Expectations and perception of cancer treatment goals in previously untreated patients. The EXPECT trial
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ORIGINAL ARTICLE
Expectations and perception of cancer treatment goals in previously untreated patients. The EXPECT trial Christoph Minichsdorfer 1
&
O. Zeller 1 & M. Kirschbaum 1 & A. S. Berghoff 1 & R. Bartsch 1
Received: 28 May 2020 / Accepted: 13 October 2020 # The Author(s) 2020
Abstract Purpose Misconceptions regarding activity and toxicity of therapeutic interventions are common among cancer patients. There is little knowledge about the factors that contribute to a more realistic perception by patients. Methods This pilot study was designed as a prospective questionnaire survey and included 101 therapy-naïve patients treated at the Division of Oncology, Medical University of Vienna. After obtaining written informed consent, patients’ expectations about treatment aims, side effects and the satisfaction with their oncologic consultation were interrogated before the first treatment cycle by questionnaires. Results Of 101 patients, 53 (53%) were female and 67/101 (66%) were treated with curative attempt in an adjuvant or neoadjuvant setting. The most common diagnoses were lung cancer (31%) and breast cancer (30%). Although 92% of patients were satisfied with the information given by their oncologist, palliative patients were more likely to declare that not everything was explained in an intelligible manner (p = 0.01). Patients with a first language other than German stated more often that their physician did not listen carefully enough (p = 0.02). Of 30 patients, 26 (87%) receiving chemotherapy with palliative intent believed that their disease was curable. Concerning adverse events, female patients anticipated more frequently hair loss (p = 0.003) and changes in taste (p = 0.001) compared to men. Patients under curative treatment were more likely to expect weight loss (p = 0.02) and lack of appetite (p = 0.01) compared to patients with palliative treatment intent. Conclusion In conclusion, cancer patients were satisfied with the patient-doctor communication. This prospective study aggregated patients’ concerns on side effects and the perception of therapeutic goals in therapy-naïve patients. Of note, the majority of patients treated in the palliative setting expected their treatment to cure the disease. Keywords Expectations and perceptions . Chemotherapy . Treatment goals . Informed consent . Side effects
Introduction Patients with advanced malignancies often overestimate the benefit of chemotherapy and have wrong perceptions regarding the therapeutic intent of treatment [1–5]. Typically, discrepancies between the patients’ perception and the view of their respective oncologists can be observed. There is Supplementary Information The online version contains supplementary material available at https://doi.org/10.1007/s00520-02005826-x. * Christoph Minichsdorfer [email protected] 1
Division of Oncology, Department of Medicine 1, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
evidence that a significant number of palliative patients believe that their t
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