[Adjuvant hormonal therapy for early breast cancer: Assessment of patients' satisfaction]

Bull Cancer. 2019 Dec;106(12):1104-1114. doi: 10.1016/j.bulcan.2019.08.019. Epub 2019 Oct 12.
[Article in French]

Abstract

Introduction: Since the cancer plan, evaluation of professional practices is essential to ensure the implementation of high-quality health care. Assess patient satisfaction is one of the pillars of high-quality health care. The main objective of the study was to assess the satisfaction of patients with early breast cancer taking a hormonal therapy, the secondary objective was to identify factors associated with their satisfaction.

Methods: The modified EORTC OUT-PATSAT-35 questionnaire was sent to a sample of patients in Franche-Comté in order to evaluate nine dimensions of satisfaction among which interpersonal skills, provided information, and overall satisfaction. For each dimension, a satisfaction score between 0 (no satisfaction) and 100 (highest satisfaction) was measured. Logistic regression analyses were used to study the factors associated with satisfaction.

Results: The mean overall satisfaction score for the 280 patients who answered was 73 [0-100]. Practicing an extra-professional activity was associated with higher satisfaction for several dimensions (odds ratio between 2.80 and 4.12, P<0.05) whereas it was decreased in the case of a modified appetite (odds ratio between 0.27 and 0.52, P<0.05). No link has been shown between satisfaction and adherence.

Discussion: The patients were satisfied and several factors impacting their satisfaction were identified, based on a questionnaire that must evolve to take into account the ambulatory aspect of their care. During the consultations, particular attention will be paid to these factors.

Keywords: Adjuvant; Breast cancer; Cancer du sein; Chemotherapy; Chimiothérapie; Hormonal therapy; Hormonothérapie; Satisfaction.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents, Hormonal / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Chemotherapy, Adjuvant / methods
  • Chemotherapy, Adjuvant / psychology
  • Female
  • Humans
  • Middle Aged
  • Odds Ratio
  • Patient Satisfaction / statistics & numerical data*
  • Quality of Health Care
  • Regression Analysis
  • Surveys and Questionnaires

Substances

  • Antineoplastic Agents, Hormonal