Cancer patient preferences for quality and length of life

Neal J. Meropol, Brian L. Egleston, Joanne S. Buzaglo, Al B. Benson, Donald J. Cegala, Michael A. Diefenbach, Linda Fleisher, Suzanne M. Miller, Daniel P. Sulmasy, Kevin P. Weinfurt, Andrew Balshem, Ellyn Micco, Jennifer L. Millard, Eric A. Ross, Kevin A. Schulman, Elyse Slater, Nicholas Solarino, Jonathan Trinastic

Research output: Contribution to journalArticlepeer-review

115 Scopus citations

Abstract

BACKGROUND. Optimal patient decision making requires integration of patient values, goals, and preferences with information received from the physician. In the case of a life-threatening illness such as cancer, the weights placed on quality of life (QOL) and length of life (LOL) represent critical values. The objective of the current study was to describe cancer patient values regarding QOL and LOL and explore associations with communication preferences. METHODS. Patients with advanced cancer completed a computer-based survey before the initial consultation with a medical oncologist. Assessments included sociodemographics, physical and mental health state, values regarding quality and length of life, communication preferences, and cancer-related distress. RESULTS. Among 459 patients with advanced cancer, 55% placed equal valued on QOL and LOL, 27% preferred QOL, and 18% preferred LOL. Patients with a QOL preference had lower levels of cancer-related distress (P < .001). A QOL preference was also associated with older age (P = .001), male sex (P = .003), and higher educational level (P = .062). Patients who preferred LOL over QOL desired a more supportive and less pessimistic communication style from their oncologists. CONCLUSIONS. These data indicate that a values preference for LOL versus QOL may be simply measured, and is associated with wishes regarding the nature of oncologist communication. Awareness of these values during the clinical encounter could improve decision making by influencing the style and content of the communication between oncologists and their patients.

Original languageEnglish (US)
Pages (from-to)3459-3466
Number of pages8
JournalCancer
Volume113
Issue number12
DOIs
StatePublished - Dec 15 2008

Keywords

  • Cancer communication
  • Cancer communication aid
  • Cancer-related distress
  • Communication preferences
  • Length of life preferences
  • Patient decision making
  • Patient preferences
  • Patient values
  • Physician-patient communication
  • Quality of life

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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