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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| Published in: | European journal of cancer care Vol. 26; no. 2; pp. e12618 - n/a |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
John Wiley & Sons, Inc
01.03.2017
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| ISSN: | 0961-5423, 1365-2354 |
| Online Access: | Get full text |
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| Abstract | 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. |
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| AbstractList | 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. 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. |
| Author | Rosti, Giovanni Bria, Emilio Costantini, Anna Di Maio, Massimo Lorusso, Domenica Mancuso, Annamaria |
| Author_xml | – sequence: 1 givenname: Domenica surname: Lorusso fullname: Lorusso, Domenica email: domenica.lorusso@istitutotumori.mi.it organization: Fondazione IRCCS – Istituto Nazionale Tumori – sequence: 2 givenname: Emilio surname: Bria fullname: Bria, Emilio organization: Azienda Ospedaliera Universitaria Integrata – sequence: 3 givenname: Anna surname: Costantini fullname: Costantini, Anna organization: Sapienza University of Rome, and Italian Society of Psycho‐Oncology (SIPO) – sequence: 4 givenname: Massimo surname: Di Maio fullname: Di Maio, Massimo organization: Mauriziano Hospital – sequence: 5 givenname: Giovanni surname: Rosti fullname: Rosti, Giovanni organization: Policlinico San Matteo – sequence: 6 givenname: Annamaria surname: Mancuso fullname: Mancuso, Annamaria organization: Salute Donna (Association for the Prevention and Fight Against Female Cancers) |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28004440$$D View this record in MEDLINE/PubMed |
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| Copyright | 2016 John Wiley & Sons Ltd 2016 John Wiley & Sons Ltd. Copyright © 2017 John Wiley & Sons Ltd |
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| Keywords | quality of life of life supportive care chemotherapy side effects nausea and vomiting |
| Language | English |
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| Notes | 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. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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| Snippet | 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... 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... |
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| SubjectTerms | 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 |
| Title | Patients’ perception of chemotherapy side effects: Expectations, doctor–patient communication and impact on quality of life – An Italian survey |
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