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Breast. 2019 Jan 4;44:66-72. doi: 10.1016/j.breast.2018.12.012. [Epub ahead of print]

How do breast cancer patients experience multidisciplinary tumor conferences? - A description from the patient perspective.

Author information

1
Center for Health Communication and Health Services Research (CHSR), University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany; Department for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany; Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany. Electronic address: Annika.Diekmann@ukbonn.de.
2
Center for Health Communication and Health Services Research (CHSR), University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany; Department for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany; Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany.
3
Department for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany; Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Sigmund-Freud Straße 25, 53127 Bonn, Germany.
4
Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Eupener Straße 129, 50933 Cologne, Germany; Institute of Health Services Research, LVR-Clinics, Wilhelm-Griesinger-Straße 23, 51109 Cologne, Germany.
5
Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Eupener Straße 129, 50933 Cologne, Germany.
6
Department of Health Services Research, Faculty of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Ammerländer Heerstraße 140, 26129 Oldenburg, Germany.

Abstract

OBJECTIVES:

Aim of this study was to investigate the experiences of breast cancer patients who participated in multidisciplinary tumor conferences (MTCs).

STUDY DESIGN:

Data from two consecutive years of an annual postal survey of patients with primary breast cancer were combined. Data was collected between February and July 2015 (response rate 72%) and 2016 (response rate 73%) from N = 8893 patients (ICD-10 C50) after hospital discharge from 86 breast cancer center hospitals in North Rhine-Westphalia, Germany. The study used a mixed-methods design. Standardized quantitative survey questions were analyzed descriptively and an open-ended question was analyzed using qualitative content analysis.

RESULTS:

Around 9% of the patients were invited to participate in a multidisciplinary tumor conference (MTC) and 49% of the invited patients reported actual participation in a MTC. Approximately 87% of those patients did not regret their participation in the MTC. The qualitative analysis from the open-ended question indicated that MTC participation was perceived by patients as being both supportive and informative (n = 109 expressions). However, some patients reported difficult experiences and emotional reactions during and after participation (n = 37 expressions). Altogether, the patients' perception was divided into positive and negative, cognitive and emotional experiences following participation in a MTC.

CONCLUSION:

The perception of the MTCs varies between the participating patients. Further research on advantages and disadvantages for patients and particularly on the feasibility from the provider's perspective is necessary.

KEYWORDS:

Breast cancer; Multidisciplinary tumor conference; Patient involvement; Patient participation; Tumor board

PMID:
30669033
DOI:
10.1016/j.breast.2018.12.012
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