title: Factors Influencing Chemotherapy Goal Perception in Newly Diagnosed Cancer Patients.
abstract: Cancer patients who start receiving chemotherapy have difficulty in understanding the state of their disease, the prognosis, and the purpose of treatment. We used a survey to evaluate the extent of perception of chemotherapy goal among cancer patients. Two hundred sixteen cancer patients who received chemotherapy for the first time participated in the study. The presence of depression and anxiety was assessed using the "Hospital Anxiety and Depression Scale" (HAD). The consistency between the patients' perception of the chemotherapy goal and the physician's perception was described as "right," and the inconsistency was described as "wrong." Among the patients who participated in the survey, 53.2 % (n = 115) were receiving adjuvant treatment and 46.8 % (n = 101) were receiving palliative treatment for metastatic disease. The rate of right and wrong perception of the chemotherapy goal was 51.9 % (n = 108) and 32.2 % (n = 67), respectively, and the rate of confused patients was 18.9 % (n = 41). The level of education was shown to be the only parameter involved in accurate perception of the treatment purpose (hazard ratio (HR) = 0.444, p = 0.025, 95 % confidence interval (CI) 0.219-0.903). In this study, there was a 51.9 % consistency between the physician's perception and that of the patient regarding the purpose of treatment. We demonstrated that the level of education was the unique factor in accurate perception of chemotherapy goal among cancer patients.
authors: Faculty of Medicine, Department of Internal Medicine, Division of Medical Oncology, Gaziosmanpasa University, Tokat, 60200, Turkey. ozgebostankolu@hotmail.com.
authors: Ozge
authors: O
authors: Gumusay
authors: Department of Internal Medicine, Division of Medical Oncology, Van Education and Research Hospital, Van, Turkey.
authors: Bulent
authors: B
authors: Cetin
authors: Faculty of Medicine, Department of Internal Medicine, Division of Medical Oncology, Gazi University, Ankara, Turkey.
authors: Mustafa
authors: M
authors: Benekli
authors: Faculty of Medicine, Department of Psychiatry, Hacettepe University, Ankara, Turkey.
authors: Gamze
authors: G
authors: Gurcan
authors: Faculty of Medicine, Department of Public Health, Gazi University, Ankara, Turkey.
authors: Mustafa N
authors: MN
authors: Ilhan
authors: Faculty of Medicine, Department of Internal Medicine, Hacettepe University, Ankara, Turkey.
authors: Basak
authors: B
authors: Bostankolu
authors: Faculty of Medicine, Department of Internal Medicine, Division of Medical Oncology, Gazi University, Ankara, Turkey.
authors: Ahmet
authors: A
authors: Ozet
authors: Faculty of Medicine, Department of Internal Medicine, Division of Medical Oncology, Gazi University, Ankara, Turkey.
authors: Aytug
authors: A
authors: Uner
authors: Faculty of Medicine, Department of Internal Medicine, Division of Medical Oncology, Gazi University, Ankara, Turkey.
authors: Ugur
authors: U
authors: Coskun
authors: Faculty of Medicine, Department of Internal Medicine, Division of Medical Oncology, Gazi University, Ankara, Turkey.
authors: Suleyman
authors: S
authors: Buyukberber
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001007:Anxiety; D032882:Comprehension; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology*; D010347:Patient Care Planning; D010353:Patient Education as Topic; D010465:Perception; D011379:Prognosis; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Chemotherapy; Education level; HAD scale; Survey; Treatment understanding