Influence of migrant background on patient preference and expectations in breast and gynecological malignancies (NOGGO-expression V study): results of a prospective multicentre study in 606 patients in Germany

BMC Cancer

U. Keilholz¹  B. Naghavi¹  J. Blohmer²  S. Nasser³  J. Sehouli³  D. Dimitrova³  E. I. Braicu³  M. David³  G. Inci³  R. Richter³  R. Chekerov³  U. Torsten⁴  G. Oskay-Özcelik⁵  N. Fersis⁶  E. Keil⁷  I. Blau⁸  M. Keller⁹  A. Holzgreve^1,10 

[1] Charité Comprehensive Cancer Center, Charité University Medicine, Berlin, Germany;Department of Gynecology and Breast Care Center, Charité University Medicine, Charité Campus Mitte, Berlin, Germany;Department of Gynecology with Center of Oncological Surgery, Charité University Medicine, Campus Virchow-Klinikum, Berlin, Augustenburger Platz 1, 13353, Berlin, Germany;Department of Gynecology, Vivantes Klinikum Neukölln Berlin, Berlin, Germany;Gynecological Oncology Medical Practice Berlin Spandau, Berlin, Germany;Helios Klinikum Duisburg, Duisburg, Germany;Klinik Oranienburg, Oberhavel Kliniken GmbH, Oranienburg, Germany;Medical Care Center Evangelisches Waldkrankenhaus am Standort Pankow, Berlin, Germany;North-Eastern-German Society of Gynecological Oncology, Oranienburg, Germany;Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany;

关键词: Migrants;    Survey;    Doctor-patient relationship;    Patient preference;    Therapy expectations;   

DOI  :  10.1186/s12885-021-08731-6

来源: Springer

【 摘 要 】

BackgroundAn effective cross-cultural doctor-patient communication is vital for health literacy and patient compliance. Building a good relationship with medical staff is also relevant for the treatment decision-making process for cancer patients. Studies about the role of a specific migrant background regarding patient preferences and expectations are lacking. We therefore conducted a multicentre prospective survey to explore the needs and preferences of patients with a migrant background (PMB) suffering from gynecological malignancies and breast cancer to evaluate the quality of doctor-patient communication and cancer management compared to non-migrants (NM).MethodsThis multicentre survey recruited patients with primary or recurrence of breast, ovarian, peritoneal, or fallopian tube cancer. The patients either filled out a paper form, participated via an online survey, or were interviewed by trained staff. A 58-item questionnaire was primarily developed in German and then translated into three different languages to reach non-German-speaking patients.ResultsA total of 606 patients were included in the study: 54.1% (328) were interviewed directly, 9.1% (55) participated via an online survey, and 36.8% (223) used the paper print version. More than one quarter, 27.4% (166) of the participants, had a migrant background. The majority of migrants and NM were highly satisfied with the communication with their doctors.First-generation migrants (FGM) and patients with breast cancer were less often informed about participation in clinical trials (p < 0.05) and 24.5% of them suggested the help of an interpreter to improve the medical consultation. Second and third-generation migrants (SGM and TGM) experienced more fatigue and nausea than expected.ConclusionsOur results allow the hypothesis that training medical staff in intercultural competence and using disease-related patient information in different languages can improve best supportive care management and quality of life in cancer patients with migrant status.

【 授权许可】

CC BY