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Evaluation of quality of care in relation to health-related quality of life of patients diagnosed with brain tumor : a novel clinic for proton beam therapy

, ; Langegård, Ulrica; Ahlberg, Karin; Fransson, Per; Johansson, Birgitta; Sjövall, Katarina LU ; Bjork-Eriksson, Thomas and Ohlsson-Nevo, Emma (2018) In Supportive Care in Cancer
Abstract

Purpose: Patients with brain tumors constitute a vulnerable group, and it is important that they receive the highest quality of care (QoC). The study aim was to describe the perceptions of QoC and its association with health-related quality of life in brain tumor patients undergoing proton beam therapy in a newly established clinic. Method: Data were collected at the start of treatment and after 3 and 6 weeks. Adult patients (≥ 18 years old) with brain tumors (n = 186) completed two self-administered questionnaires: a modified Quality from the Patients’ Perspective, which measures perceived reality and subjective importance of care, and the EORTC QLQ-C30. Data were analyzed using parametric and non-parametric statistical tests. Results:... (More)

Purpose: Patients with brain tumors constitute a vulnerable group, and it is important that they receive the highest quality of care (QoC). The study aim was to describe the perceptions of QoC and its association with health-related quality of life in brain tumor patients undergoing proton beam therapy in a newly established clinic. Method: Data were collected at the start of treatment and after 3 and 6 weeks. Adult patients (≥ 18 years old) with brain tumors (n = 186) completed two self-administered questionnaires: a modified Quality from the Patients’ Perspective, which measures perceived reality and subjective importance of care, and the EORTC QLQ-C30. Data were analyzed using parametric and non-parametric statistical tests. Results: The perceived QoC was highest for treatment information and lowest for dietician and smoking information, whereas interaction with doctors and nurses was rated as the most important aspect of quality of care. Subjective importance ratings were significantly higher than perceived reality ratings for 60% of items. A better global health was moderately correlated with a higher perceived support for fatigue. Conclusions: A need for quality improvement was identified for several aspects of patient care. Greater symptom distress during the treatment period led to greater perceived importance of symptom support. Ensuring QoC is complex and collaboration with other health care professionals is essential. Relevance to clinical practice: The clinic could improve QoC regarding information about possible symptoms, adjust care according to patient perceptions of importance, and involve patients in care decisions.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Brain tumor, Health-related quality of life, Proton beam therapy, Quality of care, Radiotherapy
in
Supportive Care in Cancer
publisher
Springer
external identifiers
  • scopus:85057307245
ISSN
0941-4355
DOI
10.1007/s00520-018-4557-7
language
English
LU publication?
yes
id
f4addb2f-6819-4f04-b6d5-75e4958c6b3c
date added to LUP
2018-12-06 10:29:11
date last changed
2018-12-06 10:29:11
@article{f4addb2f-6819-4f04-b6d5-75e4958c6b3c,
  abstract     = {<p>Purpose: Patients with brain tumors constitute a vulnerable group, and it is important that they receive the highest quality of care (QoC). The study aim was to describe the perceptions of QoC and its association with health-related quality of life in brain tumor patients undergoing proton beam therapy in a newly established clinic. Method: Data were collected at the start of treatment and after 3 and 6 weeks. Adult patients (≥ 18 years old) with brain tumors (n = 186) completed two self-administered questionnaires: a modified Quality from the Patients’ Perspective, which measures perceived reality and subjective importance of care, and the EORTC QLQ-C30. Data were analyzed using parametric and non-parametric statistical tests. Results: The perceived QoC was highest for treatment information and lowest for dietician and smoking information, whereas interaction with doctors and nurses was rated as the most important aspect of quality of care. Subjective importance ratings were significantly higher than perceived reality ratings for 60% of items. A better global health was moderately correlated with a higher perceived support for fatigue. Conclusions: A need for quality improvement was identified for several aspects of patient care. Greater symptom distress during the treatment period led to greater perceived importance of symptom support. Ensuring QoC is complex and collaboration with other health care professionals is essential. Relevance to clinical practice: The clinic could improve QoC regarding information about possible symptoms, adjust care according to patient perceptions of importance, and involve patients in care decisions.</p>},
  author       = {,  and Langegård, Ulrica and Ahlberg, Karin and Fransson, Per and Johansson, Birgitta and Sjövall, Katarina and Bjork-Eriksson, Thomas and Ohlsson-Nevo, Emma},
  issn         = {0941-4355},
  keyword      = {Brain tumor,Health-related quality of life,Proton beam therapy,Quality of care,Radiotherapy},
  language     = {eng},
  month        = {11},
  publisher    = {Springer},
  series       = {Supportive Care in Cancer},
  title        = {Evaluation of quality of care in relation to health-related quality of life of patients diagnosed with brain tumor : a novel clinic for proton beam therapy},
  url          = {http://dx.doi.org/10.1007/s00520-018-4557-7},
  year         = {2018},
}