دورية أكاديمية
The Patient's perspective on radiation therapy for anal cancer: Evaluation of expectations and stigma.
| العنوان: | The Patient's perspective on radiation therapy for anal cancer: Evaluation of expectations and stigma. |
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| المؤلفون: | Chaballout BH; School of Medicine Greenville, University of South Carolina, Greenville, South Carolina, USA., Chang EM; School of Medicine, Oregon Health and Science University, Portland, Oregon, USA., Shaverdian N; Memorial Sloan Kettering Cancer Center, New York, New York, USA., Lee PP; Cancer Treatment Centers of America, Cancer Treatment Centers of America, Phoenix, Arizona, USA., Beron PJ; Cancer Treatment Centers of America, Cancer Treatment Centers of America, Phoenix, Arizona, USA., Steinberg ML; Cancer Treatment Centers of America, Cancer Treatment Centers of America, Phoenix, Arizona, USA., Raldow AC; Cancer Treatment Centers of America, Cancer Treatment Centers of America, Phoenix, Arizona, USA. |
| المصدر: | Cancer reports (Hoboken, N.J.) [Cancer Rep (Hoboken)] 2023 Dec; Vol. 6 (12), pp. e1908. Date of Electronic Publication: 2023 Oct 11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101747728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2573-8348 (Electronic) Linking ISSN: 25738348 NLM ISO Abbreviation: Cancer Rep (Hoboken) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hoboken, NJ : John Wiley & Sons, Inc., [2018]- |
| مواضيع طبية MeSH: | Motivation* , Anus Neoplasms*/radiotherapy , Anus Neoplasms*/drug therapy, Humans ; Quality of Life ; Treatment Outcome ; Chemoradiotherapy |
| مستخلص: | Background: Little is known regarding anal cancer patients' perspectives on undergoing radiation therapy. Additionally, the stigma surrounding anal cancer diagnosis warrants a better understanding of the barriers to complete disclosure in patient-healthcare team interactions. Methods: Included patients had squamous cell carcinoma of the anus treated with definitive chemoradiation (CRT) from 2009 to 2018. Survey questions were adapted from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and Discrimination and Stigma Scale. Results: A total of 46 anal cancer patients who underwent CRT were surveyed, of which 72% responded. 73% of respondents indicated little to no pre-treatment knowledge of CRT. 70% reported overall short-term effects as worse than expected, most commonly with bowel habits (82%), energy (73%), and interest in sexual activity (64%). 39% reported overall long-term effects to be worse than expected, most commonly with changes to bowel habits (73%), sexual function (67%), and interest in sexual activity (58%). However, 94% agreed they were better off after treatment. Regarding stigma, a subset reported hiding their diagnosis (12%, 24%) and side effects (24%, 30%) from friends/family or work colleagues, respectively, and 15% indicating they stopped having close relationships due to concerns over stigma. Conclusions: Although patients' perceptions of the severity of short-term CRT side effects were worse than expectations, the vast majority agreed they were better off after treatment. Targeted counseling on common concerns may improve the anal cancer treatment experience. A notable subset reported stigma associated with treatment, warranting further evaluation to understand the impact on the patient experience. (© 2023 The Authors. Cancer Reports published by Wiley Periodicals LLC.) |
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| معلومات مُعتمدة: | P30 CA008748 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: anal cancer; patient expectation; patient perspective; radiation oncology; stigma |
| تواريخ الأحداث: | Date Created: 20231011 Date Completed: 20231220 Latest Revision: 20240314 |
| رمز التحديث: | 20240314 |
| مُعرف محوري في PubMed: | PMC10728539 |
| DOI: | 10.1002/cnr2.1908 |
| PMID: | 37821097 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2573-8348 |
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| DOI: | 10.1002/cnr2.1908 |