Lindberg-Scharf, Patricia and Steinger, Brunhilde and Koller, Michael and Hofstaedter, Andrea and Ortmann, Olaf and Kurz, Jan and Sasse, Jonathan and Klinkhammer-Schalke, Monika (2021) Long-term improvement of quality of life in patients with breast cancer: supporting patient-physician communication by an electronic tool for inpatient and outpatient care. SUPPORTIVE CARE IN CANCER, 29 (12). pp. 7865-7875. ISSN 0941-4355, 1433-7339
Full text not available from this repository. (Request a copy)Abstract
Purpose The effectiveness of a pathway with quality of life (QoL) diagnosis and therapy has been already demonstrated in an earlier randomized trial (RCT) in patients with breast cancer. We refined the pathway by developing and evaluating an electronic tool for QoL assessment in routine inpatient and outpatient care. Methods In a single-arm study, patients with breast cancer with surgical treatment in two German hospitals were enrolled. QoL (EORTC QLQ-C30, QLQ-BR23) was measured with an electronic tool after surgery and during aftercare in outpatient medical practices (3, 6, 9, 12, 18, and 24 months) so that results (QoL-profile) were available immediately. Feedback by patients and physicians was analyzed to evaluate feasibility and impact on patient-physician communication. Results Between May 2016 and July 2018, 56 patients were enrolled. Physicians evaluated the QoL pathway as feasible. Patients whose physician regularly discussed QoL-profiles with them reported significantly more often that their specific needs were cared for (p < .001) and that their physician had found the right treatment strategy for these needs (p < .001) compared with patients whose doctor never/rarely discussed QoL-profiles. The latter significantly more often had no benefit from QoL assessments (p < .001). Conclusion The QoL pathway with electronic QoL assessments is feasible for inpatient and outpatient care. QoL results should be discussed directly with the patient.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | REPORTED OUTCOME MEASURES; EUROPEAN-ORGANIZATION; RANDOMIZED-TRIAL; THERAPY; HEALTH; EQUIVALENCE; INSTRUMENT; DIAGNOSIS; WOMEN; Quality of life; Patient-reported outcomes; Breast cancer; Electronic assessment; Patient-physician communication; Complex intervention |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien Medicine > Zentren des Universitätsklinikums Regensburg > Tumorzentrum e.V. |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 19 Jul 2022 11:49 |
| Last Modified: | 19 Jul 2022 11:49 |
| URI: | https://pred.uni-regensburg.de/id/eprint/45866 |
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