Universität zu Köln

Gross, Sophie Elisabeth, Nitzsche, Anika, Gloede, Tristan D., Ansmann, Lena ORCID: 0000-0002-8628-7166, Street, Richard, Pfaff, Holger ORCID: 0000-0001-9154-6575, Neumann, Melanie, Wirtz, Markus, Baumann, Walter, Schmitz, Stephan and Ernstmann, Nicole ORCID: 0000-0001-7685-6110 (2015). The initial clinical interview-can it reduce cancer patients' fear? Support. Care Cancer, 23 (4). S. 977 - 985. NEW YORK: SPRINGER. ISSN 1433-7339

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Abstract

A common phenomenon among cancer patients is a fear of cancer recurrence or cancer progression (FOP). The aim of the present study was to analyze whether the oncologist is able to reduce patients' FOP at the initial clinical interview. A prospective, longitudinal study included patients who were consulting private-practice oncologists in Germany for the first time. Recruitment was carried out by 44 members of the Professional Organization of Office-Based Hematologists and Oncologists. In the patient surveys, data on colon cancer patients' perceptions of communications with their oncologist and on patient-reported outcomes were collected over a period of 6 months. The present study analyzed the patients' data before their first consultation (T (0)) and within 3 days after the first consultation (T (1)). A total of 169 patients agreed to participate in the study. Backwards multiple regression analysis was conducted to determine whether the change (T (0)-T (1)) in FOP is associated with demographic, medical, or psychosocial determinants, or with the physician-patient communication. A significant association was found between the change in FOP and interruptions to the conversation, the comprehensibility of the information provided, the extent of perceived empathy from the physician, and the patient's social support and family status. Private social support and the initial medical encounter can help reduce FOP. Particularly, oncologists should ensure that they facilitate the presentation of information in a comprehensible way while avoiding interruptions and that they take particular care of patients with poor social support.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gross, Sophie Elisabeth UNSPECIFIED UNSPECIFIED UNSPECIFIED Nitzsche, Anika UNSPECIFIED UNSPECIFIED UNSPECIFIED Gloede, Tristan D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED Street, Richard UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Neumann, Melanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Wirtz, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Baumann, Walter UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, Nicole UNSPECIFIED orcid.org/0000-0001-7685-6110 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-403863
DOI:	10.1007/s00520-014-2450-6
Journal or Publication Title:	Support. Care Cancer
Volume:	23
Number:	4
Page Range:	S. 977 - 985
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-7339
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PSYCHOMETRIC EVALUATION; PROGRESSION; RECURRENCE; CONSULTATION; ANXIETY Multiple languages Oncology; Health Care Sciences & Services; Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40386