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Information is the key to successful participation for patients receiving surgery for upper gastrointestinal cancer
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Region Östergötland, Center for Business support and Development, Department of Health and Care Development.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
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2019 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, no 2, article id e12959Article in journal (Refereed) Published
Abstract [en]

Fast-track programmes are aimed at improving perioperative care. The purpose of this study was to identify and explore patient participation among patients who had surgery for liver, bile duct or pancreatic cancer and followed a fast-track programme. A total of 116 questionnaires to investigate patient participation were analysed. Information was important for the patients, as was having the opportunity to ask questions and express personal views. The results showed differences by sex; men responded to a greater extent that they did not want to make decisions as a patient (p = 0.044) and that they had been motivated to take more responsibility for their future health (p = 0.011). Patients with pancreatic cancer discussed treatment goals with doctors to a greater extent than did patients with liver cancer (p = 0.041). Half of the patients perceived that they had not been involved in their care planning after discharge but had a desired to be involved. This seems to be an important point to improve in future care, and also that professionals should be aware of patients' needs for information and participation, especially at discharge.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. no 2, article id e12959
Keywords [en]
cancer, fast-track surgery, patient involvement, patient participation, recovery
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-154636DOI: 10.1111/ecc.12959ISI: 000461076700027PubMedID: 30408839OAI: oai:DiVA.org:liu-154636DiVA, id: diva2:1291281
Note

Funding agencies: Medical Research Council of Southeast Sweden

Available from: 2019-02-24 Created: 2019-02-24 Last updated: 2019-04-01

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Fomichov, VictoriaBjörnsson, BergthorSandström, Per A.Drott, Jenny

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Larnebratt, AntonFomichov, VictoriaBjörnsson, BergthorSandström, Per A.Lindhoff Larsson, AnnaDrott, Jenny
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Department of Clinical and Experimental MedicineFaculty of Medicine and Health SciencesDepartment of Surgery in LinköpingDepartment of Health and Care DevelopmentDivision of Surgery, Orthopedics and OncologyDivision of Nursing Science
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European Journal of Cancer Care
Surgery

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