The impact of cancer and chemotherapy: perceptual similarities and differences between cancer patients, nurses and physicians.
BACKGROUND
An essential condition to provide optimal care to cancer patients is a thorough understanding of the worries and needs of these patients.


OBJECTIVE
To assess and compare perceptions about the impact of cancer and chemotherapy of health-care providers and patients.


METHODS
Breast cancer survivors (N=80), oncology nurses (N=41) and physicians (N=49) with oncology experience completed a psychophysical scaling method with items tapping both the physical and psychosocial effects of cancer and chemotherapy.


RESULTS
The following five issues ranked highest among patients: fear of metastases, fatigue, consciousness of one's own vulnerability, hair loss and nausea. Whereas there was a strong correspondence between the ratings of nurses and physicians, both groups grossly overestimated and underestimated various issues. For example, the effects on relationships with partners and children were greatly overestimated by nurses, while physicians underestimated hair loss the most.


CONCLUSIONS
There was a considerable discrepancy on various issues between perceptions of patients and medical professionals.


CONCLUSIONS
The observed lack of correspondence between patients and health-care providers may result in inappropriate provision of attention and health care. Methods have to be developed to assess easily the main needs and worries of individual patients, which is an essential condition to be able to provide optimal care.
Mulders
Marco
M
Department of Psychology and Health, Tilburg University, P.O. Box 90.153, 5000 LE Tilburg, The Netherlands.
Vingerhoets
Ad
A
Breed
Wim
W
D000328:Adult; D000368:Aged; D000505:Alopecia / Q000139:chemically induced; D000970:Antineoplastic Agents / Q000009:adverse effects; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D015982:Bias; D001943:Breast Neoplasms / Q000150:complications / Q000188:drug therapy / Q000523:psychology; D017281:Cost of Illness; D005221:Fatigue / Q000209:etiology; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology; D008875:Middle Aged; D009325:Nausea / Q000139:chemically induced; D020380:Needs Assessment; D009426:Netherlands; D009726:Nurses / Q000523:psychology*; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D010820:Physicians / Q000523:psychology*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology
D000970:Antineoplastic Agents