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:
CreatorsEmailORCIDORCID Put Code
Cecon, NataliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hillen, Marij A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfaff, HolgerUNSPECIFIEDorcid.org/0000-0001-9154-6575UNSPECIFIED
Dresen, AntjeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gross, Sophie E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
TREATMENT OUTCOMES; QUESTIONNAIRE; CARE; VALIDATION; MANAGEMENT; NEEDSMultiple languages
Public, Environmental & Occupational Health; Social Sciences, InterdisciplinaryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15000

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