors and patients is by evaluating the consistency between patient perception of cancer stage and the stage given in medical records (17). Other than communication reason, there is a possibility that cancer stage was not identified yet to limitation in laboratory and radiology tests related to cancer diagnosis, such as waiting time for biopsy because all respondents used public health services.…”

Section: N I P U T U W U L a N P U R N A M A S A R Imentioning

confidence: 99%

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Women Living With Breast and Cervical Cancer in the Community: The Face of Surabaya Nowadays

Sari

2019

Indonesian Journal of Cancer

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Background: Cervical cancer and breast cancer are the two top leading cases of female cancer in Indonesia. Being the 2nd largest city in Indonesia, Surabaya is being populated by more than 1.5 million females in 2017. This study aimed to describe the demographic characteristic of women living with cervical and breast cancer in order to show the current picture of female cancer situation in Surabayan communities nowadays. Substantial to it, the correlation between time of first diagnosis and type of therapy with current stage of cancer were analyzed to evaluate the cancer management effectiveness in community context.Methods: This cross-sectional study involved six (9.68%) Public Health Centers (PHCs) among 62 PHCs in Surabaya, Indonesia, which were selected by one stage cluster random sampling. There were 140 and 139 women living with cervical and breast cancer participated in this study respectively (n=279). Self-developed demographic questionnaire was used to collect the data. Descriptive statistic, Spearman Rank correlation test, and Mann-Whitney U test were used in data analysis (α<.05).Results: Overall, most respondents were married (77.06%) and were housewives (59.14%). They were high school graduated at majority (44.44%). Family support came from spouse and children (70.25%). Those with breast cancer mostly aged middle-up adulthood (56.12%), while older aged were found in respondents with cervical cancer (72.86%). The majority had been diagnosed with cancer for less than five years (81.36%), but there was a tendency that the longer life expectancy was found in those with cervical cancer. More cervical cancer respondents with advanced stage were found to be long-term survivors (25%). The first time of diagnosis and the type of therapy were significantly different between cases (p=.039 and p=.000 respectively), but the current stage of cancer was not significantly different (p=.239). There was a quite strong correlation between time of first diagnosis and current stage of cancer (ρ = -.409; p=.000), but there was no significant correlation between type of therapy and current stage of cancer (p=.147).Conclusions: The demographic characteristic of women living with cervical and breast cancer has been slowly shifting from elderly or late adulthood, to middle and early adulthood. The first time of diagnosis and the type of therapy were significantly different between cases, but the current stage of cancer was not significantly different. There was a strong significant correlation between time of first diagnosis and current stage of cancer in cervical and breast cancer.

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Section: N I P U T U W U L a N P U R N A M A S A R Isupporting

confidence: 67%

Section: N I P U T U W U L a N P U R N A M A S A R Imentioning

confidence: 99%

Women Living With Breast and Cervical Cancer in the Community: The Face of Surabaya Nowadays

Sari

2019

Indonesian Journal of Cancer

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“…This finding might be explained to some extent by Korean culture, in which half of patients with advanced cancer are not accurately informed about the stage of their cancer (Lee et al, ). Due to the cultural belief that talking about death is potentially harmful to the patient, family and health‐care providers frequently do not communicate openly with patients about the end of life (Shim et al, ). When family surrogates do not know patients' wishes, they will experience great difficulty in choosing the best treatment for patients at their own discretion.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the cultural belief that talking about death is potentially harmful to the patient, family and health-care providers frequently do not communicate openly with patients about the end of life (Shim et al, 2014). When family surrogates do not know patients' wishes, they will experience great difficulty in choosing the best treatment for patients at their own discretion.…”

Section: Discussionmentioning

confidence: 99%

Decisional conflict in end‐of‐life cancer treatment among family surrogates: A cross‐sectional survey

Jeon

Kim

Lee

2018

Nursing & Health Sciences

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The aims of this study were to examine the extent of decisional conflict in end-of-life cancer treatments and to investigate the influences and predictors of decisional conflict among family surrogates. A cross-sectional, descriptive, correlational design was applied. Data were collected from a convenience sample of 102 family members who had participated in end-of-life cancer decision-making. We enrolled participants from inpatient oncology units at a university hospital in South Korea from May 2014 to January 2016. The results indicated that many family surrogates had high levels of decisional conflict and psychological stress after end-of-life cancer decision-making. Hierarchical multiple regression analyses demonstrated that decisional conflict had significant, substantial influences on decision regret and psychological stress after controlling for demographic variables. Family surrogates who were aware of the patients' wishes about end-of-life treatments and those who had good family functioning had less decisional conflict. To relieve decisional conflict regarding end-of-life cancer treatment among family surrogates, it is necessary to encourage patients to share their end-of-life treatment wishes with family members and to consider family functioning in the end-of-life decision-making process.

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“…To identify predictors of discordant view of the patients and caregivers, we performed multivariate regression analyses with mixed effect model ( xtmelogit command by STATA software). The potential patient‐level predictors include patient's age at diagnosis, sex, education, cancer stage, decision control preference (chosen because of potential correlation with information need), and depression (chosen because of potential association with preference for prognosis information or general illness perception). Caregiver characteristics included age, sex, and education.…”

Section: Methodsmentioning

confidence: 99%

Patients' and family caregivers' understanding of the cancer stage, treatment goal, and chance of cure: A study with patient‐caregiver‐physician triad

et al. 2017

Self Cite

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Objective: Accurate understanding of the extent of disease, treatment goal, and prognosis is a prerequisite for patients with cancer and their caregivers to make informed decision. We sought to evaluate patients' and family caregivers' understanding of the cancer stage, treatment goal, and chance of cure taking their own physician's evaluation as reference.Methods: A national survey was performed with 750 patient-caregiver dyads (75.5% participation rate) recruited by 134 oncologists in 13 cancer centers (93% participation rate) in South Korea. Both patients and caregivers were asked to report their knowledge of patient's cancer stage, treatment goal, and chance of cure. Concordance was evaluated with percentage agreement and weighted κ, and predictors of discordance of patient and caregiver's response with that of physician's were explored by multivariate regression analyses with mixed effect model. Results:The agreement rates between patient-physician and caregiver-physician were 63.0% and 65.9% for disease stage, 69.0% and 70.0% for treatment goal, and 41.4% and 45.1% for chance of cure. When discordance occurs, patients and caregivers often had an optimistic view.Distant stage, older age, female sex, and absence of depression were associated with optimistic view of patients, and there was significant between-physician variance for all 3 outcomes. Conclusion:The discordance revealed that our study suggests the need for better communication between physician and patients, as well as the caregivers. Research is needed to develop a comprehensive strategy to improve the understanding of the patients and family so that treatment decisions are made based on realistic estimation.

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Discordance between Perceived and Actual Cancer Stage among Cancer Patients in Korea: A Nationwide Survey

Cited by 12 publications

References 38 publications

Women Living With Breast and Cervical Cancer in the Community: The Face of Surabaya Nowadays

Women Living With Breast and Cervical Cancer in the Community: The Face of Surabaya Nowadays

Decisional conflict in end‐of‐life cancer treatment among family surrogates: A cross‐sectional survey

Patients' and family caregivers' understanding of the cancer stage, treatment goal, and chance of cure: A study with patient‐caregiver‐physician triad

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