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Disclosing a Diagnosis of Cancer: Considerations Specific to Gynecologic Oncology Patients

OBJECTIVE:: To characterize gynecologic oncology patientsʼ perceptions of the process of disclosure of a cancer diagnosis. METHODS:: We surveyed 100 gynecologic oncology patients between December 2011 and September 2012. An 83-item tool based on three validated assessment tools evaluated patient-cen... Full description

Journal Title: Obstetrics & Gynecology 2013, Vol.122(5), pp.1033-1039
Main Author: Kuroki, M., Lindsay
Other Authors: Zhao, B., Qiuhong , Jeffe, A., Donna , Powell, R., Matthew , Hagemann, H., Andrea , Thaker, Stewart, Premal , Massad, G., L. , Mutch, G., David , Zighelboim, G., Israel
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ID: ISSN: 0029-7844 ; DOI: 10.1097/AOG.0b013e3182a9bf42
Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00006250-201311000-00015
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recordid: ovid00006250-201311000-00015
title: Disclosing a Diagnosis of Cancer: Considerations Specific to Gynecologic Oncology Patients
format: Article
creator:
  • Kuroki, M., Lindsay
  • Zhao, B., Qiuhong
  • Jeffe, A., Donna
  • Powell, R., Matthew
  • Hagemann, H., Andrea
  • Thaker, Stewart, Premal
  • Massad, G., L.
  • Mutch, G., David
  • Zighelboim, G., Israel
subjects:
  • Medicine
ispartof: Obstetrics & Gynecology, 2013, Vol.122(5), pp.1033-1039
description: OBJECTIVE:: To characterize gynecologic oncology patientsʼ perceptions of the process of disclosure of a cancer diagnosis. METHODS:: We surveyed 100 gynecologic oncology patients between December 2011 and September 2012. An 83-item tool based on three validated assessment tools evaluated patient-centered factors, physician behavior and communication skills, and environmental factors. Associations between patientsʼ satisfaction and these variables were analyzed using Wilcoxon rank-sum, Kruskal-Wallis, and Spearmanʼs rho tests. Poisson regression was used to assess factors associated with patientʼs satisfaction. RESULTS:: Twenty-four percent of patients were notified of their diagnosis by phone, 60% in the physicianʼs office, and 16% in the hospital. Disclosure was performed by an obstetrician–gynecologist (58%), gynecologic oncologist (26%), primary care physician (8%), or other (8%). Fifty-two percent of all patients were accompanied by a support person. Higher patient satisfaction scores were associated with face-to-face disclosure (mean score 91% compared with over the phone 72%, P=.02), a private setting (mean score 92% compared with impersonal setting 72%, P=.004), and duration of the encounter of greater than 10 minutes (mean score 94% compared with less than 10 minutes 79%, P
language:
source:
identifier: ISSN: 0029-7844 ; DOI: 10.1097/AOG.0b013e3182a9bf42
fulltext: fulltext
issn:
  • 0029-7844
  • 00297844
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titleDisclosing a Diagnosis of Cancer: Considerations Specific to Gynecologic Oncology Patients
creatorKuroki, M., Lindsay ; Zhao, B., Qiuhong ; Jeffe, A., Donna ; Powell, R., Matthew ; Hagemann, H., Andrea ; Thaker, Stewart, Premal ; Massad, G., L. ; Mutch, G., David ; Zighelboim, G., Israel
ispartofObstetrics & Gynecology, 2013, Vol.122(5), pp.1033-1039
identifierISSN: 0029-7844 ; DOI: 10.1097/AOG.0b013e3182a9bf42
descriptionOBJECTIVE:: To characterize gynecologic oncology patientsʼ perceptions of the process of disclosure of a cancer diagnosis. METHODS:: We surveyed 100 gynecologic oncology patients between December 2011 and September 2012. An 83-item tool based on three validated assessment tools evaluated patient-centered factors, physician behavior and communication skills, and environmental factors. Associations between patientsʼ satisfaction and these variables were analyzed using Wilcoxon rank-sum, Kruskal-Wallis, and Spearmanʼs rho tests. Poisson regression was used to assess factors associated with patientʼs satisfaction. RESULTS:: Twenty-four percent of patients were notified of their diagnosis by phone, 60% in the physicianʼs office, and 16% in the hospital. Disclosure was performed by an obstetrician–gynecologist (58%), gynecologic oncologist (26%), primary care physician (8%), or other (8%). Fifty-two percent of all patients were accompanied by a support person. Higher patient satisfaction scores were associated with face-to-face disclosure (mean score 91% compared with over the phone 72%, P=.02), a private setting (mean score 92% compared with impersonal setting 72%, P=.004), and duration of the encounter of greater than 10 minutes (mean score 94% compared with less than 10 minutes 79%, P<.001). Multivariate analysis confirmed that both physician communication skills (P<.001) and patient-centered factors (eg, perception of physician sensitivity and empathy, opportunities to ask questions and express emotion, and set the pace of conversation; P=.013) were associated with higher patient satisfaction. CONCLUSIONS:: Effective physician communication skills and patient-centered factors resulted in higher patient satisfaction with the gynecologic cancer diagnosis disclosure experience. LEVEL OF EVIDENCE:: II
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titleDisclosing a Diagnosis of Cancer: Considerations Specific to Gynecologic Oncology Patients
descriptionOBJECTIVE:: To characterize gynecologic oncology patientsʼ perceptions of the process of disclosure of a cancer diagnosis. METHODS:: We surveyed 100 gynecologic oncology patients between December 2011 and September 2012. An 83-item tool based on three validated assessment tools evaluated patient-centered factors, physician behavior and communication skills, and environmental factors. Associations between patientsʼ satisfaction and these variables were analyzed using Wilcoxon rank-sum, Kruskal-Wallis, and Spearmanʼs rho tests. Poisson regression was used to assess factors associated with patientʼs satisfaction. RESULTS:: Twenty-four percent of patients were notified of their diagnosis by phone, 60% in the physicianʼs office, and 16% in the hospital. Disclosure was performed by an obstetrician–gynecologist (58%), gynecologic oncologist (26%), primary care physician (8%), or other (8%). Fifty-two percent of all patients were accompanied by a support person. Higher patient satisfaction scores were associated with face-to-face disclosure (mean score 91% compared with over the phone 72%, P=.02), a private setting (mean score 92% compared with impersonal setting 72%, P=.004), and duration of the encounter of greater than 10 minutes (mean score 94% compared with less than 10 minutes 79%, P<.001). Multivariate analysis confirmed that both physician communication skills (P<.001) and patient-centered factors (eg, perception of physician sensitivity and empathy, opportunities to ask questions and express emotion, and set the pace of conversation; P=.013) were associated with higher patient satisfaction. CONCLUSIONS:: Effective physician communication skills and patient-centered factors resulted in higher patient satisfaction with the gynecologic cancer diagnosis disclosure experience. LEVEL OF EVIDENCE:: II
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authorKuroki, M., Lindsay ; Zhao, B., Qiuhong ; Jeffe, A., Donna ; Powell, R., Matthew ; Hagemann, H., Andrea ; Thaker, Stewart, Premal ; Massad, G., L. ; Mutch, G., David ; Zighelboim, G., Israel
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abstractOBJECTIVE:: To characterize gynecologic oncology patientsʼ perceptions of the process of disclosure of a cancer diagnosis. METHODS:: We surveyed 100 gynecologic oncology patients between December 2011 and September 2012. An 83-item tool based on three validated assessment tools evaluated patient-centered factors, physician behavior and communication skills, and environmental factors. Associations between patientsʼ satisfaction and these variables were analyzed using Wilcoxon rank-sum, Kruskal-Wallis, and Spearmanʼs rho tests. Poisson regression was used to assess factors associated with patientʼs satisfaction. RESULTS:: Twenty-four percent of patients were notified of their diagnosis by phone, 60% in the physicianʼs office, and 16% in the hospital. Disclosure was performed by an obstetrician–gynecologist (58%), gynecologic oncologist (26%), primary care physician (8%), or other (8%). Fifty-two percent of all patients were accompanied by a support person. Higher patient satisfaction scores were associated with face-to-face disclosure (mean score 91% compared with over the phone 72%, P=.02), a private setting (mean score 92% compared with impersonal setting 72%, P=.004), and duration of the encounter of greater than 10 minutes (mean score 94% compared with less than 10 minutes 79%, P<.001). Multivariate analysis confirmed that both physician communication skills (P<.001) and patient-centered factors (eg, perception of physician sensitivity and empathy, opportunities to ask questions and express emotion, and set the pace of conversation; P=.013) were associated with higher patient satisfaction. CONCLUSIONS:: Effective physician communication skills and patient-centered factors resulted in higher patient satisfaction with the gynecologic cancer diagnosis disclosure experience. LEVEL OF EVIDENCE:: II
pub© 2013 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
doi10.1097/AOG.0b013e3182a9bf42
eissn1873233X
date2013-11