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Factors contributing to satisfaction with care in cancer outpatients

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Abstract

Objectives

To evaluate satisfaction with care (SC) in cancer patients treated at a Spanish day hospital, to identify determinants of SC, and to assess the association between SC and quality of life (QL).

Methods

Cross-sectional study in which 119 patients undergoing outpatient chemotherapy completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Cancer Outpatient Satisfaction with Care questionnaire for chemotherapy (OUT-PATSAT35 CT), and an item on loyalty. Bivariate correlations between each subscale of the OUT-PATSAT35 CT and overall satisfaction, and between the subscales of OUT-PATSAT35 CT and QLQ-C30, were calculated. Multiple linear regression models were used to analyze determinants of patients’ SC.

Results

Mean age was 62.5 years (SD 11.7), and 54.6% of the sample were female. Mean scores for SC were > 75 out of 100 on all OUT-PATSAT35 CT subscales, except environment. Overall satisfaction was higher than satisfaction in any subscale, and all patients would choose the same day hospital again. Correlation with overall satisfaction was moderate but statistically significant for all subscales. Patients treated for tumor recurrence and those undergoing palliative treatment manifested significantly lower overall satisfaction. Correlation between the EORTC QLQ-C30 and the OUT-PATSAT35 CT was not statistically significant, although patients with better health status reported higher satisfaction in several subscales.

Conclusion

Patient-reported SC and loyalty towards the day hospital were high. Disease evolution and aim of treatment were determinants of overall satisfaction. The correlation between SC and QL was unclear. Some areas for improving care were noted.

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Data availability

If required by the editorial, the authors are willing to deposit data that support the findings of their research in a public repository.

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Acknowledgments

We thank the patients and medical and nursing staff at the Althaia’s oncology day hospital for their cooperation.

Code availability

The authors declare that all data and materials as well as software application or custom code support their published claims and comply with field standards.

Funding

This study was exclusively supported by its sponsor, Althaia Xarxa Assistencial Universitària de Manresa.

Author information

Authors and Affiliations

  1. Direction Quality and Knowledge, Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr. Joan Soler 1-3, 08243, Manresa, Spain

    Alfons Hervàs

  2. Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr Soler 1-3, 08243, Manresa, Spain

    Alfons Hervàs

  3. Oncology Inpatient Unit, Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr. Joan Soler, 1-3, 08243, Manresa, Spain

    Raquel Montraveta & Sara Corral

  4. Internal Medicine Unit, Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr. Joan Soler, 1-3, 08243, Manresa, Spain

    Laura Pintado

  5. Quality Unit, Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr. Joan Soler, 1-3, 08243, Manresa, Spain

    Teo Baeza

  6. Grup de Recerca en Cronicitat de la Catalunya Central (C3RG), Research and Innovation Unit, Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr. Joan Soler, 1-3, 08243, Manresa, Spain

    Anna Arnau

  7. Centre d’Estudis Sanitaris i Socials, (CESS), Universitat de Vic–Universitat Central de Catalunya (UVIC-UCC), C. Miquel Martí i Pol, 1, 08500, Vic, Spain

    Anna Arnau

  8. Hematology Department, Althaia Xarxa Assistencial Universitària de Manresa, Carrer Dr. Joan Soler, 1-3, 08243, Manresa, Spain

    Alba Vall

Authors
  1. Alfons Hervàs
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  2. Raquel Montraveta
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  7. Alba Vall
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Contributions

AH designed the study, supervised all aspects of its production, and wrote the first draft. LP, TB, RM, SC, and AV were responsible for the data extraction. AA performed the statistical analysis of the data and interpreted the findings. All authors contributed ideas and reviewed drafts of the manuscript. All authors approved the final version.

Corresponding author

Correspondence to Alfons Hervàs.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by an independent Clinical Research Ethics Committee (Comitè d’Ètica d’Investigació Clínica de la Fundació Unió Catalana d’Hospitals), with the protocol number CEIC Code 18/72.

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Informed consent was obtained from all individual participants included in the study.

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N/A.

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Hervàs, A., Montraveta, R., Corral, S. et al. Factors contributing to satisfaction with care in cancer outpatients. Support Care Cancer 29, 4575–4586 (2021). https://doi.org/10.1007/s00520-020-05978-w

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  • DOI: https://doi.org/10.1007/s00520-020-05978-w

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