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Do patients and physicians agree when they assess quality of life?

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dc.contributor.author Barata, Anna
dc.contributor.author Rodrigo Martino, Rodrigo
dc.contributor.author Gich, Ignasi
dc.contributor.author García-Cadenas, Irene
dc.contributor.author Abella Monreal, Eugenia
dc.contributor.author Barba, Pere
dc.contributor.author Briones, Javier
dc.contributor.author Brunet, Salut
dc.contributor.author Esquirol, Albert
dc.contributor.author García-Pallarols, Francesc
dc.contributor.author Garrido, Ana
dc.contributor.author Granell, Miquel
dc.contributor.author Martinez, Jaume
dc.contributor.author Mensa, Irene
dc.contributor.author Novelli, Silvana
dc.contributor.author Sanchez Gonzalez, Blanca
dc.contributor.author Valcárcel, David
dc.contributor.author Sierra, Jordi
dc.date.accessioned 2017-11-22T08:45:02Z
dc.date.issued 2017
dc.identifier.citation Barata A, Martino R, Gich I, García-Cadenas I, Abella E, Barba P. et al. Do patients and physicians agree when they assess quality of life? Biol Blood Marrow Transplant. 2017 Jun;23(6):1005-1010. DOI: 10.1016/j.bbmt.2017.03.015
dc.identifier.issn 1083-8791
dc.identifier.uri http://hdl.handle.net/10230/33307
dc.description.abstract Patient and physician agreement on the most significant symptoms is associated with treatment outcomes and satisfaction with care. Thus, we sought to assess patient and physician agreement on patient-reported quality of life (QoL), and whether patient-related variables predict disagreement. In this cross-sectional, multisite study, patients and physicians completed the FACT-BMT at day 90. Agreement was analyzed with the intraclass coefficient correlation (ICC). Rates of underestimation and overestimation were calculated. Logistic regression models identified predictors of disagreement. We analyzed 96 pairs of questionnaires completed by 96 patients and 11 physicians. The patients' median age was 54 years, 52% were men, and 52% had undergone allogeneic hematopoietic cell transplantation (HCT). The physicians' median age was 42, 64% were men, and they had worked in the HCT field for an average of 12 years. Agreement on QoL was moderate (ICC = .436). Exploratory analyses revealed poor agreement for emotional (ICC = .092) and social (ICC = .270) well-being and moderate agreement for physical (ICC = .457), functional (ICC = .451), and BMT concerns (ICC = .445). Patients' well-being was underestimated by physicians in 41% to 59% of the categories of well-being parameters, and overestimated in 10% to 24%. Patient's anxiety predicted less disagreement in all scales except in social well-being, for which nonsignificant associations were observed. Patient-related variables explained 12% to 19% of the variance in disagreement across well-being scales. Patient and physician agreement on QoL was suboptimal, particularly in emotional and social well-being. The implementation of patient-reported outcomes in the daily care of HCT recipients may contribute to improving patient-centered care.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.rights © Elsevier http://dx.doi.org/10.1016/j.bbmt.2017.03.015
dc.subject.other Càncer
dc.subject.other Qualitat de vida
dc.title Do patients and physicians agree when they assess quality of life?
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.bbmt.2017.03.015
dc.subject.keyword Cancer
dc.subject.keyword Hematopoietic cell transplantation
dc.subject.keyword Oncology
dc.subject.keyword Quality of life
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/acceptedVersion
dc.embargo.liftdate 2018-06-30
dc.date.embargoEnd info:eu-repo/date/embargoEnd/2018-06-30

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