Prospective randomised controlled trial of written supplement to verbal communication of results to patients at the time of flexible cystoscopy

D’Arcy, Frank; Yip, Chew Lin; Manya, Kiran; McGivern, Paul; Manecksha, Rustom P.; Bolton, Damien; Sengupta, Shamik

doi:10.1007/s00345-018-2233-7

Cited by 4 publications

(8 citation statements)

References 17 publications

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“…1 More than 1.4 million men are diagnosed with PCa every year, which for most is met with apprehension and anxiety when attempting to understand the implications of their disease and prognosis. 2,3 There is a trend in healthcare practice towards using universal health literacy precautions to provide understandable and accessible information to all patients, regardless of their literacy or education levels. 4 Health literacy research supports breaking down information into small portions, avoiding medical jargon, using printed information and utilising visual aids to enhance patient understanding.…”

Section: Introductionmentioning

confidence: 99%

“…11 Failure to understand the information around their diagnosis can lead to anxiety about prognosis and outlook. 2,12 Patient-centred (PC) pathology reporting has been investigated and found to be effective in improving patient understanding and experiences of receiving a diagnosis in bladder cancer and PCa. 13,14 In a study assessing the benefit after prostate biopsies, PC reports (PCRs) significantly improved Gleason score and number of positive cores recall rates.…”

Section: Introductionmentioning

confidence: 99%

“…Prostate cancer (PCa) is the most frequently diagnosed cancer in men worldwide and is the second leading cause of cancer‐related mortality in men 1 . More than 1.4 million men are diagnosed with PCa every year, which for most is met with apprehension and anxiety when attempting to understand the implications of their disease and prognosis 2,3 …”

Section: Introductionmentioning

confidence: 99%

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Patient‐centred pathology reporting improves patient experience and understanding of disease in prostate cancer care

Al Saffar,

Thomson,

Tan

et al. 2024

BJUI Compass

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Introduction and ObjectivesPatient‐centred (PC) and holistic care improves patient satisfaction and health outcomes. We sought to investigate the benefit of utilising a PC pathology report in patients undergoing radical prostatectomy (RP) for prostate cancer (PCa). Our study aimed to evaluate and compare patient understanding of their PCa diagnosis after RP, upon receiving either a standard histopathology report or a personalised and PC report (PCR). Moreover, we evaluated knowledge retention at 4 weeks after the initial consultation.MethodsWe invited patients undergoing RP at three metropolitan Urology clinics to participate in our randomised controlled study. Patients were randomised to receive either a PCR or standard pathology report. Patient satisfaction questionnaires (Perceived Efficacy in Patient–Physician Interactions [PEPPI], Consultation and Relational Empathy [CARE] and Communication Assessment Tool [CAT]) and a knowledge test were conducted within 72 h of the initial appointment and again at 4 weeks. Accurate recollection of Gleason grade group (GGG) and extracapsular extension (ECE) were classified as ‘correct’. Baseline demographic data included age, education, marital and employment status, pre‐op prostate specific antigen (PSA) and clinical stage. Baseline data were tested for differences between groups using the Student's t test, chi‐squared test or Fisher's exact test depending on whether data were continuous, categorical or sparse. Comparison of correctly answered ‘knowledge’ questions was analysed using chi‐squared test. A significance level of p ≤ 0.05 was used.ResultsData from 62 patients were analysed (30 standard vs. 32 PCR). No significant differences in baseline demographics were found between groups. Both groups reported high levels of satisfaction with their healthcare experiences in all domains of patient–physician rapport, empathy and communication. There were no significant differences between groups in PEPPI (p = 0.68), CAT (p = 0.39) and CARE (p = 0.66) scores, at baseline and 4 weeks. Ninety‐three per cent of patients who received the PCR understood the report while 90% felt the report added to their understanding of their PCa. Regarding patient knowledge, the PCR group had significantly more correct answers on GGG and ECE as compared with the standard report group at baseline and 4 weeks (p < 0.001 and 0.001, respectively).ConclusionsOur findings demonstrate that PC pathology reports improve patient knowledge and understanding of their PCa that is retained for at least 4 weeks after initial receipt of results.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient‐centred pathology reporting improves patient experience and understanding of disease in prostate cancer care

Al Saffar,

Thomson,

Tan

et al. 2024

BJUI Compass

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“…However, patients and care partners frequently feel that test results and their meaning are inadequately explained 10,11 . This might result from patients’ recall of information, as patients generally remember only half of the provided information directly after consultation and even less in the long term 12 . Furthermore, the more information the clinician supplies, the more the patient will forget 13 —which is problematic considering the increasing number of diagnostic tests.…”

Section: Introductionmentioning

confidence: 99%

Development and design of a diagnostic report to support communication in dementia: Co‐creation with patients and care partners

Gils

Visser

Hendriksen

et al. 2022

Alz & Dem Diag Ass & Dis Mo

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Introduction Clear communication of diagnostic test results and dementia diagnosis is challenging yet important to empower patients and care partners. A personalized diagnostic report could support the communication of dementia diagnostics and aid patients’ understanding of diagnosis. In this study, we aimed to design a diagnostic report in co‐creation with patients and care partners. Methods We used a mixed‐methods approach, combining surveys with focus groups in iteration. Phase 1 consisted of an international survey assessing needs among patients (n = 50) and care partners (n = 46), and phase 2 consisted of focus group meetings (n = 3) to co‐create the content and to hands‐on co‐design the layout of the diagnostic report with patients (n = 7) and care partners (n = 7). Phase 3 validated results from phase 2 in a survey among patients (n = 28) and care partners (n = 12), and phase 4 comprised final feedback by dementia (care) experts (n = 5). Descriptive statistics were used to report quantitative results and directed content analysis was used to analyze qualitative data. Results Most patients (39/50, 78%) and care partners (38/46, 83%) positively valued a diagnostic report to summarize test results. The report should be brief, straightforward, and comprise results of the diagnostic tests, including brain imaging and information on future expectations. Despite a clear preference for visual display of test results, several visualization options were deemed best and were equally comprehended. Discussion In this study, we developed a prototype of a personalized patient report through an iterative design process and learned that co‐creation is highly valuable to meet the specific needs of end‐users.

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“…The relationship between poorer health literacy and worse patient outcomes has also been demonstrated in a range of other health conditions. Provision of written information in addition to verbal communication has also been demonstrated to improve patient care in other health conditions [ 17 ]. Strong patient-physician relationships are also positively correlated with improved patient self-efficacy [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a patient-centred sleep study report in the management of obstructive sleep apnoea

et al. 2022

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Purpose Obstructive sleep apnoea (OSA) is a common condition with a range of short- and long-term health implications. Providing patient-centred care is a key principle to ensure patients are well informed and empowered to participate in clinical decision making. This study aimed to develop a patient-centred sleep study report for patients with obstructive sleep apnoea and to determine whether or not its implementation led to improved patient understanding of their disease. Methods The study was performed in two phases. The first phase utilised the Delphi-survey technique to develop and critically appraise a patient-centred sleep study report (PCSR) for patients with OSA, to accurately and simply convey key components of the patient’s diagnosis and management. The second phase was a prospective, randomised controlled trial to assess the effect of the PCSR on patient knowledge, self-efficacy, and understanding as measured through validated patient questionnaires. Results The PCSR was developed on key concepts deemed to be important by the surveyed physicians, senior sleep scientists and patients. This included ensuring the results were customised, highlighting the patient’s apnoea-hypopnea index, oxygen desaturation index and arousal index and limiting technical information to a few key pieces. Patients randomised to receive the PCSR had improved understanding and perceived patient-physician interaction compared to those randomised to standard care. Conclusion The development and implementation of the PCSR was feasible and improved patient understanding and perceived patient-physician interaction in patients with moderate to severe OSA. Whether or not use of the PCSR will translate to improved compliance with therapy will require further evaluation.

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Prospective randomised controlled trial of written supplement to verbal communication of results to patients at the time of flexible cystoscopy

Abstract: ACTRN12616000288426.

Cited by 4 publications

References 17 publications

Patient‐centred pathology reporting improves patient experience and understanding of disease in prostate cancer care

Patient‐centred pathology reporting improves patient experience and understanding of disease in prostate cancer care

Development and design of a diagnostic report to support communication in dementia: Co‐creation with patients and care partners

Effectiveness of a patient-centred sleep study report in the management of obstructive sleep apnoea

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