Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Patient Educ Couns. 2012 Oct;89(1):102-8. doi: 10.1016/j.pec.2012.04.013. Epub 2012 May 24.

Patient comprehension and attitudes toward maintenance chemotherapy for lung cancer.

Author information

  • 1Department of Internal Medicine, Hematology-Oncology, University of Texas Southwestern Medical Center, Dallas 75390-9066, USA.

Abstract

OBJECTIVE:

Maintenance chemotherapy is a recently approved approach to the treatment of advanced non-small cell lung cancer (NSCLC). We sought to gain insight into patients' perceptions of maintenance chemotherapy using qualitative methods.

METHODS:

We conducted thematic content analysis of focus groups at a freestanding cancer center and at an associated safety-net county hospital. Patients with advanced NSCLC who had started but not yet completed first-line platinum doublet chemotherapy were provided visual and written explanations of maintenance chemotherapy before being guided in group discussion.

RESULTS:

Key themes to emerge for consideration of maintenance chemotherapy included: (1) survival benefits, disease control, and "buying time"; (2) the importance of "doing something"; (3) quality of life concerns; (4) the role of provider opinion/preference; and (5) the importance of logistics.

CONCLUSIONS:

Patients undergoing first-line chemotherapy for advanced NSCLC were able to understand the concept of maintenance chemotherapy, distinguish it from traditional treatment paradigms, identify pros and cons of this approach, and convey reasons for considering it.

PRACTICE IMPLICATIONS:

Advances in oncology care that alter therapy modalities and delivery may significantly impact patient perceptions and treatment experiences. Clinical team members may wish to elicit treatment preferences of first-line patients through clinical discussion that anticipate these considerations.

Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

PMID:
22632736
[PubMed - indexed for MEDLINE]
PMCID:
PMC3443304
Free PMC Article

Images from this publication.See all images (1)Free text

Figure 1
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Write to the Help Desk