PMID- 21557385
OWN - NLM
STAT- MEDLINE
DCOM- 20150630
LR  - 20141103
IS  - 1099-1611 (Electronic)
IS  - 1057-9249 (Linking)
VI  - 21
IP  - 8
DP  - 2012 Aug
TI  - Behind closed doors II: systematic analysis of prostate cancer patients' primary 
      treatment consultations with radiation oncologists and predictors of satisfaction 
      with communication.
PG  - 809-17
LID - 10.1002/pon.1984 [doi]
AB  - OBJECTIVE: The purpose of this investigation was to explicate the content of 
      primary treatment consultations in prostate oncology and examine the predictive 
      relationships between patient, significant other, and oncologist consultation 
      factors and patient satisfaction with communication. METHODS: The recorded 
      consultations of 156 newly diagnosed prostate cancer patients from three Canadian 
      cancer centers were examined using the Medical Interaction Process System (MIPS). 
      The MIPS findings, independent observer ratings of patient, significant other, 
      and oncologist affective behavior, and derived consultation ratios of patient 
      centeredness, patient directedness, and psychosocial focus, were used to predict 
      patient satisfaction with communication post-consultation and at 12-weeks 
      post-consultation. RESULTS: Biomedical content categories were predominant in the 
      consultations, accounting for 86% of utterances, followed by administrative (9%) 
      and psychosocial (5%) utterances. Post-consultation satisfaction with 
      communication was significantly lower for patients whose significant others were 
      rated as more assertive during the consultation, and those rated as more anxious 
      during the consultation. Patients who were rated as more anxious during the 
      consultation, those with lower satisfaction with communication immediately 
      post-consultation and those with shorter consultations were significantly less 
      satisfied with communication at 12-weeks post-consultation. CONCLUSIONS: Adjuvant 
      treatment consultations in prostate oncology are characterized by a high degree 
      of information-giving by the physician, a predominance of biomedical discussion, 
      and relatively minimal time addressing patients' psychosocial concerns. Patients 
      may benefit from oncologists who address anxiety and emotional distress during 
      the primary treatment consultation, allowing sufficient time to ensure that 
      patients leave the consultation with their communication needs having been 
      satisfied.
CI  - Copyright (c) 2011 John Wiley & Sons, Ltd.
FAU - Hack, Thomas F
AU  - Hack TF
AD  - Faculty of Nursing, University of Manitoba, Winnipeg, MB, Canada; CancerCare 
      Manitoba, Winnipeg, MB, Canada.
FAU - Ruether, J Dean
AU  - Ruether JD
FAU - Pickles, Tom
AU  - Pickles T
FAU - Bultz, Barry D
AU  - Bultz BD
FAU - Chateau, Dan
AU  - Chateau D
FAU - Degner, Lesley F
AU  - Degner LF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110506
PL  - England
TA  - Psychooncology
JT  - Psycho-oncology
JID - 9214524
SB  - IM
MH  - Aged
MH  - Canada
MH  - Caregivers/psychology
MH  - *Communication
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Satisfaction
MH  - *Physician-Patient Relations
MH  - Prostatic Neoplasms/*psychology/radiotherapy
MH  - *Radiation Oncology
MH  - Radiotherapy, Adjuvant
MH  - Referral and Consultation
OTO - NOTNLM
OT  - cancer
OT  - communication
OT  - consultation
OT  - oncology
OT  - satisfaction
EDAT- 2011/05/11 06:00
MHDA- 2015/07/01 06:00
CRDT- 2011/05/11 06:00
PHST- 2010/10/14 00:00 [received]
PHST- 2011/03/22 00:00 [revised]
PHST- 2011/03/25 00:00 [accepted]
PHST- 2011/05/11 06:00 [entrez]
PHST- 2011/05/11 06:00 [pubmed]
PHST- 2015/07/01 06:00 [medline]
AID - 10.1002/pon.1984 [doi]
PST - ppublish
SO  - Psychooncology. 2012 Aug;21(8):809-17. doi: 10.1002/pon.1984. Epub 2011 May 6.