Universität zu Köln

Cecon, Natalia, Hillen, Marij A., Pfaff, Holger ORCID: 0000-0001-9154-6575, Dresen, Antje and Gross, Sophie E. (2019). Why do newly diagnosed breast cancer patients seek a second opinion? - Second opinion seeking and its association with the physician-patient relationship. Patient Educ. Couns., 102 (5). S. 998 - 1005. CLARE: ELSEVIER IRELAND LTD. ISSN 0738-3991

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Abstract

Objective: To examine breast cancer patients' reasons to seek a second opinion (SO) and the underlying variables. To find out more about the outcome of the SO, the perceived helpfulness and the effect on the physician-patient relationship. Methods: In 2017, 4626 newly diagnosed breast cancer patients from 86 hospitals in Germany completed a postoperative mail survey (response rate = 89.04%). Data from 419 SO-seeking patients was obtained and analyzed by conducting logistic regression and non-parametric group comparisons. Results: Reasons to seek an SO were mostly unrelated to the physician-patient relationship. Reasons related to the physician-patient-relationship were associated with a lower education level. The SO mostly (72.2%) equaled the first opinion. A different treatment plan recommendation (25%) reportedly affected the patients' relationship with their primary physician. Patients who received a different diagnosis reported more fear of progression. Most patients found the SO helpful. Conclusion: The reasons to seek an SO are primarily unrelated to the physician-patient relationship. However, less educated patients seem to have different reasons to seek an SO. These reasons were reportedly associated with the physician-patient relationship. Practice implications: Physicians may need to explicitly ascertain the patient's needs within the physician-patient communication to avoid inequalities based on patient education. (C) 2018 Elsevier B.V. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Cecon, Natalia UNSPECIFIED UNSPECIFIED UNSPECIFIED Hillen, Marij A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Dresen, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Gross, Sophie E. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-150009
DOI:	10.1016/j.pec.2018.12.017
Journal or Publication Title:	Patient Educ. Couns.
Volume:	102
Number:	5
Page Range:	S. 998 - 1005
Date:	2019
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	0738-3991
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TREATMENT OUTCOMES; QUESTIONNAIRE; CARE; VALIDATION; MANAGEMENT; NEEDS Multiple languages Public, Environmental & Occupational Health; Social Sciences, Interdisciplinary Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15000