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Patient Perspectives in Cancer Surgery
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Patient Perspectives in Cancer Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Oncology".

Deadline for manuscript submissions: closed (24 December 2023) | Viewed by 9498

Special Issue Editor

Dr. David Martin

E-Mail Website
Guest Editor
David Martin, MD Department of Visceral Surgery and Transplantation, University Hospital CHUV, Lausanne, Switzerland
Interests: cancer surgery

Special Issue Information

Dear Colleagues,

Cancer patients frequently misunderstand much of what they are told, incorrectly state the extent of their disease and the goal of treatment, and overestimate their prognoses. It is difficult to define how much and what kind of information is required to fulfil the wishes or needs of patients and to allow them to make a truly informed decision. Patients and care providers can have quite different views on the aims and results of a treatment.

Recovery from the perspective of patients undergoing cancer surgery could go beyond traditional clinical parameters, such as complications, length of stay, and survival. Patients should have the opportunity to define their goals and expectations for the care that they want to receive; however, this aspect seems to be often missing in current clinical practice.

The present Special Issue on “Patient Perspectives in Cancer Surgery” aims to explore patient-reported experience measurements in oncological care in order to improve the global care of patients. Original research articles and reviews are welcome.

We are looking forward to receiving your contributions.

Dr. David Martin
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • patient perspective
  • cancer surgery
  • goal of treatment
  • oncological care
  • survival

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (3 papers)

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Editorial

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2 pages, 162 KiB  
Editorial
Patient Perspectives in Cancer Surgery
by David Martin, Nicolas Demartines and Martin Hübner
J. Clin. Med. 2022, 11(3), 789; https://doi.org/10.3390/jcm11030789 - 31 Jan 2022
Cited by 1 | Viewed by 1698
Abstract
Cancer patients frequently misunderstand essential information, incorrectly state the extent of their disease, are unclear about the treatment goal, and overestimate their prognosis [...] Full article
(This article belongs to the Special Issue Patient Perspectives in Cancer Surgery)

Research

Jump to: Editorial

21 pages, 4030 KiB  
Article
Resectability, Resections, Survival Outcomes, and Quality of Life in Older Adult Patients with Metastatic Colorectal Cancer (the RAXO-Study)
by Kaisa Lehtomäki, Leena-Maija Soveri, Emerik Osterlund, Annamarja Lamminmäki, Aki Uutela, Eetu Heervä, Päivi Halonen, Hanna Stedt, Sonja Aho, Timo Muhonen, Annika Ålgars, Tapio Salminen, Raija Kallio, Arno Nordin, Laura Aroviita, Paul Nyandoto, Juha Kononen, Bengt Glimelius, Raija Ristamäki, Helena Isoniemi and Pia Osterlundadd Show full author list remove Hide full author list
J. Clin. Med. 2023, 12(10), 3541; https://doi.org/10.3390/jcm12103541 - 18 May 2023
Cited by 5 | Viewed by 2351
Abstract
Older adults are underrepresented in metastatic colorectal cancer (mCRC) studies and thus may not receive optimal treatment, especially not metastasectomies. The prospective Finnish real-life RAXO-study included 1086 any organ mCRC patients. We assessed repeated centralized resectability, overall survival (OS), and quality of life [...] Read more.
Older adults are underrepresented in metastatic colorectal cancer (mCRC) studies and thus may not receive optimal treatment, especially not metastasectomies. The prospective Finnish real-life RAXO-study included 1086 any organ mCRC patients. We assessed repeated centralized resectability, overall survival (OS), and quality of life (QoL) using 15D and EORTC QLQ-C30/CR29. Older adults (>75 years; n = 181, 17%) had worse ECOG performance status than adults (<75 years, n = 905, 83%), and their metastases were less likely upfront resectable. The local hospitals underestimated resectability in 48% of older adults and in 34% of adults compared with the centralized multidisciplinary team (MDT) evaluation (p < 0.001). The older adults compared with adults were less likely to undergo curative-intent R0/1-resection (19% vs. 32%), but when resection was achieved, OS was not significantly different (HR 1.54 [CI 95% 0.9–2.6]; 5-year OS-rate 58% vs. 67%). ‘Systemic therapy only’ patients had no age-related survival differences. QoL was similar in older adults and adults during curative treatment phase (15D 0.882–0.959/0.872–0.907 [scale 0–1]; GHS 62–94/68–79 [scale 0–100], respectively). Complete curative-intent resection of mCRC leads to excellent survival and QoL even in older adults. Older adults with mCRC should be actively evaluated by a specialized MDT and offered surgical or local ablative treatment whenever possible. Full article
(This article belongs to the Special Issue Patient Perspectives in Cancer Surgery)
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11 pages, 1329 KiB  
Article
Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial
by Patricia Dias, Daniel Clerc, Maria Goreti da Rocha Rodrigues, Nicolas Demartines, Fabian Grass and Martin Hübner
J. Clin. Med. 2022, 11(7), 1895; https://doi.org/10.3390/jcm11071895 - 29 Mar 2022
Cited by 5 | Viewed by 4878
Abstract
Background: Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient’s anxiety, satisfaction and early postoperative outcomes. Method: This 1:1 randomized controlled [...] Read more.
Background: Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient’s anxiety, satisfaction and early postoperative outcomes. Method: This 1:1 randomized controlled trial compared patients undergoing major visceral surgery after a semistructured preoperative nurse dialogue (interventional group: IG) to a control group (CG) without nursing intervention prior to surgery. Anxiety was measured with the autoevaluation scale State-Trait Anxiety Inventory (STAI, Y-form) pre and postoperatively. The European Organization for Research and Treatment of Cancer (EORTC) In-Patsat32 questionnaire was used to assess patient satisfaction at discharge. Further outcomes included postoperative pain (visual analogue scale: VAS 0–10), postoperative nausea and vomiting (PONV), opiate consumption and length of stay (LOS). Results: Over a period of 6 months, 35 participants were randomized to either group with no drop-out or loss to follow-up (total n = 70). The median score of preoperative anxiety was 40 (IQR 33–55) in the IG vs. 61 (IQR 52–68) in the CG (p < 0.001). Postoperative anxiety levels were comparable 34 (IQR 25–46) vs. 32 (IQR 25–44) for IG and CG, respectively (p = 0.579). The IG did not present higher overall satisfaction (90 ± 15 vs. 82.9 ± 16, p = 0.057), and pain at Day 2 was similar (1.3 ± 1.7 vs. 2 ± 1.9, p = 0.077), while opiate consumption, PONV levels and LOS were comparable. Conclusion: A preoperative dialogue with a patient-centered approach helped to reduce preoperative anxiety in patients undergoing major visceral surgery. Full article
(This article belongs to the Special Issue Patient Perspectives in Cancer Surgery)
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