A qualitative study of patients with Cancer of Unknown Primary: Perceptions of communication, understanding of diagnosis and genomic testing, and information needs.
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| Title: | A qualitative study of patients with Cancer of Unknown Primary: Perceptions of communication, understanding of diagnosis and genomic testing, and information needs. |
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| Authors: | Wolyniec, Kamil (AUTHOR), O'Callaghan, Clare (AUTHOR), Fisher, Krista (AUTHOR), Jessica, Sharp (AUTHOR), Tothill, Richard W. (AUTHOR), Bowtell, David (AUTHOR), Linda, Mileshkin (AUTHOR), Schofield, Penelope (AUTHOR) |
| Source: | Psycho-Oncology. Apr2023, Vol. 32 Issue 4, p589-596. 8p. 1 Diagram, 2 Charts. |
| Subjects: | Cancer of unknown primary origin, Cancer patients, Patients' attitudes, Information needs, Family support, Communicative disorders |
| Abstract: | Objective: Patients with Cancer of Unknown Primary (CUP) commonly report poor understanding of their illness and high levels of psychological distress. Despite the potential benefits to CUP patients, there is a paucity of research exploring the reasons behind poor understanding of a CUP diagnosis. The aim of this study was to understand patients' experiences of communication with doctors, their understanding of diagnosis and the role of genomic testing, as well as their information needs. Methods: Semi‐structured interviews explored CUP patients' perceptions of communication with their doctors, understanding of their illness, and their needs regarding medical information. Qualitative inductive thematic analysis of transcribed audio‐recordings was employed. Setting/Participants: Nineteen patients were recruited from within a prospective cohort study involving routine genomic testing of CUP patients. Results: CUP patients had varied perceptions of communication with doctors as well as different levels of need, readiness, and capacity for information. Some patients felt well understood and supported by their doctors while others did not. Many patients reported feeling overwhelmed and shocked when receiving their cancer diagnosis and emphasized the importance of family support in receiving and understanding medical information. While patients understood the implications of genomic testing for treatment and diagnosis, few had a detailed understanding of genomic testing. Conclusions: Patients' experience of communication and understanding of CUP could be potentially improved by clinicians' assessment of the communication style preferred by each patient and their family and the development of online resources to meet their evolving information needs. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 162996435 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A qualitative study of patients with Cancer of Unknown Primary: Perceptions of communication, understanding of diagnosis and genomic testing, and information needs. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Wolyniec%2C+Kamil%22">Wolyniec, Kamil</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Callaghan%2C+Clare%22">O'Callaghan, Clare</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fisher%2C+Krista%22">Fisher, Krista</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jessica%2C+Sharp%22">Jessica, Sharp</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tothill%2C+Richard+W%2E%22">Tothill, Richard W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bowtell%2C+David%22">Bowtell, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Linda%2C+Mileshkin%22">Linda, Mileshkin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schofield%2C+Penelope%22">Schofield, Penelope</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Apr2023, Vol. 32 Issue 4, p589-596. 8p. 1 Diagram, 2 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cancer+of+unknown+primary+origin%22">Cancer of unknown primary origin</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Information+needs%22">Information needs</searchLink><br /><searchLink fieldCode="DE" term="%22Family+support%22">Family support</searchLink><br /><searchLink fieldCode="DE" term="%22Communicative+disorders%22">Communicative disorders</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Patients with Cancer of Unknown Primary (CUP) commonly report poor understanding of their illness and high levels of psychological distress. Despite the potential benefits to CUP patients, there is a paucity of research exploring the reasons behind poor understanding of a CUP diagnosis. The aim of this study was to understand patients' experiences of communication with doctors, their understanding of diagnosis and the role of genomic testing, as well as their information needs. Methods: Semi‐structured interviews explored CUP patients' perceptions of communication with their doctors, understanding of their illness, and their needs regarding medical information. Qualitative inductive thematic analysis of transcribed audio‐recordings was employed. Setting/Participants: Nineteen patients were recruited from within a prospective cohort study involving routine genomic testing of CUP patients. Results: CUP patients had varied perceptions of communication with doctors as well as different levels of need, readiness, and capacity for information. Some patients felt well understood and supported by their doctors while others did not. Many patients reported feeling overwhelmed and shocked when receiving their cancer diagnosis and emphasized the importance of family support in receiving and understanding medical information. While patients understood the implications of genomic testing for treatment and diagnosis, few had a detailed understanding of genomic testing. Conclusions: Patients' experience of communication and understanding of CUP could be potentially improved by clinicians' assessment of the communication style preferred by each patient and their family and the development of online resources to meet their evolving information needs. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.6104 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 589 Subjects: – SubjectFull: Cancer of unknown primary origin Type: general – SubjectFull: Cancer patients Type: general – SubjectFull: Patients' attitudes Type: general – SubjectFull: Information needs Type: general – SubjectFull: Family support Type: general – SubjectFull: Communicative disorders Type: general Titles: – TitleFull: A qualitative study of patients with Cancer of Unknown Primary: Perceptions of communication, understanding of diagnosis and genomic testing, and information needs. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Wolyniec, Kamil – PersonEntity: Name: NameFull: O'Callaghan, Clare – PersonEntity: Name: NameFull: Fisher, Krista – PersonEntity: Name: NameFull: Jessica, Sharp – PersonEntity: Name: NameFull: Tothill, Richard W. – PersonEntity: Name: NameFull: Bowtell, David – PersonEntity: Name: NameFull: Linda, Mileshkin – PersonEntity: Name: NameFull: Schofield, Penelope IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 32 – Type: issue Value: 4 Titles: – TitleFull: Psycho-Oncology Type: main |
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