Is social inequality related to different patient concerns in routine oral cancer follow-up clinics?
Identifieur interne : 000734 ( Main/Exploration ); précédent : 000733; suivant : 000735Is social inequality related to different patient concerns in routine oral cancer follow-up clinics?
Auteurs : Sarah Allen ; Derek Lowe ; Rebecca V. Harris ; Steve Brown ; Simon N. RogersSource :
- European Archives of Oto-Rhino-Laryngology [ 0937-4477 ] ; 2016.
Abstract
Oral cancer has a higher incidence in the lower social strata, and these patients are less likely to engage in supportive interventions and report a poorer quality of life (QoL). The aim of this paper is to compare the Patient Concerns Inventory (PCI) responses across social groups attending routine oral cancer follow-up clinics with particular focus on the deprivation lower quartile. The PCI package is completed by patients as part of their routine review consultation with SNR. Patients were those diagnosed between 2008 and 2012. Deprivation was stratified using the IMD 2010 from postcode. Of the 106 eligible patients, 85 % used the PCI. Just over half (54 %) were living in the most deprived quartile, with two-thirds (68 %) of males in the most deprived quartile, compared with 35 % of females (
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DOI: 10.1007/s00405-016-4208-x
PubMed: 27447962
PubMed Central: 5222928
Affiliations:
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Harris</name><affiliation><nlm:aff id="Aff1">Department of Health Services Research, Institute of Psychology Health and Society, University of Liverpool, Room 111, 1st floor, Block B, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL UK</nlm:aff><wicri:noCountry code="subfield">L69 3GL UK</wicri:noCountry></affiliation></author><author><name sortKey="Brown, Steve" sort="Brown, Steve" uniqKey="Brown S" first="Steve" last="Brown">Steve Brown</name><affiliation><nlm:aff id="Aff4">Department of Psychological Sciences, University of Liverpool, Liverpool, L69 3BX UK</nlm:aff><wicri:noCountry code="subfield">L69 3BX UK</wicri:noCountry></affiliation></author><author><name sortKey="Rogers, Simon N" sort="Rogers, Simon N" uniqKey="Rogers S" first="Simon N." last="Rogers">Simon N. Rogers</name><affiliation><nlm:aff id="Aff2">Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, Ormskirk, L39 4QP UK</nlm:aff><wicri:noCountry code="subfield">L39 4QP UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, L9 1AE UK</nlm:aff><wicri:noCountry code="subfield">L9 1AE UK</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27447962</idno><idno type="pmc">5222928</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5222928</idno><idno type="RBID">PMC:5222928</idno><idno type="doi">10.1007/s00405-016-4208-x</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000C48</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C48</idno><idno type="wicri:Area/Pmc/Curation">000C48</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C48</idno><idno type="wicri:Area/Pmc/Checkpoint">000625</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000625</idno><idno type="wicri:Area/Ncbi/Merge">006914</idno><idno type="wicri:Area/Ncbi/Curation">006914</idno><idno type="wicri:Area/Ncbi/Checkpoint">006914</idno><idno type="wicri:doubleKey">0937-4477:2016:Allen S:is:social:inequality</idno><idno type="wicri:Area/Main/Merge">000734</idno><idno type="wicri:Area/Main/Curation">000734</idno><idno type="wicri:Area/Main/Exploration">000734</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is social inequality related to different patient concerns in routine oral cancer follow-up clinics?</title><author><name sortKey="Allen, Sarah" sort="Allen, Sarah" uniqKey="Allen S" first="Sarah" last="Allen">Sarah Allen</name><affiliation><nlm:aff id="Aff1">Department of Health Services Research, Institute of Psychology Health and Society, University of Liverpool, Room 111, 1st floor, Block B, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL UK</nlm:aff><wicri:noCountry code="subfield">L69 3GL UK</wicri:noCountry></affiliation></author><author><name sortKey="Lowe, Derek" sort="Lowe, Derek" uniqKey="Lowe D" first="Derek" last="Lowe">Derek Lowe</name><affiliation><nlm:aff id="Aff2">Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, Ormskirk, L39 4QP UK</nlm:aff><wicri:noCountry code="subfield">L39 4QP UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, L9 1AE UK</nlm:aff><wicri:noCountry code="subfield">L9 1AE UK</wicri:noCountry></affiliation></author><author><name sortKey="Harris, Rebecca V" sort="Harris, Rebecca V" uniqKey="Harris R" first="Rebecca V." last="Harris">Rebecca V. Harris</name><affiliation><nlm:aff id="Aff1">Department of Health Services Research, Institute of Psychology Health and Society, University of Liverpool, Room 111, 1st floor, Block B, Waterhouse Building, 1-5 Brownlow Street, Liverpool, L69 3GL UK</nlm:aff><wicri:noCountry code="subfield">L69 3GL UK</wicri:noCountry></affiliation></author><author><name sortKey="Brown, Steve" sort="Brown, Steve" uniqKey="Brown S" first="Steve" last="Brown">Steve Brown</name><affiliation><nlm:aff id="Aff4">Department of Psychological Sciences, University of Liverpool, Liverpool, L69 3BX UK</nlm:aff><wicri:noCountry code="subfield">L69 3BX UK</wicri:noCountry></affiliation></author><author><name sortKey="Rogers, Simon N" sort="Rogers, Simon N" uniqKey="Rogers S" first="Simon N." last="Rogers">Simon N. Rogers</name><affiliation><nlm:aff id="Aff2">Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, Ormskirk, L39 4QP UK</nlm:aff><wicri:noCountry code="subfield">L39 4QP UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, L9 1AE UK</nlm:aff><wicri:noCountry code="subfield">L9 1AE UK</wicri:noCountry></affiliation></author></analytic><series><title level="j">European Archives of Oto-Rhino-Laryngology</title><idno type="ISSN">0937-4477</idno><idno type="eISSN">1434-4726</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Oral cancer has a higher incidence in the lower social strata, and these patients are less likely to engage in supportive interventions and report a poorer quality of life (QoL). The aim of this paper is to compare the Patient Concerns Inventory (PCI) responses across social groups attending routine oral cancer follow-up clinics with particular focus on the deprivation lower quartile. The PCI package is completed by patients as part of their routine review consultation with SNR. Patients were those diagnosed between 2008 and 2012. Deprivation was stratified using the IMD 2010 from postcode. Of the 106 eligible patients, 85 % used the PCI. Just over half (54 %) were living in the most deprived quartile, with two-thirds (68 %) of males in the most deprived quartile, compared with 35 % of females (<italic>p</italic> = 0.004). In regard to number and type of PCI items selected by patients at their first PCI clinic, there were no notable differences in respect of IMD classification. The two commonest concerns were fear of recurrence (43 %) and sore mouth (43 %). The most deprived quartile reported significant problems in regard to mood (<italic>p</italic> = 0.004) and recreation (<italic>p</italic> = 0.02), and a non-significant trend (36 vs 18 %, <italic>p</italic> = 0.09) in stating their overall QoL as being less than good. It is possible to identify the concerns of patients from lower socioeconomic strata as part of routine follow-up clinics. This allows for targeted multi-professional intervention and supports to improve the outcome in this hard to reach group.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rogers, Sn" uniqKey="Rogers S">SN Rogers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Conway, Di" uniqKey="Conway D">DI Conway</name></author><author><name sortKey="Mcmahon, Ad" uniqKey="Mcmahon A">AD McMahon</name></author><author><name sortKey="Smith, K" uniqKey="Smith K">K Smith</name></author><author><name sortKey="Black, R" uniqKey="Black R">R Black</name></author><author><name sortKey="Robertson, G" uniqKey="Robertson G">G Robertson</name></author><author><name sortKey="Devine, J" uniqKey="Devine J">J Devine</name></author><author><name sortKey="Mckinney, Pa" uniqKey="Mckinney P">PA McKinney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Woolley, E" uniqKey="Woolley E">E 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sort="Brown, Steve" uniqKey="Brown S" first="Steve" last="Brown">Steve Brown</name><name sortKey="Harris, Rebecca V" sort="Harris, Rebecca V" uniqKey="Harris R" first="Rebecca V." last="Harris">Rebecca V. Harris</name><name sortKey="Lowe, Derek" sort="Lowe, Derek" uniqKey="Lowe D" first="Derek" last="Lowe">Derek Lowe</name><name sortKey="Rogers, Simon N" sort="Rogers, Simon N" uniqKey="Rogers S" first="Simon N." last="Rogers">Simon N. Rogers</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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