Document Detail

Awareness of disease among Italian cancer patients: is there a need for further improvement in patient information? The Italian Group for the Evaluation of Outcomes in Oncology (IGEO).
MedLine Citation:
PMID:  10572608     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Studies are available showing that cancer patients in southern Europe may be less well informed about their disease than patients in northern Europe and North America. PATIENTS AND METHODS: In the framework of a survey aimed at exploring the meaning of quality of life for the Italian cancer patient, carried out all over Italy in a one-week time span on 6098 consecutive patients, two visual analogue scales evaluating severity and curability of disease were also submitted to the patients. Four patterns of patients' answers were defined: very easy/difficult-to-cure disease, and not-severe/severe disease. Multifactorial analyses were performed using logistic models for each of the four responses, assuming patient characteristics, time since diagnosis and disease extent as explanatory variables. RESULTS: Only 26% of 2088 patients with disseminated disease believed it to be 'difficult to cure', while 39% felt it to be 'easy to cure'. In the same subgroup of patients, only 47% found their disease 'severe'. CONCLUSIONS: Authors were impressed by these unexpected results, which are therefore reported separately from the overall analysis of data, aimed at exploring the quality of life domains for the Italian cancer patient. In fact, they would suggest a great lack of awareness of the severity and curability of their disease in a large group of unselected Italian cancer patients. This may depend on various factors, including cross-cultural ones, but could also be partly related to inadequacies in the process by which the Italian patient is informed, and this should be further investigated.
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of oncology : official journal of the European Society for Medical Oncology / ESMO     Volume:  10     ISSN:  0923-7534     ISO Abbreviation:  Ann. Oncol.     Publication Date:  1999 Sep 
Date Detail:
Created Date:  2000-02-01     Completed Date:  2000-02-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9007735     Medline TA:  Ann Oncol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  1095-100     Citation Subset:  IM    
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MeSH Terms
Age Factors
Health Knowledge, Attitudes, Practice
Middle Aged
Neoplasms / diagnosis,  psychology*
Patient Education as Topic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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