Thoracic surgeon and patient focus groups on decision-making in early-stage lung cancer surgery

被引:13
|
作者
Schwartz, Rebecca M. [1 ,2 ,3 ]
Gorbenko, Ksenia [2 ,4 ]
Kerath, Samantha M. [5 ]
Flores, Raja [6 ]
Ross, Sheila [7 ]
Taylor, Tonya N. [8 ]
Taioli, Emanuela [2 ,3 ,6 ]
Henschke, Claudia [9 ]
机构
[1] Hofstra Northwell Sch Med, Dept Occupat Med Epidemiol & Prevent, Great Neck, NY 11201 USA
[2] Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, New York, NY 10029 USA
[3] Icahn Sch Med Mt Sinai, Inst Translat Epidemiol, New York, NY 10029 USA
[4] Icahn Sch Med Mt Sinai, Inst Hlth Care Delivery Sci, New York, NY 10029 USA
[5] Northwell Hlth, Feinstein Inst Med Res, Dept Biomed Sci, Manhasset, NY USA
[6] Icahn Sch Med Mt Sinai, Dept Thorac Surg, New York, NY 10029 USA
[7] Lung Canc Alliance, Washington, DC 20006 USA
[8] Suny Downstate Med Ctr, Dept Med, Brooklyn, NY 11203 USA
[9] Icahn Sch Med Mt Sinai, Dept Radiol, New York, NY 10029 USA
关键词
early-stage lung cancer; focus groups; quality of life; QUALITY-OF-LIFE; NONSMALL CELL; CONTROLLED-TRIAL; IMPACT; SURVIVORS; STIGMA; CARE; RADIOTHERAPY; INFORMATION; NAVIGATORS;
D O I
10.2217/fon-2017-0254
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: To investigate medical decision-making from the thoracic surgeons' and patients' perspectives in early-stage lung cancer. Patients & methods: We conducted one focus group with thoracic surgeons (n = 15) and one with a group of early-stage lung cancer patients treated with surgery (n = 7). Focus groups were recorded, transcribed and coded for themes. Results: For surgeons, surgical procedure choice was a primary concern, followed by the surgical treatment plan decision-making process. Survivors focused primarily on the physical and mental health-related postsurgical burden for which they felt they were not well prepared and placed less emphasis on surgical decision-making. Conclusion: As early-stage lung cancer mortality rates are improving, surgeons and patients can prioritize surgical approaches and postsurgical care that enhance quality of life.
引用
收藏
页码:151 / 163
页数:13
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