Treatment complexity: a description of chemotherapy and supportive care treatment visits in patients with advanced-stage cancer diagnoses

Sumpio, Catherine; Jeon, Sangchoon

doi:10.1007/s00520-015-2775-9

Cited by 15 publications

(20 citation statements)

References 23 publications

(32 reference statements)

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“…A trend toward increasing complexity has implications for the stressed patient's experience. Sumpio et al (2016) described varying complexity in the hours spent in treatment and the type of visits participants encountered. Individuals who were younger, female, and with colon and esophageal diagnoses had significantly longer chemotherapy treatment visits.…”

Section: Stress-coping Model and Cancermentioning

confidence: 99%

“…Time required for each treatment-related visit was calculated and summed to obtain a continuous score for total hours. The total number of visits made for treatment was counted (Sumpio et al, 2016).…”

Section: Instrumentsmentioning

confidence: 99%

“…Likewise, the standards for treating advanced-stage cancer have evolved. The course of treatment for many patients is one of aggressive first-line therapy, which, if it fails, is often followed by second-, third-, and fourth-line courses of chemotherapy (Sumpio et al, 2016). This study helps to clarify the understanding of factors relevant to coping with the reality of modern treatment.…”

Section: Implications For Nursingmentioning

confidence: 99%

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Optimism, Symptom Distress, Illness Appraisal, and Coping in Patients With Advanced-Stage Cancer Diagnoses Undergoing Chemotherapy Treatment

Sumpio¹,

Jeon²,

Northouse³

2017

ONF

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Section: Stress-coping Model and Cancermentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

Section: Implications For Nursingmentioning

confidence: 99%

See 1 more Smart Citation

Optimism, Symptom Distress, Illness Appraisal, and Coping in Patients With Advanced-Stage Cancer Diagnoses Undergoing Chemotherapy Treatment

Sumpio¹,

Jeon²,

Northouse³

2017

ONF

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“…Although there is a growing number of studies demonstrating that age is a relevant factor in decisions about cancer treatment , they mostly focus on decision‐making near the end of life in elderly patients, and they suggest that chronological age is—often wrongfully—used as a surrogate parameter for frailty, comorbidities, and reduced treatment tolerability . However, the group of young adult patients is underrepresented in research regarding oncologists’ treatment decisions . Moreover, although the reasons behind offering elderly patients less intensive cancer treatment are quite well documented, there are almost no studies on the reasons why young adult patients are treated more aggressively near the end of life .…”

Section: Introductionmentioning

confidence: 99%

“…However, the group of young adult patients is underrepresented in research regarding oncologists’ treatment decisions . Moreover, although the reasons behind offering elderly patients less intensive cancer treatment are quite well documented, there are almost no studies on the reasons why young adult patients are treated more aggressively near the end of life . Oncologists and oncology nurses’ perspectives and factors influencing the decision‐making process still remain unclear.…”

Section: Introductionmentioning

confidence: 99%

“Rather one more chemo than one less…”: Oncologists and Oncology Nurses’ Reasons for Aggressive Treatment of Young Adults with Advanced Cancer

et al. 2017

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This study identifies two ethical and one psychological reasons for patients' overtreatment: 1) patients' preference for further treatment; 2) oncologists' perception of un-fairness of dying young; and 3) identification and emotional entanglement with patient. These findings emphasize the need for oncologists' awareness of the reasons guiding their treatment decisions - a sole focus on patients' preferences and on the fighting against the unfairness of dying young might lead to neglecting obligations of non-maleficence. Self-reflection, the balance of empathy and professional distance as well as timely end of life discussions and involvement of psycho-oncologists are needed in the care of young cancer patients.

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Analysis of Patient-Physician Concordance in the Understanding of Chemotherapy Treatment Plans Among Patients With Cancer

et al. 2020

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IMPORTANCEThe treatment plans of patients with cancer involve multiple modalities that oncologists need to explain to patients. One such modality is chemotherapy, in which information about the goals, duration, and expected complications of therapy are considered fundamental to achieving optimal patient understanding. Therefore, effective communication between patients and their treating physicians is important to ensure patient adherence to treatment and achieve better outcomes. OBJECTIVETo investigate the concordance in the understanding of chemotherapy treatment plans between patients and their treating oncologists and to identify the potential factors associated with concordance. DESIGN, SETTING, AND PARTICIPANTSA cross-sectional study was conducted among adult patients (aged >18 years) with cancer who consented to receive chemotherapy between October 4, 2017, and November 8, 2018. The study also included the treating oncologists of patients receiving chemotherapy. An interview-based structured questionnaire was administered in both inpatient and outpatient settings at the Princess Noorah Oncology Center in Jeddah, Saudi Arabia. The demographic data of patients and physicians were obtained from the ARIA Oncology Information System, a chemotherapy-prescribing software database used at the center. Patients who had a personal history of cancer or were unwilling to be involved in the decision-making process were excluded. Data were analyzed from November 15 to December 20, 2018. EXPOSURES Patients' comprehension and concordance with their treating physicians regarding the aspects of the intended treatment plan. MAIN OUTCOMES AND MEASURESThe main outcomes measured were the patient-physician concordance level in the understanding of treatment plans and the identification of patient-related and physician-related factors associated with the level of concordance. RESULTSA total of 151 adult patients (77 men [51.0%] and 74 women [49.0%]) were interviewed.Of those, 144 patients (75.5%) were younger than 60 years, and 52 patients (34.4%) had a college or advanced degree. A total of 20 treating oncologists were interviewed, of whom 14 (70.0%) were men and 6 (30.0%) were women. Arabic was the primary language of 19 oncologists (95.0%), and 19 oncologists (95.0%) had medical practice experience outside of Saudi Arabia. Only 20 patients (13.7%) had full concordance with their physicians regarding the aspects of their treatment plans.The remaining 131 patients (86.2%) had discordance with 1 or more aspect of their treatment plans.The most common aspect of discordance was the planned duration of the chemotherapy regimen, with 104 patients (68.4%) having full discordance. Full patient-physician concordance was more likely among patients with college or advanced degrees (χ 2 1 = 17.73; P < .001) and patients with a family history of cancer (χ 2 1 = 15.88; P < .001). In addition, older physicians (>40 years) compared (continued) Key Points Question Do patients with cancer understand the treatment plans to which they consent? Find...

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Treatment complexity: a description of chemotherapy and supportive care treatment visits in patients with advanced-stage cancer diagnoses

Abstract: Advanced-stage cancer patients differed in visit types, hours, and treatment length undergoing CT and SC visits. Age, gender, and diagnosis explained the differences, and this study adds new understanding to the phenomenon of treatment complexity.

Cited by 15 publications

References 23 publications

Optimism, Symptom Distress, Illness Appraisal, and Coping in Patients With Advanced-Stage Cancer Diagnoses Undergoing Chemotherapy Treatment

Optimism, Symptom Distress, Illness Appraisal, and Coping in Patients With Advanced-Stage Cancer Diagnoses Undergoing Chemotherapy Treatment

“Rather one more chemo than one less…”: Oncologists and Oncology Nurses’ Reasons for Aggressive Treatment of Young Adults with Advanced Cancer

Analysis of Patient-Physician Concordance in the Understanding of Chemotherapy Treatment Plans Among Patients With Cancer

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