Equal cancer treatment regardless of education level and family support? A qualitative study of oncologists' decision-making

BMJ Open

Volumn 2, Issue 4, 2012, Pages

  Cavalli Björkman, Nina ^a   Glimelius, Bengt ^a,b   Strang, Peter ^b  

^a UPPSALA UNIVERSITY   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CANCER THERAPY; CLINICAL DECISION MAKING; COMBINATION CHEMOTHERAPY; EDUCATIONAL STATUS; FAMILY CENTERED CARE; FEMALE; HUMAN; MALE; PHYSICIAN; QUALITATIVE RESEARCH; RELATIVE; SEMI STRUCTURED INTERVIEW; SOCIAL SUPPORT; UNIVERSITY HOSPITAL;

EID: 84865998550     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2012-001248     Document Type: Article

References (33)

1. Nedrebo BS, Soreide K, Eriksen MT, et al. Survival effect of implementing national treatment strategies for curatively resected colonic and rectal cancer. Br J Surg 2011;98:716-23. doi: 10.1002/bjs.7426.
2. Konski AA, Pajak TF, Movsas B, et al. Disadvantage of men living alone participating in Radiation Therapy Oncology Group head and neck trials. J Clin Oncol 2006;24:4177-83. doi: 24/25/4177 (pii) 10.1200/JCO.2006.06.2901.
3. Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med 2010;7:e1000316. doi: 10.1371/journal.pmed.1000316.
4. Cavalli-Bjorkman N, Qvortrup C, Sebjornsen S, et al. Lower treatment intensity and poorer survival in metastatic colorectal cancer patients who live alone. Br J Cancer 2012;107:189-94. doi: 10.1038/bjc.2012.186 bjc2012186 (pii).
5. Byers TE, Wolf HJ, Bauer KR, et al. The impact of socioeconomic status on survival after cancer in the United States: findings from the National Program of Cancer Registries Patterns of Care Study. Cancer 2008;113:582-91. doi: 10.1002/cncr.23567.
6. Cavalli-Bjorkman N, Lambe M, Eaker S, et al. Differences according to educational level in the management and survival of colorectal cancer in Sweden. Eur J Cancer 2011;47:1398-406. doi: S0959-8049(10)01202-5 (pii) 10.1016/j.ejca.2010.12.013.
7. Olsson LI, Granstrom F, Glimelius B. Socioeconomic inequalities in the use of radiotherapy for rectal cancer: a nationwide study. Eur J Cancer 2011;47:347-53. doi: S0959-8049(10)00246-7 (pii) 10.1016/j.ejca.2010.03.015.
8. Aarts MJ, Lemmens VE, Louwman MW, et al. Socioeconomic status and changing inequalities in colorectal cancer? A review of the associations with risk, treatment and outcome. Eur J Cancer 2010;46:2681-95. doi: S0959-8049(10)00367-9 (pii) 10.1016/j.ejca.2010.04.026.
9. Eaker S, Halmin M, Bellocco R, et al. Social differences in breast cancer survival in relation to patient management within a National Health Care System (Sweden). Int J Cancer 2009;124:180-7. doi: 10.1002/ijc.23875.
10. Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs 2008;62:107-15. doi: JAN4569 (pii) 10.1111/j.1365-2648.2007.04569.x.
11. Patton M. Qualitative research & evaluation methods. Thousand Oaks: Sage Publications, 2002.
12. Weber RP. Basic content analysis. Newbury Park: Sage Publications, 1990.
13. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15:1277-88. doi: 15/9/1277 (pii) 10.1177/1049732305276687.
14. Schildmann J, Vollmann J. (Treatment decisions in advanced cancer. An empirical-ethical study on physicians' criteria and the process of decision making). Dtsch Med Wochenschr 2010;135:2230-4. doi: 10.1055/s-0030-1267505.
15. Scott A, Shiell A, King M. Is general practitioner decision making associated with patient socio-economic status? Soc Sci Med 1996;42:35-46. doi: 0277953695000631 (pii).
16. Bernheim SM, Ross JS, Krumholz HM, et al. Influence of patients'socioeconomic status on clinical management decisions: a qualitative study. Ann Fam Med 2008;6:53-9. doi: 6/1/53 (pii) 10.1370/afm.749.
17. Frederiksen BL, Brown Pde N, Dalton SO, et al. Socioeconomic inequalities in prognostic markers of non-Hodgkin lymphoma: analysis of a national clinical database. Eur J Cancer 2011;47:910-7. doi: S0959-8049(10)01101-9 (pii) 10.1016/j.ejca.2010.11.014.
18. Dalton SO, Frederiksen BL, Jacobsen E, et al. Socioeconomic position, stage of lung cancer and time between referral and diagnosis in Denmark, 2001-2008. Br J Cancer 2011;105:1042-8. doi: 10.1038/bjc.2011.342 bjc2011342 (pii).
19. Pinquart M, Duberstein PR. Associations of social networks with cancer mortality: a meta-analysis. Crit Rev Oncol Hematol 2010;75:122-37. doi: S1040-8428(09)00123-1 (pii) 10.1016/j.critrevonc.2009.06.003.
20. van Ryn M, Burke J. The effect of patient race and socio-economic status on physicians' perceptions of patients. Soc Sci Med 2000;50:813-28. doi: S027795369900338X (pii).
21. Bevan JL, Pecchioni LL. Understanding the impact of family caregiver cancer literacy on patient health outcomes. Patient Educ Couns 2008;71:356-64. doi: S0738-3991(08)00130-4 (pii) 10.1016/j.pec.2008.02.022.
22. Stacey CL, Henderson S, MacArthur KR, et al. Demanding patient or demanding encounter?: A case study of a cancer clinic. Soc Sci Med 2009;69:729-37. doi: S0277-9536(09)00402-X (pii) 10.1016/j.socscimed.2009.06. 032.
23. Bao Y, Fox SA, Escarce JJ. Socioeconomic and racial/ethnic differences in the discussion of cancer screening: "between-"versus "within-" physician differences. Health Serv Res 2007;42:950-70. doi: HESR638 (pii) 10.1111/j.1475-6773.2006.00638.x.
24. Willems S, De Maesschalck S, Deveugele M, et al. Socio-economic status of the patient and doctor-patient communication: does it make a difference? Patient Educ Couns 2005;56:139-46. doi: S0738399104000990 (pii) 10.1016/j.pec.2004.02.011.
25. Siminoff LA, Graham GC, Gordon NH. Cancer communication patterns and the influence of patient characteristics: disparities in information-giving and affective behaviors. Patient Educ Couns 2006;62:355-60. doi: S0738-3991(06)00193-5 (pii) 10.1016/j.pec.2006.06.011.
26. Shin DW, Park JH, Shim EJ, et al. Predictors and outcomes of feeling of insufficient consultation time in cancer care in Korea: results of a nationwide multicenter survey. Support Care Cancer 2011;20:1965-73.
27. Hendren S, Chin N, Fisher S, et al. Patients' barriers to receipt of cancer care, and factors associated with needing more assistance from a patient navigator. J Natl Med Assoc 2011;103:701-10.
28. Matsuyama RK, Wilson-Genderson M, Kuhn L, et al. Education level, not health literacy, associated with information needs for patients with cancer. Patient Educ Couns 2011;85:e229-36. doi: S0738-3991(11)00188-1 (pii) 10.1016/j.pec.2011.03.022.
29. Santoso JT, Engle DB, Schaffer L, et al. Cancer diagnosis and treatment: communication accuracy between patients and their physicians. Cancer J 2006;12:73-6.
30. Gorin SS, Ashford AR, Lantigua R, et al. Intraurban influences on physician colorectal cancer screening practices. J Natl Med Assoc 2007;99:1371-80. (Pubitemid 350308719)
31. Kikano GE, Schiaffino MA, Zyzanski SJ. Medical decision making and perceived socioeconomic class. Arch Fam Med 1996;5:267-70.
32. Lemmens VE, van Halteren AH, Janssen-Heijnen ML, et al. Adjuvant treatment for elderly patients with stage III colon cancer in the southern Netherlands is affected by socioeconomic status, gender, and comorbidity. Ann Oncol 2005;16:767-72. doi: mdi159 (pii) 10.1093/annonc/mdi159.
33. Keating NL, Landrum MB, Klabunde CN, et al. Adjuvant chemotherapy for stage III colon cancer: do physicians agree about the importance of patient age and comorbidity? J Clin Oncol 2008;26:2532-7. doi: 26/15/2532 (pii) 10.1200/JCO.2007.15.9434.