1468P - The influence of quality of life on patient satisfaction in ambulatory oncology

Date 01 October 2012
Event ESMO Congress 2012
Session Poster presentation III
Topics Psychosocial Aspects of Cancer
Presenter Thanh Vân Nguyen
Authors T.V.F. Nguyen1, A. Brédart2, J. Bosset3, A. Monnier4, M. Mercier1
  • 1Clinical Research Unit In Quality Of Life, CHU Jean Minjoz, 25030 - BESANCON/FR
  • 2Psycho-oncology Unit, Institut Curie, 75231 - Paris/FR
  • 3Radiation-oncology, CHU Jean Minjoz, 25030 - Besançon/FR
  • 4Radiotherapy, CH Belfort-Montbéliard, 25200 - Montbéliard/FR

Abstract

In the oncology setting, there has been an emphasis in evaluating outcomes of treatments in terms of quality of life and patient satisfaction. Our study aimed to investigate determinants of patient satisfaction and to assess the relationship between quality of life and satisfaction with care and their changes over time in curative treatment of cancer out-patients. Patients undergoing ambulatory chemotherapy or radiotherapy in 2 centers in France were invited, at the beginning of the treatment, at the end and 3 months after, to complete the OUT-PATSAT35, composed of 35 items and 13 scales, evaluating perception of doctors, nurses, as well as aspects of care organization and services. All measures range from 0 to 100, a higher score reflecting a higher level of satisfaction. Additionally, for each patient, data were collected on socio-demographic, clinical characteristics and quality of life (EORTC QLQ-C30). Of 691 patients included, 561 answered to the 3 assessment timings. In multivariate analysis, at the end of the treatment, patients, whose global health was deteriorated, were less satisfied in most scales, and 3 months after, the same patients had lower satisfaction scores only in doctors' evaluation. The longitudinal analysis evidenced a significant relationship between a deterioration of global health and a decrease of satisfaction in doctors' domains and, conversely, between an improvement of global health and an increase of satisfaction in the overall satisfaction scale. Furthermore, perceived global health at the beginning of the treatment remained significantly associated with all satisfaction scores in the following timings. Radiotherapy (versus chemotherapy) was linked to less satisfaction with doctors' and nurses' provision of information and waiting-time, and head and neck cancer patients were less satisfied with the hospital environment. Pre-treatment self evaluated global health was the major determinant of patient satisfaction in ambulatory oncology. The subsequent deterioration of global health emphasized the decrease of satisfaction, mainly in doctors' evaluation. Initiatives targeting these patients with poorer health status, before starting the treatment, should improve their pattern of care.

Disclosure

All authors have declared no conflicts of interest.