TY - JOUR
T1 - Perception of Curability Among Advanced Cancer Patients
T2 - An International Collaborative Study
AU - Yennurajalingam, Sriram
AU - Rodrigues, Luis Fernando
AU - Shamieh, Omar
AU - Tricou, Colombe
AU - Filbet, Marilène
AU - Naing, Kyaw
AU - Ramaswamy, Akhileshwaran
AU - Perez-Cruz, Pedro Emilio
AU - Bautista, Mary Jocelyn S.
AU - Bunge, Sofia
AU - Muckaden, Mary Ann
AU - Sewram, Vikash
AU - Fakrooden, Sarah
AU - Noguera-Tejedor, Antonio
AU - Rao, Shobha S.
AU - Liu, Diane
AU - Park, Minjeong
AU - Williams, Janet L.
AU - Lu, Zhanni
AU - Cantu, Hilda
AU - Hui, David
AU - Reddy, Suresh K.
AU - Bruera, Eduardo
N1 - Publisher Copyright:
© AlphaMed Press 2017
PY - 2018/4
Y1 - 2018/4
N2 - Background: There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative care across the globe. Materials and Methods: Secondary analysis of a study to understand the core concepts in end-of-life care among advanced cancer patients receiving palliative care from 11 countries across the world. Advanced cancer patients were surveyed using a Patient Illness Understanding survey and Control Preference Scale. Descriptive statistics and multicovariate logistic regression analysis were performed. Results: Fifty-five percent (763/1,390) of patients receiving palliative care inaccurately reported that their cancer is curable. The median age was 58, 55% were female, 59% were married or had a partner, 48% were Catholic, and 35% were college educated. Sixty-eight percent perceived that the goal of therapy was “to get rid of their cancer,” and 47% perceived themselves as “seriously ill.” Multicovariate logistic regression analysis shows that accurate perception of curability was associated with female gender (odds ratio [OR] 0.73, p =.027), higher education (OR 0.37, p <.0001), unemployment status (OR 0.69, p =.02), and being from France (OR 0.26, p <.0001) and South Africa (OR 0.52, p =.034); inaccurate perception of curability was associated with better Karnofsky performance status (OR 1.02 per point, p =.0005), and being from Philippines (OR 15.49, p <.0001), Jordan (OR 8.43, p <.0001), Brazil (OR 2.17, p =.0037), and India (OR 2.47, p =.039). Conclusion: Inaccurate perception of curability in advanced cancer patients is 55% and significantly differs by gender, education, performance status, employment status, and country of origin. Further studies are needed to develop strategies to reduce this misperception of curability in advanced cancer patients. Implications for Practice: The findings of this study indicate that inaccurate perception of curability among advanced cancer patients is 55%. Inaccurate perception of curability significantly differs by gender, education, performance status, employment status, and country of origin. There is great need to facilitate improved patient–physician communication so as to improve health care outcomes and patient satisfaction.
AB - Background: There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim of the study was to determine the frequency and factors associated with inaccurate perception of curability among advanced cancer patients receiving palliative care across the globe. Materials and Methods: Secondary analysis of a study to understand the core concepts in end-of-life care among advanced cancer patients receiving palliative care from 11 countries across the world. Advanced cancer patients were surveyed using a Patient Illness Understanding survey and Control Preference Scale. Descriptive statistics and multicovariate logistic regression analysis were performed. Results: Fifty-five percent (763/1,390) of patients receiving palliative care inaccurately reported that their cancer is curable. The median age was 58, 55% were female, 59% were married or had a partner, 48% were Catholic, and 35% were college educated. Sixty-eight percent perceived that the goal of therapy was “to get rid of their cancer,” and 47% perceived themselves as “seriously ill.” Multicovariate logistic regression analysis shows that accurate perception of curability was associated with female gender (odds ratio [OR] 0.73, p =.027), higher education (OR 0.37, p <.0001), unemployment status (OR 0.69, p =.02), and being from France (OR 0.26, p <.0001) and South Africa (OR 0.52, p =.034); inaccurate perception of curability was associated with better Karnofsky performance status (OR 1.02 per point, p =.0005), and being from Philippines (OR 15.49, p <.0001), Jordan (OR 8.43, p <.0001), Brazil (OR 2.17, p =.0037), and India (OR 2.47, p =.039). Conclusion: Inaccurate perception of curability in advanced cancer patients is 55% and significantly differs by gender, education, performance status, employment status, and country of origin. Further studies are needed to develop strategies to reduce this misperception of curability in advanced cancer patients. Implications for Practice: The findings of this study indicate that inaccurate perception of curability among advanced cancer patients is 55%. Inaccurate perception of curability significantly differs by gender, education, performance status, employment status, and country of origin. There is great need to facilitate improved patient–physician communication so as to improve health care outcomes and patient satisfaction.
KW - Cancer
KW - Decision-making preference
KW - Palliative care
KW - Perception of curability
KW - Prognostic awareness
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U2 - 10.1634/theoncologist.2017-0264
DO - 10.1634/theoncologist.2017-0264
M3 - Article
C2 - 29158371
AN - SCOPUS:85045830784
SN - 1083-7159
VL - 23
SP - 501
EP - 506
JO - Oncologist
JF - Oncologist
IS - 4
ER -