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Self-reported experience and outcomes of care among stomach cancer patients at a median follow-up time of 27 months from diagnosis

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Abstract

Goals of work

We aimed to identify clinical experiences associated with outcomes of care among stomach cancer patients.

Materials and methods

Four hundred thirty-two patients who had a diagnosis of stage I–III stomach cancer from 2001 through 2002 from two hospitals in South Korea responded to a survey questionnaire including sociodemographic and clinical data, information about care experiences, satisfaction with care, and quality of life (QOL).

Main results

Involvement in decision making [adjusted odds ratio (aOR) = 1.81; 95% confidence interval (CI), 1.13 to 2.89] and reflection of patients’ opinions in treatment decisions (aOR = 2.54; 95% CI, 1.65 to 3.93) were associated with decision satisfaction. The factors associated with willingness to choose the same treatment over again were involvement in decision making (aOR = 2.37; 95% CI, 1.53 to 3.68) and no treatment toxicity (aOR = 0.50; 95% CI, 0.29 to 0.87). Involvement in decision making, reflection of patients’ opinions in treatment decisions, and treatment toxicity were associated with some functioning subscales of QOL (p < 0.05). Regular follow-up, however, was associated with poor social functioning.

Conclusions

Quality improvement efforts for stomach cancer patients should focus not only on the quality of primary tumor therapy but also on how patients experience their care, such as patient-centered decision making, experience of treatment toxicity, and regular follow-up.

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Acknowledgment

This work was supported by National Cancer Center Grant 04101502 and 0710421-1.

Author information

Authors and Affiliations

  1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University, Seoul, South Korea

    Sung Kim, Jae-Hyung Noh, Tae-Sung Sohn & Seong-Kweon Hong

  2. Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, South Korea

    Jae-Moon Bae, Young-Woo Kim, Keun Won Ryu, Jun Ho Lee, Myung Kyung Lee & Sang Min Park

  3. Division of Cancer Control, National Cancer Control Research Institute, National Cancer Center, 809 Madu-dong, Ilsan-gu, Goyang-si, Gyeonggi-do, 411-769, South Korea

    Young Ho Yun

Authors
  1. Sung Kim
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  2. Jae-Moon Bae
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  3. Young-Woo Kim
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  4. Keun Won Ryu
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  5. Jun Ho Lee
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  6. Jae-Hyung Noh
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  7. Tae-Sung Sohn
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  8. Seong-Kweon Hong
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  9. Myung Kyung Lee
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  10. Sang Min Park
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  11. Young Ho Yun
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Corresponding author

Correspondence to Young Ho Yun.

Additional information

Dr. Sung Kim and Dr. Jae-Moon Bae contributed equally to this work as first authors.

Appendix

Appendix

Table 4 Items related to quality of cancer care
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Kim, S., Bae, JM., Kim, YW. et al. Self-reported experience and outcomes of care among stomach cancer patients at a median follow-up time of 27 months from diagnosis. Support Care Cancer 16, 831–839 (2008). https://doi.org/10.1007/s00520-007-0340-x

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  • DOI: https://doi.org/10.1007/s00520-007-0340-x

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