title: Expectations and perspectives of ovarian cancer patients about cancer management in Romania. The international NOGGO-ENGOT trial: EXPRESSION III.
abstract: We have investigated a relational model of expectations and preferences among ovarian cancer patients centred on physician-patient communication, treatment approach, and the need for information. Consecutive patients anonymously filled in the EXPRESSION III questionnaire between 2009 and 2012. Following descriptive statistics, structural equation modelling was used to analyse the relationships between physician's evaluation by the patient (PEP), result of therapy (RT), need for changes in treatment (NCT) and patient's desire to be informed (PD). From a total of 108 patients, 53 (49.1%) knew their disease stage, 103 (95.4%) underwent surgery, 91 (84.3%) had chemotherapy and 51 (46.3%) relapsed. The final model demonstrated a good fit of data with fit indices >0.90. There was a significant positive effect of PEP on RT and a significant negative effect of PEP on NCT, with the final model explaining 84% of the NCT variance. Physicians represent the main point of contact, not only as a source of information about the disease and various treatment options, but also in the coping processes. As patients benefit from completeness of medical consultations, their awareness of the treatment outcome increases, while a negative perception of the physician leads to a desire to make changes in therapy.
authors: Department of Surgery, The Oncology Institute Ion Chiricuţă, Cluj-Napoca, Romania.|Department of Surgery and Gynecologic Oncology, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors: P
authors: P
authors: Achimaş-Cadariu
authors: Department of Medical Informatics and Biostatistics, Faculty of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors: M
authors: M
authors: Iancu
authors: Department of Medical Oncology, The Oncology Institute Ion Chiricuţă, Cluj-Napoca, Romania.
authors: P
authors: P
authors: Kubelac
authors: Department of Psychology, The Oncology Institute Ion Chiricuţă, Cluj-Napoca, Romania.
authors: F
authors: F
authors: Pop
authors: Department of Gynecology, Campus Virchow Klinikum, Charité Medical University, Berlin, Germany.|North-Eastern German Society of Gynecological Oncology (NOGGO), Berlin, Germany.
authors: I
authors: I
authors: Braicu
authors: Department of Surgery, The Oncology Institute Ion Chiricuţă, Cluj-Napoca, Romania.|Department of Surgery and Gynecologic Oncology, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors: C
authors: C
authors: Vlad
authors: Department of Gynecology, Campus Virchow Klinikum, Charité Medical University, Berlin, Germany.|North-Eastern German Society of Gynecological Oncology (NOGGO), Berlin, Germany.
authors: G
authors: G
authors: Oskay-Özcelik
authors: Department of Gynecology, Campus Virchow Klinikum, Charité Medical University, Berlin, Germany.|North-Eastern German Society of Gynecological Oncology (NOGGO), Berlin, Germany.
authors: J
authors: J
authors: Sehouli
mesh_terms: D000223:Adaptation, Psychological; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001294:Attitude to Health; D003142:Communication; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D057226:Information Seeking Behavior; D010051:Ovarian Neoplasms / Q000473:pathology / Q000523:psychology* / Q000628:therapy; D010052:Ovariectomy; D010358:Patient Participation; D057240:Patient Preference; D010817:Physician-Patient Relations; D012383:Romania
chemical_list: D000970:Antineoplastic Agents
keywords: decision making; ovarian cancer; physician-patient relationship; structural equation modelling