- Title
- Examining variation across treatment clinics in cancer patients' psychological outcomes: results of a cross sectional survey
- Creator
- Carey, Mariko; Sanson-Fisher, Robert; Clinton-McHarg, Tara; Boyes, Allison; Olver, Ian; Oldmeadow, Christopher; Paul, Christine; D'Este, Catherine; Henskens, Frans
- Relation
- NHMRC.1010536 http://purl.org/au-research/grants/nhmrc/1010536 | 1073031 http://purl.org/au-research/grants/nhmrc/1073031 | 1073317 http://purl.org/au-research/grants/nhmrc/1073317
- Relation
- Supportive Care in Cancer Vol. 26, Issue 9, p. 3201-3208
- Publisher Link
- http://dx.doi.org/10.1007/s00520-018-4188-z
- Publisher
- Springer
- Resource Type
- journal article
- Date
- 2018
- Description
- Purpose: The majority of research on psychological outcomes for cancer patients has focussed on the role of individual characteristics, and disease and treatment factors. There has been very little exploration of the potential contribution of the treatment clinic to these outcomes. This study explored whether there is variation among clinics in cancer patients' psychological outcomes. Methods: Cancer outpatients were recruited from 22 medical oncology and haematology clinics in Australia. Participants completed a pen and paper survey including the Hospital Anxiety and Depression Scale (HADS), as well as sociodemographic, disease and treatment characteristics. Results: Of those eligible to participate, 4233 (82%) consented and 2811 (81% of consenters) returned the completed survey. There was no statistically significant variation in HADS depression scores across clinics. Some difference in anxiety scores derived from the HADS questionnaire between clinics (p = 0.03) was found with the percentage of between-clinic variation estimated to be 1.11%. However, once all demographic, disease and treatment predictors were adjusted for there was no statistical differences between clinics (percent of between-clinic variation = 0.53%; p = 0.1415). Conclusions: Psychological outcomes were not found to vary between clinics. Other sources of variation including patient characteristics may over-ride between-clinic variability, if it exists.
- Subject
- cancer; oncology; psychological; anxiety; depression; quality of care; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1453429
- Identifier
- uon:44675
- Identifier
- ISSN:0941-4355
- Rights
- © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http:// creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
- Language
- eng
- Full Text
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