Predictors of satisfaction with treatment decision, decision-making preferences, and main treatment goals in patients with advanced cancer

Hitz, F.; Ribi, K.; Li, Qiyu; Klingbiel, Dirk; Cerny, T.; Koeberle, D. (2013). Predictors of satisfaction with treatment decision, decision-making preferences, and main treatment goals in patients with advanced cancer. Supportive care in cancer, 21(11), pp. 3085-3093. Springer 10.1007/s00520-013-1886-4

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Purpose This study investigated satisfaction with treatment decision (SWTD), decision-making preferences (DMP), and main treatment goals, as well as evaluated factors that predict SWTD, in patients receiving palliative cancer treatment at a Swiss oncology network. Patients and methods Patients receiving a new line of palliative treatment completed a questionnaire 4–6 weeks after the treatment decision. Patient questionnaires were used to collect data on sociodemographics, SWTD (primary outcome measure), main treatment goal, DMP, health locus of control (HLoC), and several quality of life (QoL) domains. Predictors of SWTD (6 = worst; 30 = best) were evaluated by uni- and multivariate regression models. Results Of 480 participating patients in eight hospitals and two private practices, 445 completed all questions regarding the primary outcome measure. Forty-five percent of patients preferred shared, while 44 % preferred doctor-directed, decision-making. Median duration of consultation was 30 (range: 10–200) minutes. Overall, 73 % of patients reported high SWTD (≥24 points). In the univariate analyses, global and physical QoL, performance status, treatment goal, HLoC, prognosis, and duration of consultation were significant predictors of SWTD. In the multivariate analysis, the only significant predictor of SWTD was duration of consultation (p = 0.01). Most patients indicated hope for improvement (46 %), followed by hope for longer life (26 %) and better quality of life (23 %), as their main treatment goal. Conclusion Our results indicate that high SWTD can be achieved in most patients with a 30-min consultation. Determining the patient’s main treatment goal and DMP adds important information that should be considered before discussing a new line of palliative treatment.

Item Type:

Journal Article (Original Article)

Division/Institute:

08 Faculty of Science > Department of Mathematics and Statistics > Institute of Mathematical Statistics and Actuarial Science
04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Li, Qiyu and Klingbiel, Dirk

Subjects:

500 Science > 510 Mathematics
600 Technology > 610 Medicine & health

ISSN:

0941-4355

Publisher:

Springer

Language:

English

Submitter:

Lutz Dümbgen

Date Deposited:

10 Dec 2014 10:41

Last Modified:

05 Oct 2015 08:57

Publisher DOI:

10.1007/s00520-013-1886-4

BORIS DOI:

10.7892/boris.60915

URI:

https://boris.unibe.ch/id/eprint/60915

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