title: Crossing the perspectives of patients, families, and physicians on cancer treatment: A qualitative study.
abstract: OBJECTIVE
  Patients, family members, and physicians participate in cancer care, but their perspectives about what is helpful during cancer treatment have rarely been compared. The aim of this study was to compare these three perspectives.
  
  
  METHODS
  Multicenter qualitative study (with previously published protocol) based on 90 semi-structured interviews. Participants (purposively selected until data saturation) came from three different subsamples: (i) patients with cancer (n=30), (ii) their relatives (n=30), and (iii) their referring physicians (n=10, interviewed more than once).
  
  
  RESULTS
  Our analysis found 3 main axes (perceived positive effects of cancer treatment, perceived negative effects of cancer treatment, doctor-physician relationship), each composed of 2 main themes. The findings showed that patients, families, and physicians shared the long-term objective of increasing survival (while reducing side effects). However, patients and relatives also pointed out the importance of living with cancer each day and thus of factors helping them to live as well as possible in daily life. The physicians' difficulty in coping with patients' suffering may limit their access to elements that can improve patients' capacity to live as well as possible.
  
  
  CONCLUSIONS
  During cancer treatment (and not only at the end of life), attention should be given to enhancing the capacity of patients to live as well as possible (not only as long as possible) to meet the goals of patient-centered care and satisfy this important need of patients and families.
authors: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.|ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors: Massimiliano
authors: M
authors: Orri
authors: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.|ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors: Jordan
authors: J
authors: Sibeoni
authors: Université Paris Diderot, Sorbonne Paris Cité, Laboratoire de Pathologie, UMR-S 1165, Paris, France.|INSERM, U1165-Paris, France.|Université Paris 13 - Léonard de Vinci, Villetaneuse, France.|AP-HP-Hôpital Avicenne, Service d'Oncologie Médicale-Bobigny, Bobigny, France.
authors: Guilhem
authors: G
authors: Bousquet
authors: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.|ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors: Mathilde
authors: M
authors: Labey
authors: Ecole Doctorale E420, Paris Saclay University, Paris, France.
authors: Juliette
authors: J
authors: Gueguen
authors: Centre de Cancérologie Paris Nord, Sarcelles, France.|Recherche Innovation Santé Sarcelles, Sarcelles, France.
authors: Cyril
authors: C
authors: Laporte
authors: AP-HP-Hôpital Avicenne, Service d'Oncologie Médicale-Bobigny, Bobigny, France.
authors: Sabine
authors: S
authors: Winterman
authors: Department of Dermatology, CHRU Caen, Caen, France.|Caen Basse Normandie University, Caen, France.
authors: Camille
authors: C
authors: Picard
authors: Department of Dermatology, CHRU Caen, Caen, France.|Caen Basse Normandie University, Caen, France.
authors: Clara
authors: C
authors: Nascimbeni
authors: Department of Dermatology, CHRU Caen, Caen, France.|Caen Basse Normandie University, Caen, France.
authors: Laurence
authors: L
authors: Verneuil
authors: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.|ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors: Anne
authors: A
authors: Revah-Levy
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D010361:Patients / Q000523:psychology*; D036301:Qualitative Research
keywords: care; crossed perspectives; patient-centered care; qualitative study; quality of life