Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre

Joanna  Bowden; Beth Gwyther; Allan Price; Amanda Swan; Fiona Nussey; Belinda Hacking; Morven Caroline Shearer; Anna Lloyd

Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre

Joanna Bowden, Beth Gwyther, Allan Price, Amanda Swan, Fiona Nussey, Belinda Hacking, Morven Caroline Shearer, Anna Lloyd

Research output: Contribution to journal › Article › peer-review

Abstract

Background The decision to undergo chemotherapy for incurable cancer demands informed discussions about the risks and benefits of proposed treatments. Research has shown that many patients have a poor grasp of these factors.

Methods An evaluation of the patient experience of palliative chemotherapy decision-making was undertaken. Patients with lung or gynaecological cancers were surveyed about their decision, what they understood about its risks and benefits, and how supported they felt.

Results A total of 29 people with lung cancer (n = 21) or gynaecological cancer (n = 8) completed questionnaires. The majority felt sure about their decision, though many were less sure of the risks and benefits of treatment. Unprompted comments revealed significant nuance, including that the decision to undergo chemotherapy may not necessarily have felt like a choice.

Conclusions Our positive findings may reflect participant selection bias, or could represent genuine comfort in decision-making in Scottish oncology clinics. Further research is needed.

Original language	English
Pages (from-to)	199-203
Number of pages	5
Journal	Journal of the Royal College of Physicians of Edinburgh
Volume	49
Issue number	3
Publication status	Published - 1 Sept 2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Informed consent
Palliative chemotherapy
Shared decision-making

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Copyright © 2019 the Author(s). This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the final published version of the work, which was originally published at https://www.rcpe.ac.uk/college/journal/patient-perceptions-their-decision-undergo-palliative-chemotherapy-edinburgh-cancer
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Bowden, J., Gwyther, B., Price, A., Swan, A., Nussey, F., Hacking, B., Shearer, M. C., & Lloyd, A. (2019). Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre. Journal of the Royal College of Physicians of Edinburgh, 49(3), 199-203. https://www.rcpe.ac.uk/college/journal/patient-perceptions-their-decision-undergo-palliative-chemotherapy-edinburgh-cancer

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title = "Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre",

abstract = "Background The decision to undergo chemotherapy for incurable cancer demands informed discussions about the risks and benefits of proposed treatments. Research has shown that many patients have a poor grasp of these factors. Methods An evaluation of the patient experience of palliative chemotherapy decision-making was undertaken. Patients with lung or gynaecological cancers were surveyed about their decision, what they understood about its risks and benefits, and how supported they felt. Results A total of 29 people with lung cancer (n = 21) or gynaecological cancer (n = 8) completed questionnaires. The majority felt sure about their decision, though many were less sure of the risks and benefits of treatment. Unprompted comments revealed significant nuance, including that the decision to undergo chemotherapy may not necessarily have felt like a choice. Conclusions Our positive findings may reflect participant selection bias, or could represent genuine comfort in decision-making in Scottish oncology clinics. Further research is needed.",

keywords = "Informed consent, Palliative chemotherapy, Shared decision-making",

author = "Joanna Bowden and Beth Gwyther and Allan Price and Amanda Swan and Fiona Nussey and Belinda Hacking and Shearer, \{Morven Caroline\} and Anna Lloyd",

year = "2019",

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Bowden, J, Gwyther, B, Price, A, Swan, A, Nussey, F, Hacking, B, Shearer, MC & Lloyd, A 2019, 'Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre', Journal of the Royal College of Physicians of Edinburgh, vol. 49, no. 3, pp. 199-203. <https://www.rcpe.ac.uk/college/journal/patient-perceptions-their-decision-undergo-palliative-chemotherapy-edinburgh-cancer>

TY - JOUR

T1 - Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre

AU - Bowden, Joanna

AU - Gwyther, Beth

AU - Price, Allan

AU - Swan, Amanda

AU - Nussey, Fiona

AU - Hacking, Belinda

AU - Shearer, Morven Caroline

AU - Lloyd, Anna

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Background The decision to undergo chemotherapy for incurable cancer demands informed discussions about the risks and benefits of proposed treatments. Research has shown that many patients have a poor grasp of these factors. Methods An evaluation of the patient experience of palliative chemotherapy decision-making was undertaken. Patients with lung or gynaecological cancers were surveyed about their decision, what they understood about its risks and benefits, and how supported they felt. Results A total of 29 people with lung cancer (n = 21) or gynaecological cancer (n = 8) completed questionnaires. The majority felt sure about their decision, though many were less sure of the risks and benefits of treatment. Unprompted comments revealed significant nuance, including that the decision to undergo chemotherapy may not necessarily have felt like a choice. Conclusions Our positive findings may reflect participant selection bias, or could represent genuine comfort in decision-making in Scottish oncology clinics. Further research is needed.

AB - Background The decision to undergo chemotherapy for incurable cancer demands informed discussions about the risks and benefits of proposed treatments. Research has shown that many patients have a poor grasp of these factors. Methods An evaluation of the patient experience of palliative chemotherapy decision-making was undertaken. Patients with lung or gynaecological cancers were surveyed about their decision, what they understood about its risks and benefits, and how supported they felt. Results A total of 29 people with lung cancer (n = 21) or gynaecological cancer (n = 8) completed questionnaires. The majority felt sure about their decision, though many were less sure of the risks and benefits of treatment. Unprompted comments revealed significant nuance, including that the decision to undergo chemotherapy may not necessarily have felt like a choice. Conclusions Our positive findings may reflect participant selection bias, or could represent genuine comfort in decision-making in Scottish oncology clinics. Further research is needed.

KW - Informed consent

KW - Palliative chemotherapy

KW - Shared decision-making

UR - https://www.scopus.com/pages/publications/85071989701

M3 - Article

SN - 1478-2715

VL - 49

SP - 199

EP - 203

JO - Journal of the Royal College of Physicians of Edinburgh

JF - Journal of the Royal College of Physicians of Edinburgh

IS - 3

ER -

Patient perceptions of their decision to undergo palliative chemotherapy in the Edinburgh Cancer Centre

Abstract

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Keywords

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