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BMC Res Notes. 2017 Nov 29;10(1):642. doi: 10.1186/s13104-017-2956-3.

"It wasn't as bad as I thought it would be": a qualitative study of early stage non-small cell lung cancer patients after treatment.

Author information

1
Health Services Research & Development, VA Portland Health Care System, 3710 SW US Veterans Hospital Rd., R&D 66, Portland, OR, 97239, USA. sara.golden1@va.gov.
2
Department of Radiation Medicine, Oregon Health & Science University, Portland, OR, USA.
3
Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
4
Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System, Portland, OR, USA.
5
Department of Surgery, Oregon Health & Science University, Portland, OR, USA.
6
Division of Radiation Oncology, Legacy Health System, Portland, OR, USA.
7
Division of Cardiothoracic Surgery, Legacy Health System, Portland, OR, USA.
8
Health Services Research & Development, VA Portland Health Care System, 3710 SW US Veterans Hospital Rd., R&D 66, Portland, OR, 97239, USA.

Abstract

OBJECTIVE:

While surgical resection is recommended for most patients with early stage lung cancer, stereotactic body radiotherapy (SBRT) is being increasingly utilized. Provider-patient communication regarding risks/benefits of each approach may be a modifiable factor leading to improved patient-centered outcomes. Our objective was to determine a framework and recommended strategies on how to best communicate with patients with early stage non-small cell lung cancer (NSCLC) in the post-treatment setting. We qualitatively evaluated the experiences of 11 patients with early clinical stage NSCLC after treatment, with a focus on treatment experience, knowledge obtained, communication, and recommendations. We used conventional content analysis and a patient-centered communication theoretical model to guide our understanding.

RESULTS:

Five patients received surgery and six received SBRT. Both treatments were generally well-tolerated. Few participants reported communication deficits around receiving follow-up information, although several had remaining questions about their treatment outcome (mainly those who underwent SBRT). They described feeling anxious regarding their first surveillance CT scan and clinician visit. Overall, participants remained satisfied with care because of implicit trust in their clinicians rather than explicit communication. Communication gaps remain but may be addressed by a trusting relationship with the clinician. Patients recommend clinicians give thorough explanations and personalize when possible.

KEYWORDS:

Communication; Patient-centered outcomes; Thoracic diseases

PMID:
29187237
PMCID:
PMC5708159
DOI:
10.1186/s13104-017-2956-3
[Indexed for MEDLINE]
Free PMC Article

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