Universität zu Köln

Reck, Sebastian ORCID: 0000-0002-3022-7009, Diekmann, Annika, Heuser, Christian ORCID: 0000-0001-9050-5800, Schellenberger, Barbara, Ansmann, Lena, Wirtz, Markus Antonius and Ernstmann, Nicole (2021). Is patient participation in multidisciplinary tumour conferences associated with their information needs? A multicentre prospective observational study. BMJ Open, 11 (9). LONDON: BMJ PUBLISHING GROUP. ISSN 2044-6055

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Abstract

Objectives To determine the association between participation of patients with breast cancer and patients with gynaecological cancer in their own multidisciplinary tumour conference (MTC) and their information needs with regard to their disease and treatment options. Methods This is a prospective observational study that took place at six breast cancer and gynaecological cancer centres in North Rhine-Westphalia, Germany. Patient inclusion criteria included a minimum age of 18 years and at least one diagnosis of breast cancer or gynaecological cancer. Three surveys were administered. T0 (shortly before MTC), T1 (directly after MTC) and T2 (4 weeks after MTC). Patient information needs were measured using two three-item subscales of the Cancer Patients Information Needs scale. Analysis of change was done by one-way repeated measures analysis of variance (ANOVA). To control for sampling bias, a further one-way repeated measures analysis of covariance (ANCOVA) included a propensity score as a covariate. Results Data from 81 patients in the participation group and 120 patients in the non-participation group were analysed. The patient groups did not differ in their levels of information needs at T0 or T2. From T0 to T2, information needs increased statistically significantly in both groups with regard to both disease-related information (eta(2)=0.354) and treatment-related information (eta(2)=0.250). The increase in both types of information needs lost its statistical significance when the propensity score was included as a covariate. Neither ANOVA nor ANCOVA revealed a statistically significant association between patients' participation in the MTC and their self-reported information needs. Conclusion and clinical implications As concerns patients' information needs, findings do not support a general recommendation for or against the participation of patients in their MTCs. Future research should focus on the different ways of patients' participation in their MTCs facilitated at different cancer centres. Further research should also aim to establish which patient and disease characteristics predispose patients to benefit from participating in their MTCs.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Reck, Sebastian UNSPECIFIED orcid.org/0000-0002-3022-7009 UNSPECIFIED Diekmann, Annika UNSPECIFIED UNSPECIFIED UNSPECIFIED Heuser, Christian UNSPECIFIED orcid.org/0000-0001-9050-5800 UNSPECIFIED Schellenberger, Barbara UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Wirtz, Markus Antonius UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernstmann, Nicole UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-588209
DOI:	10.1136/bmjopen-2021-049199
Journal or Publication Title:	BMJ Open
Volume:	11
Number:	9
Date:	2021
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	2044-6055
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BREAST-CANCER PATIENTS; DECISION-MAKING; DISEASE Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58820