Journal article
What do cancer patients worry about when making decisions about treatment? Variation across racial/ethnic groups
Supportive care in cancer, Vol.22(1), pp.233-244
01/01/2014
DOI: 10.1007/s00520-013-1958-5
PMCID: PMC5338592
PMID: 24037412
Abstract
The aim of this study was to determine the issues patients worry about when making decisions about cancer treatment. A total of 5,044 colorectal and lung cancer patients from the Cancer Care Outcomes Research and Surveillance Consortium reported their level of worry about (1) treatment side effects, (2) treatment costs, (3) time away from family, (4) time away from work, and (5) transportation to treatment sites. Using multivariable logistic regression, we evaluated the association of sociodemographic, clinical, and psychosocial variables with worry. Overall, 75 % of patients worried about side effects of treatments; 40 %, the cost of treatment; 50 %, time away from family; 52 %, time away from work; and 22 %, about transportation. In multivariable analyses, across all worry domains, older patients had lower odds of reporting worry (p values < 0.001). Patients who perceived less than excellent quality of care, self-assessed their health as less than excellent, and those with a higher cancer stage were more likely to report worry. Asian patients were more likely to report worry than Whites about the cost of treatment and transportation, and relative to Whites, Hispanics were more likely to report worry about transportation (p values < 0.05). Black patients were less likely to report worry about time away from work. Patients worry about issues beyond treatment side effects when making treatment decisions. The pattern of worry varies along sociodemographic, clinical, and psychosocial factors, including race and ethnicity. Understanding the source of patient worry and identifying interventions to alleviate worry are important to delivering patient-centered cancer care.
Details
- Title: Subtitle
- What do cancer patients worry about when making decisions about treatment? Variation across racial/ethnic groups
- Creators
- Michelle Y. Martin - University of Alabama at BirminghamMona N. Fouad - University of Alabama at BirminghamRobert A. Oster - University of Alabama at BirminghamDeborah Schrag - Harvard UniversityJulie Urmie - University of IowaSara Sanders - University of IowaMaria Pisu - University of Alabama at Birmingham
- Resource Type
- Journal article
- Publication Details
- Supportive care in cancer, Vol.22(1), pp.233-244
- DOI
- 10.1007/s00520-013-1958-5
- PMID
- 24037412
- PMCID
- PMC5338592
- NLM abbreviation
- Support Care Cancer
- ISSN
- 0941-4355
- eISSN
- 1433-7339
- Publisher
- Springer Nature
- Number of pages
- 12
- Grant note
- U54CA118948 / Morehouse School of Medicine/Tuskegee University/University of Alabama Cancer Center Partnership NCI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) P30AG031054 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) U01 CA 093326 / University of North Carolina U01 CA093344 / National Cancer Institute (NCI); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) CRS 02-164 / Department of Veterans Affairs grant; US Department of Veterans Affairs U01CA093339 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) U01 CA093324; RAND/UCLA U01 CA093348 / Harvard Medical School/Northern California Cancer Center U01 CA093329; P30 AG031054 / University of Alabama at Birmingham U01 CA. 093339 / University of Iowa U01 CA093332 / Dana-Farber Cancer Institute/Cancer Research Network
- Language
- English
- Date published
- 01/01/2014
- Academic Unit
- Liberal Arts and Science Admin; School of Social Work; Pharmacy Practice and Science
- Record Identifier
- 9984307147202771
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