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Association between pancreatic cancer patients' perception of their care coordination and patient-reported and survival outcomes

Authors :
Beesley, Vanessa
Janda, Monika
Burmeister, Elizabeth
Goldstein, David
Gooden, Helen
Merrett, Neil
O'Connell, Dianne
Wyld, David
Chan, Ray
Young, Jane
Neale, Rachel
Beesley, Vanessa
Janda, Monika
Burmeister, Elizabeth
Goldstein, David
Gooden, Helen
Merrett, Neil
O'Connell, Dianne
Wyld, David
Chan, Ray
Young, Jane
Neale, Rachel
Source :
Palliative and Supportive Care
Publication Year :
2018

Abstract

Objective: People with pancreatic cancer have poor survival and management is challenging. Pancreatic cancer patients’ perceptions of their care coordination and its association with their outcomes have not been studied. Our objective was to determine if perception of care coordination is associated with patient-reported outcomes or survival. Methods: People with pancreatic cancer who were 1-8 months post-diagnosis (52 with completed resection; 58 with no resection) completed a patient-reported questionnaire which assessed their perception of care coordination, quality of life, anxiety and depression using validated instruments. Mean scores for 15 care coordination items were calculated and then ranked from highest mean score (best experience) to lowest (worst experience). Associations between care coordination scores (including communication and navigation domains) and patient-reported outcomes and survival were investigated using general linear regression and Cox regression, respectively. All analyses were stratified by whether or not the tumour had been resected. Results: In both groups the highest-ranked care coordination items were: knowing who was responsible for coordinating care; health professionals being informed about their history; and waiting times. The worst-ranked items related to: how often patients were asked about visits with other health professionals and how well they and their family were coping; knowing symptoms they should monitor; having sufficient emotional help from staff; and access to additional specialist services. For people who had a resection, better communication and navigation scores were significantly associated with higher quality of life and less anxiety and depression. However, these associations were not statistically significant for those with no resection. Perception of cancer care coordination was not associated with survival in either group. Significance: Our results suggest that while many core clinical aspects of care are

Details

Database :
OAIster
Journal :
Palliative and Supportive Care
Notes :
application/pdf
Publication Type :
Electronic Resource
Accession number :
edsoai.on1287983267
Document Type :
Electronic Resource