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Supportive Care in Cancer

, Volume 26, Issue 9, pp 3047–3053 | Cite as

Lung cancer and family-centered patient concerns

  • Josephine Feliciano
  • Breanna Becker
  • Manish Shukla
  • Joann Bodurtha
Original Article
  • 188 Downloads

Abstract

Background

The risk factors, diagnosis, management, and outcomes for lung cancer (LC) are a family experience. Genetic and environmental factors interact to predispose certain groups to LC, including family member, and the family or caregiving unit experiences the disease course as an interdependent group. This qualitative study examined the concerns and preferences of LC patients about incorporating family in addressing their lung cancer experiences and cancer risks.

Methods

This project aims to identify concerns and preferences for addressing family history documentation, risk assessment, prevention, and follow-up issues for LC patients and their family. We held focus groups (FG) to discuss the format and timing of addressing these preferences and concerns. The qualitative data was analyzed using a grounded theory approach.

Results

7 FG totaling 17 participants were conducted. The mean age was 64. All patients had advanced lung cancer. Participants included five males; nine African-Americans; three current, 11 former and three never smokers. Five participants had parents or grandparents with LC. Two had siblings with LC. Six themes were identified: (1) Varied journeys to LC diagnosis. (2) Mixed patient perceptions of cancer causation. (3) Limited documentation and utilization of family history. (4) Diverse attitudes toward smoking cessation. (5) A range of discussions about cancer risk, prevention, and screening. (6) Implications for implementation of family-centered cancer care and health promotion.

Conclusions

The diagnosis of LC, its management, and outcomes occur in the family context. The diagnosis represents a potential teachable moment with opportunity to reduce the risk of LC development or improve early detection in a population at higher risk of developing lung cancer. Lung cancer patients are interested in discussing risk factors, prevention, and diagnosis of lung cancer for their relatives.

Keywords

Lung cancer Family Risk Family history Cancer communication Supportive care 

Notes

Acknowledgements

We would like to offer a special thank you to the staff and patients who have helped to make this project possible.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Josephine Feliciano
    • 1
  • Breanna Becker
    • 2
  • Manish Shukla
    • 2
  • Joann Bodurtha
    • 3
  1. 1.Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins UniversityBaltimoreUSA
  2. 2.Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins School of MedicineBaltimoreUSA

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