Document Detail


Evaluation of the Japanese Gastric Cancer Association's Gastric cancer treatment guidelines for popular use.
MedLine Citation:
PMID:  15052439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The Japanese Gastric Cancer Association's (JGCA's) Gastric cancer treatment guidelines for doctors' reference and the guidelines (GLs) for popular use were both published in 2001. The purpose of this study was to know whether or not it is useful for patients to read the GLs for popular use. METHODS: We lent the GLs for popular use to patients with gastric cancer for several days and had them read the GLs before they were informed about their condition and the recommended treatment. Then they received questionnaires concerning the GLs. RESULTS: Most of the patients, even the elderly, had read and understood the GLs. Nearly 70% of the patients answered that it was very useful for them to read the GLs. On the other hand, 34% of the patients suggested negative aspects, such that reading the GLs increased their anxiety about the disease or treatment. Only 9% of the patients expected treatment that followed the GLs, whereas 54% of the patients expected treatment based on the doctor's own experience without adherence to the GLs. If the doctor were to suggest treatment that did not follow the GLs, 87% of the patients answered that they would follow the doctor's suggestion, and it was only 8% who answered that they would seek a second opinion. These results did not differ when patients were requested to fill out questionnaires anonymously. CONCLUSION: Although the GLs for popular use are useful to provide patients with information concerning the disease and the treatment modalities, they may not have a great impact on patients' decisions about their treatment.
Authors:
Takashi Ichikura; Toshiya Ogawa; Takashi Majima; Susumu Saigusa; Yoshihisa Yaguchi; Naoko Sakamoto; Hidetaka Mochizuki
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association     Volume:  7     ISSN:  1436-3291     ISO Abbreviation:  Gastric Cancer     Publication Date:  2004  
Date Detail:
Created Date:  2004-03-30     Completed Date:  2004-06-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100886238     Medline TA:  Gastric Cancer     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  41-5     Citation Subset:  IM    
Affiliation:
First Department of Surgery, National Defense Medical College Hospital, 3-2 Namiki, Tokorozawa 359-8513, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anxiety
Female
Guideline Adherence*
Health Care Surveys
Humans
Japan
Male
Middle Aged
Patient Education as Topic*
Physician-Patient Relations
Practice Guidelines as Topic*
Stomach Neoplasms / therapy*
Comments/Corrections
Comment In:
Gastric Cancer. 2004;7(1):1-2   [PMID:  15052432 ]

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


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