Perceived communication between physicians and breast cancer patients as a predicting factor of patients' health-related quality of life: a longitudinal analysis

Trudel, Julie G.; Leduc, Nicole; Dumont, Serge

doi:10.1002/pon.3442

Cited by 38 publications

(39 citation statements)

References 36 publications

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“…Notably, the fear of disease recurrence is still present among patients, independent of effective treatment (18). The better the interpersonal communication, the lower the fear and depression among breast cancer patients (19).…”

Section: Resultsmentioning

confidence: 99%

Same Quality of Life for Polish Breast Cancer Patients Treated with Mastectomy and Breast Reconstruction or Breast-Conserving Therapy

Szutowicz-Wydra¹,

Wydra²,

Kruszewski³

et al. 2016

Polish Journal of Surgery

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3Kierownik: dr n. med. r. Hansdorfer-Korzon Breast cancer often requires combined oncologic treatments, the base of which is surgery. Quality of life (QoL) after each surgical procedure may influence the process of decision making among women, who qualify for multiple oncological strategies. our knowledge about QoL in breast cancer patients is derived from comparative studies. Results may differ, depending on country, culture, and societal relations. the aim of the study was to investigate the quality of life of Polish patients treated with breastconserving therapy (BCT) or mastectomy with breast reconstruction. material and methods. The study involved women who underwent surgery for breast cancer in the Department of Surgical oncology of the Gdynia oncology Center from September 2010 to November 2013. Eighty-two breast reconstructions (in 79 patients) and 226 BCT procedures were performed. QoL was measured with the use of EoRTC QLQ-C30 and QLQ-BR23 questionnaires. Results. Global QoL was high in both groups and did not differ significantly. Body image was slightly better after BCT than after mastectomy with breast reconstruction, but sexual QoL was lower. Future perspective was quite low in both groups. Disease symptoms were not bothering. conclusions. The global QoL among Polish breast cancer patients treated with BCT or mastectomy with breast reconstruction is high and does not differ between groups. There is a need for anxiety and disease-related fear prophylaxis and for the improvement of sex life of breast cancer survivors.

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Section: Resultsmentioning

confidence: 99%

Same Quality of Life for Polish Breast Cancer Patients Treated with Mastectomy and Breast Reconstruction or Breast-Conserving Therapy

Szutowicz-Wydra¹,

Wydra²,

Kruszewski³

et al. 2016

Polish Journal of Surgery

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“…Our results show, however, that even when lifestyle and health status are taken into account, BCS’ satisfaction with the health care they receive significantly affects their HRQOL. It has been reported that breast cancer patients’ perception of their own competency in communicating with physicians may have a greater impact than their perception of physicians’ communication skills on their HRQOL [23]. Therefore, in addition to ongoing provider training in cultural competence, interventions that educate and empower all BCS to be effective self-advocates in their interactions with medical professionals are of critical importance.…”

Section: Discussionmentioning

confidence: 99%

“…Factors associated with HRQOL in BCS include life burden (e.g., role limitations, neighborhood characteristics, daily stressors) [15], social support [18], ethnicity [8], ethnic identity [19], spirituality [4], socioeconomic status [20], employment status [21], chronological age and marital/relationship status [18], health insurance status [22], quality of the patient-physician relationship [23], side effects of cancer treatment and comorbidities [24], diet and exercise habits [20, 25], stage at diagnosis and treatment characteristics [4, 18], personal control beliefs [26], and depressive symptomology [27]. …”

Section: Introductionmentioning

confidence: 99%

Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

et al. 2015

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Purpose This study explored the relationships between systemic and individual-level contextual factors and health-related quality of life (HRQOL) in a cohort of African American and Latina breast cancer survivors (BCS). Methods Baseline questionnaire data of 320 BCS who participated in a HRQOL psycho-educational intervention were abstracted from the parent study. Hierarchical regression analysis tested the independent effects of contextual factors on HRQOL. Results HRQOL was higher in BCS who: were diagnosed at

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“…» est la question la plus souvent formulée autant que celle de comment annoncer les mauvaises nouvelles à des parents âgés ou à des enfants jeunes [2,29]… Il est donc prioritaire de transmettre aux praticiens, qui ont des patientes susceptibles d'être concernées, ces notions majeures permettant de décoder le diagnostic et de parler des paramètres de la tumeur, sans amalgame global sous le vocable « cancer » qui effraie souvent autant le radiologue ayant évoqué le diagnostic ou le médecin traitant que la patiente. La relation qui va se nouer entre son médecin réfé-rent et l'équipe qui va la prendre en charge va être le pivot central du vécu ultérieur de la patiente [30,31].…”

Section: C'est Un Cancerunclassified

“…Cela doit permettre de réaliser une fiche de RCP pré-thérapeutique, permettant une présentation fidèle de la situation médicale et personnelle de la patiente et non une discussion uniquement centrée sur les caractéristiques de la tumeur. Cette présentation fidèle de son dossier, sous réserve de l'accord de la patiente, donnera lieu à une proposition thérapeutique la plus adaptée, comblant si néces-saire l'absence du médecin la connaissant lors du passage de son dossier en réunion [31]. Ainsi, la patiente se sentira prise en compte en tant que « personne » et non en tant que « cas » [32].…”

Section: C'est Un Cancerunclassified

Suspected or diagnosis breast cancer: Care for women undergoing breast cancer diagnosis

et al. 2016

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Le temps qui s'écoule entre la connaissance d'un diagnostic certain ou suspecté de cancer du sein et les premiers traitements est une période angoissante de transition, caractérisée par stress, émotions et bouleversement biographique. Le diagnostic d'un cancer du sein constitue un tournant décisif dans la vie d'une femme, associé à des sentiments de peur, d'angoisse, de désespoir, et les professionnels de santé doivent aider la patiente, non seulement en raccourcissant les délais, mais en reconnaissant les signes de détresse psychologique pour proposer des comportements appropriés. Parce qu'il est connu que le degré d'adaptation au diagnostic initialement est corrélé au vécu ultérieur, il est majeur de prendre en compte cette période avec un comportement empathique et aider la patiente à réduire son anxiété et diminuer son sentiment d'isolement. Les services de sénologie hyperspécialisés peuvent rendre de grands services, ayant recours à des infirmières de coordination et à des médecins responsables de parcours.Mots clés Suspicion ou diagnostic récent de cancer du sein · Valeur d'unités spécialisées en diagnostic · Délais d'attente · Détresse · Équipe soignante Abstract The period between breast cancer diagnosis (suspected or certain) and the first treatment is an agonizing transition period, characterized by distress, emotional experiences, and biographical disruption. The breast cancer diagnosis is a key turning point in a woman's life, associated with fear, anxiety, and loss of hope. Health care providers must help the patient not only by shortening but also by recognizing psychological distress symptoms to propose adaptive behaviors. As it is known that the level of adjustment to diagnosis in the earliest period is associated with future adjustment, it is important to consider this period with empathic behavior and help women to alleviate anxiety and reduce loneliness. Specialized diagnosis assessment units can help because it includes a multidisciplinary health care team with a nurse navigator and a care pathway physician responsible.

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Perceived communication between physicians and breast cancer patients as a predicting factor of patients' health-related quality of life: a longitudinal analysis

Abstract: The results underscore the importance for breast cancer patients of being proactive in information seeking and in the socio-emotional aspect of their relationship with physicians to enhance their HRQOL.

Cited by 38 publications

References 36 publications

Same Quality of Life for Polish Breast Cancer Patients Treated with Mastectomy and Breast Reconstruction or Breast-Conserving Therapy

Same Quality of Life for Polish Breast Cancer Patients Treated with Mastectomy and Breast Reconstruction or Breast-Conserving Therapy

Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors

Suspected or diagnosis breast cancer: Care for women undergoing breast cancer diagnosis

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