Patients’ perception of chemotherapy side effects: Expectations, doctor–patient communication and impact on quality of life – An Italian survey

Chemotherapy side effects (CSE) have a strong impact on patients’ quality of life (QOL). To assess patient perceptions of CSE, their impact on QOL and doctor–patient communication regarding these aspects, a survey was conducted among Italian cancer patients. Patients at least 18 years of age, who re...

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Veröffentlicht in:European journal of cancer care Jg. 26; H. 2; S. e12618 - n/a
Hauptverfasser: Lorusso, Domenica, Bria, Emilio, Costantini, Anna, Di Maio, Massimo, Rosti, Giovanni, Mancuso, Annamaria
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England John Wiley & Sons, Inc 01.03.2017
Schlagworte:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Antiemetics
Antineoplastic Agents - adverse effects
Attitude to Health
Cancer
Chemotherapy
chemotherapy side effects
Communication
Employment
Female
Humans
Incidence
Italy
Male
Middle Aged
Nausea
Nausea - chemically induced
Nausea - drug therapy
nausea and vomiting
Neoplasms - drug therapy
Patients
Perception
Physician-Patient Relations
Physicians
Quality of Life
quality of life of life
Sexual Dysfunction, Physiological - chemically induced
Side effects
supportive care
Surveys and Questionnaires
Vomiting
Vomiting - chemically induced
Vomiting - drug therapy
Young Adult
quality of life of life
supportive care
chemotherapy side effects
nausea and vomiting
ISSN:0961-5423, 1365-2354
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Zusammenfassung:Chemotherapy side effects (CSE) have a strong impact on patients’ quality of life (QOL). To assess patient perceptions of CSE, their impact on QOL and doctor–patient communication regarding these aspects, a survey was conducted among Italian cancer patients. Patients at least 18 years of age, who received chemotherapy, were administered a dedicated questionnaire to assess their point of view on five domains: expectations about CSE and impact on QOL; doctor–patient communication about CSE; treatments to reduce the impact of CSE; sexual life; family relationships/activities and employment. A total of 761 patients participated. CSE had a considerable impact on patient QOL. Nausea/vomiting was the most feared adverse effect before initiating chemotherapy and the one most commonly experienced during treatment. Patients generally reported good doctor–patient communication regarding information about CSE. In almost all cases, the oncologists prescribed an antiemetic treatment, but the incidence of nausea/vomiting was high. Cancer and CSE severely affected sexual life, daily activities and employment. CSE had a strong negative impact on QOL. Good doctor–patient communication is essential. Improving antiemetic strategies may improve QOL. Doctors’ ability to inform patients about delicate issues, such as the impact of CSE on sexual life, needs to be improved.
Bibliographie:Funding information
This work was funded by an unrestricted grant from MSD Italia Srl. The sponsor had no role in administering the questionnaire, collecting, analysing or interpreting data, reviewing the literature, drafting or reviewing the manuscript, or in the decision to submit the manuscript for publication. All views expressed here are solely those of the authors.
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ISSN:0961-5423
1365-2354
DOI:10.1111/ecc.12618