Accuracy of physician assessment of treatment preferences and health status in elderly patients with higher-risk myelodysplastic syndromes

G Caocci, Mt Voso, E Angelucci, R Stauder, F Cottone, G Abel, K Nguyen, U Platzbecker, O Beyne Rauzy, G Gaidano, R Invernizzi, S Molica, Marianna Criscuolo, M Breccia, M Lübbert, G Sanpaolo, F Buccisano, A Ricco, Ga Palumbo, P NiscolaH Zhang, S Fenu, G La Nasa, F Mandelli, F. Efficace*

*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivistaArticolo

10 Citazioni (Scopus)

Abstract

Higher-risk myelodysplastic syndromes (MDS) are rarely curable and have a poor prognosis. We investigated the accuracy of physicians' perception of patients' health status and the patients' preferences for involvement in treatment decisions. We examined 280 newly diagnosed higher-risk elderly MDS patients paired with their physicians. Survey tools included the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) and the Control Preference Scale. Overall concordance was 49% for physician perception of patient preferences for involvement in treatment decisions. In 36.4% of comparisons there were minor differences and in 14.6% there were major differences. In 44.7% of the patients preferring a passive role, physicians perceived them as preferring an active or collaborative role. Absence of the patient's request for prognostic information (P=0.001) and judging the patient as having a poor health status (P=0.036) were factors independently associated with the physicians' attitude toward a lower degree of patient involvement in clinical decisions. Agreement on health status was found in 27.5% of cases. Physicians most frequently tended to overestimate health status of patients who reported low-level health status. The value of decision aid-tools in the challenging setting of higher-risk MDS should be investigated to further promote patient-centered care.
Lingua originaleInglese
pagine (da-a)859-865
Numero di pagine7
RivistaLeukemia Research
Volume39
Numero di pubblicazione8
DOI
Stato di pubblicazionePubblicato - 2015
Pubblicato esternamente

All Science Journal Classification (ASJC) codes

  • Ematologia
  • Oncologia
  • Ricerca sul Cancro

Keywords

  • 80 and over
  • Adult
  • Aged
  • Cancer
  • Decision Making
  • Decision making
  • Female
  • Health Status
  • Health status
  • Hematology
  • Humans
  • Male
  • Middle Aged
  • Myelodysplastic Syndromes
  • Myelodysplastic syndromes
  • Oncology
  • Patient Participation
  • Patient Preference
  • Perception
  • Physician-Patient Relations
  • Physicians
  • Quality of Life
  • Risk Factors
  • Surveys and Questionnaires

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