Impact of Time to Initiation of Treatment on the Quality of Life of Women with Breast Cancer

Konieczny, Magdalena; Cipora, Elżbieta; Roczniak, Wojciech; Babuśka–Roczniak, Magdalena; Wojtaszek, Marek

doi:10.3390/ijerph17228325

Cited by 9 publications

(6 citation statements)

References 32 publications

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“…Many publications, including this article, indicate that the oncological care system in Poland requires organizational and financial changes which would affect better therapy results and a better quality of life of oncological patients [5,6,7]. The situation of the entire health care worldwide, as well as in Poland in the last two years, has been further complicated by the COVID-19 pandemic, which has significantly burdened the medical care system, reduced the availability of most services, and forced the need for reorganization.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with oncological care during the virus pandemic – SARS-CoV-2 taking into account social and demographic factors

Konieczny¹,

Wandalsen²,

Sawicka³

et al. 2023

Ann Agric Environ Med.

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Introduction and Objective.The aim of the study was to examine the perception of medical services by oncological patients during the pandemic, identifying the key factors influencing it. The assessment of patient satisfaction with the treatment and care provided by doctors and other hospital staff provides important information on the quality of health services. Materials and method. The study involved 394 patients diagnosed with cancer treated as inpatients in five oncology departments. The diagnostic survey method was used with a proprietary questionnaire and the standardized EORTC IN-PATSAT32 questionnaire. Calculations were carried out using Statistica 10.0 with p≤0.05 s considered statistically significant. Results. Overall patient satisfaction with cancer care was 80.77/100. Higher values were shown for the competences of nurses than for doctors, especially for their interpersonal skills (79.34 -nurses vs. 74.13 -doctors) and availability (80.11nurses vs. 75.6 -doctors). It was also shown that the level of satisfaction with cancer care increased with age; women rated cancer care lower than men (p = 0.031), particularly its aspect related to the competences of doctors. A lower degree of satisfaction was observed among rural residents (p=0.042). Other demographic data, such as marital status and education, determined satisfaction with cancer care on the selected scale although it did not affect the overall level of satisfaction. Conclusions. The analysed socio-demographic factors, primarily age, gender and place of residence, determined some of the scales concerning patient satisfaction with cancer care during the COVID-19 pandemic. The results of this and other studies of a similar profile should be used in the formation of health policy, particularly in implementing programmes to improve the quality of cancer care in Poland.

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Section: Introductionmentioning

confidence: 99%

Patient satisfaction with oncological care during the virus pandemic – SARS-CoV-2 taking into account social and demographic factors

Konieczny¹,

Wandalsen²,

Sawicka³

et al. 2023

Ann Agric Environ Med.

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“…Delays in breast cancer treatment initiation are associated with adverse cancer outcomes, such as incomplete or forgone treatment; more intensive, frequent, or long‐term treatment; cancer progression; treatment complications; lessened quality of life; and decreased survival. 1 , 2 , 3 , 4 , 5 , 6 Increases in insurance coverage, such as through the Patient Protection and Affordable Care Act (ACA), have facilitated increases in healthcare access. Therefore, insurance coverage may decrease treatment delays by reducing potential cost‐related barriers to care.…”

Section: Introductionmentioning

confidence: 99%

Associations between health insurance status, neighborhood deprivation, and treatment delays in women with breast cancer living in Georgia

et al. 2023

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BackgroundLittle is known regarding the association between insurance status and treatment delays in women with breast cancer and whether this association varies by neighborhood socioeconomic deprivation status.MethodsIn this cohort study, we used medical record data of women diagnosed with breast cancer between 2004 and 2022 at two Georgia‐based healthcare systems. Treatment delay was defined as >90 days to surgery or >120 days to systemic treatment. Insurance coverage was categorized as private, Medicaid, Medicare, other public, or uninsured. Area deprivation index (ADI) was used as a proxy for neighborhood‐level socioeconomic status. Associations between delayed treatment and insurance status were analyzed using logistic regression, with an interaction term assessing effect modification by ADI.ResultsOf the 14,195 women with breast cancer, 54% were non‐Hispanic Black and 52% were privately insured. Compared with privately insured patients, those who were uninsured, Medicaid enrollees, and Medicare enrollees had 79%, 75%, and 27% higher odds of delayed treatment, respectively (odds ratio [OR]: 1.79, 95% confidence interval [CI]: 1.32–2.43; OR: 1.75, 95% CI: 1.43–2.13; OR: 1.27, 95% CI: 1.06–1.51). Among patients living in low–deprivation areas, those who were uninsured, Medicaid enrollees, and Medicare enrollees had 100%, 84%, and 26% higher odds of delayed treatment than privately insured patients (OR: 2.00, 95% CI: 1.44–2.78; OR: 1.84, 95% CI: 1.48–2.30; OR: 1.26, 95% CI: 1.05–1.53). No differences in the odds of delayed treatment by insurance status were observed in patients living in high‐deprivation areas.Discussion/ConclusionInsurance status was associated with treatment delays for women living in low‐deprivation neighborhoods. However, for women living in neighborhoods with high deprivation, treatment delays were observed regardless of insurance status.

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“…As a result, it is a group of patients who require special care during this period. Additionally, the deteriorating situation of Polish cancer patients, resulting from the organization and level of funding, makes providing care for cancer patients during the pandemic very challenging [ 14 , 15 , 16 ]. It should be emphasised that oncological diagnostics and treatment during the pandemic is difficult.…”

Section: Introductionmentioning

confidence: 99%

Patient Satisfaction with Oncological Care during the SARS-CoV-2 Virus Pandemic

Konieczny

Cipora

Sawicka

et al. 2021

IJERPH

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Recently, the outbreak of the SARS-CoV-2 virus and the COVID-19 pandemic significantly affected the health situation of the entire society and necessitated reorganization of health care including oncology. The objective of this study was to examine the perception of medical services by cancer patients during the pandemic and to identify the key elements influencing the level of satisfaction with oncological care. Of note, 394 patients diagnosed with cancer treated in inpatient oncology wards participated in the study (Poland). The diagnostic survey method was used. A survey questionnaire developed by the authors was used and validated the EORTC IN-PATSAT32 questionnaire. The calculations were made in Statistica 10.0 (Statsoft; 2011, Dell Inc., Round Rock, TX, USA). The average general level of satisfaction with oncological care in the study group was 80.77 out of a total score of 100, representing the highest level of satisfaction. Levels of satisfaction varied according to time since diagnosis (longer time—greater satisfaction) and were lower where treatment was delayed or perceived as disorganised. Nearly half of the respondents felt the threat of the SARS-CoV-2 infection, despite the fact that most of them believed that the hospital was well prepared to diagnose and treat cancer patients during the COVID-19 pandemic. Convincing patients about the proper preparation of health care for diagnostics and therapy is an important element influencing patient satisfaction with oncological care.

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Impact of Time to Initiation of Treatment on the Quality of Life of Women with Breast Cancer

Cited by 9 publications

References 32 publications

Patient satisfaction with oncological care during the virus pandemic – SARS-CoV-2 taking into account social and demographic factors

Patient satisfaction with oncological care during the virus pandemic – SARS-CoV-2 taking into account social and demographic factors

Associations between health insurance status, neighborhood deprivation, and treatment delays in women with breast cancer living in Georgia

Patient Satisfaction with Oncological Care during the SARS-CoV-2 Virus Pandemic

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