دورية أكاديمية
Re-imagining metastatic breast cancer care delivery: a patient-partnered qualitative study.
| العنوان: | Re-imagining metastatic breast cancer care delivery: a patient-partnered qualitative study. |
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| المؤلفون: | Roberson ML; Gillings School of Global Public Health, Department of Health Policy and Management, University of North Carolina at Chapel Hill, 1106B McGavran Greenberg Hall, 135 Dauer Drive, CB#7411, Chapel Hill, NC, 27599-7411, USA. Mya_Roberson@unc.edu.; Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA. Mya_Roberson@unc.edu., Henricks A; Vanderbilt University School of Medicine, Nashville, TN, USA., Woods J; Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA., Glenn L; Project Life, Central Point, OR, USA., Maues J; Guiding Researchers and Advocates to Scientific Partnerships (GRASP), Baltimore, MD, USA., James D; Project Life, Central Point, OR, USA., Reid S; Department of Medicine, Division of Hematology and Oncology, Vanderbilt University School of Medicine, Nashville, TN, USA. |
| المصدر: | Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2023 Nov 30; Vol. 31 (12), pp. 735. Date of Electronic Publication: 2023 Nov 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 9302957 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-7339 (Electronic) Linking ISSN: 09414355 NLM ISO Abbreviation: Support Care Cancer Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin : Springer International, c1993- |
| مواضيع طبية MeSH: | Breast Neoplasms*/therapy , Neoplasms, Second Primary* , Integrative Medicine*, Humans ; Female ; Patient-Centered Care ; Patients |
| مستخلص: | Purpose: While significant progress in metastatic breast cancer (MBC) treatment has prolonged survival and improved prognosis, there remain substantial gaps in providing patient-centered supportive care. The specific care delivery needs for metastatic cancer differ from that of early-stage cancer due to the incurable nature and lifelong duration of the condition. The objective of this study was to assess how patients living with MBC would re-imagine cancer care delivery. Methods: This qualitative study was conducted in partnership with patient-led organizations Guiding Researchers and Advocates to Scientific Partnerships (GRASP) and Project Life, a nonprofit, online wellness community founded by patients with MBC for patients living with MBC. Virtual semi-structured interviews (n = 36) were conducted with Project Life members purposively sampled from the groups' overall membership. The interview guide contained items surrounding patients' lived experiences of MBC, greatest unmet needs related to care, and perspectives on virtual wellness community involvement. Interviews were coded using two-stage deductive and inductive analysis. Results: Three major themes for re-imagining cancer care delivery were identified, including holistic care, information needs, and conceptual shifts. Within these several subthemes emerged with patients re-imagining referrals to non-oncological services, caregiver support, acceptance of integrative medicine, streamlined clinical trial enrollment, curated quality patient resources, MBC-specific terminology and approaches, long-term life and goal-of-care planning, and patient-centered voice throughout. Conclusion: People living with metastatic cancers have specific supportive care needs. These findings highlight patient-driven areas for re-imagination that are most salient for individuals with MBC. (© 2023. The Author(s).) |
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| معلومات مُعتمدة: | U01 CA254832 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: Cancer outcomes; Cancer survivorship; Metastatic breast cancer; Qualitative; Supportive care |
| تواريخ الأحداث: | Date Created: 20231206 Date Completed: 20231207 Latest Revision: 20231221 |
| رمز التحديث: | 20231221 |
| مُعرف محوري في PubMed: | PMC10700428 |
| DOI: | 10.1007/s00520-023-08201-8 |
| PMID: | 38055111 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1433-7339 |
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| DOI: | 10.1007/s00520-023-08201-8 |