Qualitative analysis of patients’ feedback from a PROMs survey of cancer patients in England
Identifieur interne : 003255 ( Main/Merge ); précédent : 003254; suivant : 003256Qualitative analysis of patients’ feedback from a PROMs survey of cancer patients in England
Auteurs : Jessica Corner [Royaume-Uni] ; Richard Wagland [Royaume-Uni] ; Adam Glaser [Royaume-Uni] ; Sir Mike Richards [Royaume-Uni]Source :
- BMJ Open [ 2044-6055 ] ; 2013.
Abstract
This study examined how free-text comments from cancer survivors could complement formal patient-reported outcome measures (PROMs), as part of the England PROMs survey programme for cancer.
A qualitative content analysis was conducted of responses to a single open-ended free-text question placed at the end of the cross-sectional population-based postal questionnaire.
Individuals were identified through three UK Cancer Registries and questionnaires were posted to their home addresses.
A random sample of individuals (n=4992) diagnosed with breast, colorectal, non-Hodgkins lymphoma or prostate cancer at 1, 2, 3 and 5 years earlier.
3300 participants completed the survey (68% response rate). Of these 1056 (32%) completed the free-text comments box, indicating a high level of commitment to provide written feedback on patient experience. Almost a fifth (19%) related experiences of excellent care during the treatment phase, with only 8% reporting negative experiences. This contrasted with experiences of care after primary cancer treatment where the majority were negative. Factors impacting negatively upon patient-reported outcomes included the emotional impact of cancer; poor experiences of treatment and care; comorbidities, treatment side effects, social difficulties and inadequate preparation for a wide range of sometimes long-lasting on-going physical and psychological problems. Mediating factors assisting recovery incorporated both professional-led factors, such as quality of preparation for anticipated problems and aftercare services, and participant-led factors, such as learning from other cancer survivors and self-learning through trial and error. The support of friends and family was also a factor in participants' outcomes.
This analysis of free-text comments complements quantitative analysis of PROMs measure's by illuminating relationships between factors that impact on quality of life (QoL) and indicate why cancer patients may experience significantly worse QoL than the general population. The data suggest more systematic preparation and aftercare for individuals to self-manage post-treatment problems might improve QoL outcomes among cancer survivors.
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DOI: 10.1136/bmjopen-2012-002316
PubMed: 23578681
PubMed Central: 3641435
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Southampton</institution>,<addr-line>Southampton</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Glaser, Adam" sort="Glaser, Adam" uniqKey="Glaser A" first="Adam" last="Glaser">Adam Glaser</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Paediatric Oncology</addr-line>,<institution>Leeds General Infirmary</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Richards, Sir Mike" sort="Richards, Sir Mike" uniqKey="Richards S" first="Sir Mike" last="Richards">Sir Mike Richards</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Health</addr-line>,<institution>Cancer Policy 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Wagland</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Faculty of Health Sciences</addr-line>,<institution>University of Southampton</institution>,<addr-line>Southampton</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Glaser, Adam" sort="Glaser, Adam" uniqKey="Glaser A" first="Adam" last="Glaser">Adam Glaser</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Paediatric Oncology</addr-line>,<institution>Leeds General Infirmary</institution>,<addr-line>Leeds</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Richards, Sir Mike" sort="Richards, Sir Mike" uniqKey="Richards S" first="Sir Mike" last="Richards">Sir Mike Richards</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Health</addr-line>,<institution>Cancer Policy Team</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>This study examined how free-text comments from cancer survivors could complement formal patient-reported outcome measures (PROMs), as part of the England PROMs survey programme for cancer.</p></sec><sec><title>Design</title><p>A qualitative content analysis was conducted of responses to a single open-ended free-text question placed at the end of the cross-sectional population-based postal questionnaire.</p></sec><sec><title>Setting</title><p>Individuals were identified through three UK Cancer Registries and questionnaires were posted to their home addresses.</p></sec><sec><title>Participants</title><p>A random sample of individuals (n=4992) diagnosed with breast, colorectal, non-Hodgkins lymphoma or prostate cancer at 1, 2, 3 and 5 years earlier.</p></sec><sec><title>Results</title><p>3300 participants completed the survey (68% response rate). Of these 1056 (32%) completed the free-text comments box, indicating a high level of commitment to provide written feedback on patient experience. Almost a fifth (19%) related experiences of excellent care during the treatment phase, with only 8% reporting negative experiences. This contrasted with experiences of care after primary cancer treatment where the majority were negative. Factors impacting negatively upon patient-reported outcomes included the emotional impact of cancer; poor experiences of treatment and care; comorbidities, treatment side effects, social difficulties and inadequate preparation for a wide range of sometimes long-lasting on-going physical and psychological problems. Mediating factors assisting recovery incorporated both professional-led factors, such as quality of preparation for anticipated problems and aftercare services, and participant-led factors, such as learning from other cancer survivors and self-learning through trial and error. The support of friends and family was also a factor in participants' outcomes.</p></sec><sec><title>Conclusions</title><p>This analysis of free-text comments complements quantitative analysis of PROMs measure's by illuminating relationships between factors that impact on quality of life (QoL) and indicate why cancer patients may experience significantly worse QoL than the general population. The data suggest more systematic preparation and aftercare for individuals to self-manage post-treatment problems might improve QoL outcomes among cancer survivors.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tritter, Jq" uniqKey="Tritter J">JQ Tritter</name></author><author><name sortKey="Calnan, M" uniqKey="Calnan M">M Calnan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Armes, J" uniqKey="Armes J">J Armes</name></author><author><name sortKey="Crowe, M" uniqKey="Crowe M">M Crowe</name></author><author><name sortKey="Colbourne, L" uniqKey="Colbourne L">L Colbourne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Corner, J" uniqKey="Corner J">J Corner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Elliott, J" uniqKey="Elliott J">J Elliott</name></author><author><name sortKey="Fallows, A" 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