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- Title
Doctor, what are my options? A prospective cohort study of an individualized care plan for patients with gastrointestinal cancer.
- Authors
Hird, A. E.; Lemke, M.; Turovsky, M.; Malecki, V.; Kumar, K.; DeAngelis, C.; Chow, E.; Ko, Y. J.
- Abstract
Background For cancer patients, information about their disease and its treatment is often delivered within a short time period, potentially leading to patient misunderstanding, which can impede optimal patient care. In this 3-part clinical study, we investigated the utility of an individualized care plan for patients with gastrointestinal (gi) cancer starting a new treatment. Methods In part 1, a comprehensive literature search identified items for potential inclusion in the care plan. Those items were formatted into a questionnaire. The questionnaire was then administered to patients as a structured interview. In part 2, health care professionals involved in the care of patients with gi cancer evaluated the resulting care plan for content and relevancy. In part 3, a 20-week prospective cohort study (10 weeks using standard of care, 10 weeks using individualized care plans) was conducted. Outcomes were assessed at baseline and at 2-4 weeks after administration of the care plan. Results In part 1, a 73-item questionnaire was developed and completed by 20 patients in semi-structured interviews. In part 2, long and short versions of the care plan were created. Most health care professionals preferred the long version. Based on their comments, a final version of the care plan was created. The part 3 study enrolled 104 patients. Overall satisfaction scores were significantly higher in the intervention group at baseline (p = 0.010) and follow-up (p = 0.005). Compared with control patients, the intervention cohort also reported significantly higher overall quality of life (p = 0.044) and fewer symptoms of anxiety (p = 0.048) at follow-up. Conclusions Provision of an individualized care plan resulted in improvements in outcome measures at both baseline and follow-up. Future studies are needed to confirm these findings.
- Subjects
CANCER patient medical care; GASTROINTESTINAL cancer; GASTROINTESTINAL cancer treatment; QUALITY of life; PATIENT satisfaction; TREATMENT effectiveness; PATIENTS
- Publication
Current Oncology, 2015, Vol 22, Issue 3, pe171
- ISSN
1198-0052
- Publication type
Article
- DOI
10.3747/co.22.2194