Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorGreenhalgh, Joanneen_UK
dc.contributor.authorAbhyankar, Purvaen_UK
dc.contributor.authorMcCluskey, Serenaen_UK
dc.contributor.authorTakeuchi, Elenaen_UK
dc.contributor.authorVelikova, Galinaen_UK
dc.description.abstractPurpose: We conducted a secondary qualitative analysis of consultations between oncologists and their patients to explore how patient-reported outcome measures (PROMs) data were referred to in the process of (1) eliciting and exploring patients' concerns; (2) making decisions about supportive treatment and (3) making decisions about chemotherapy and other systemic treatments. Methods: We purposively sampled audio recordings of 18 consultations from the intervention arm and 4 from the attention control arm of a previous UK randomised controlled trial of the feedback of PROMs data to doctors (Velikova et al. in J Clin Oncol 22(4):714-724 [1]). We used a combination of content and conversation analysis to examine how opportunities for discussion of health-related quality of life issues are opened up or closed down within the consultation and explore why this may or may not lead to changes in patient management. Findings: Explicit reference to the PROMs data provided an opportunity for the patient to clarify and further elaborate on the side effects of chemotherapy. High scores on the PROMs data were not explored further if the patient indicated they were not a problem or were not related to the cancer or chemotherapy. Symptomatic treatment was more often offered for problems like nausea, constipation, pain and depression but much less so for fatigue. Doctors discussed fatigue by providing a cause for the fatigue (e.g. the chemotherapy), presenting this as ‘something to be expected', minimising its impact or moving on to another topic. Chemotherapy regimens were not changed on the basis of the PROMs data alone, but PROMs data were sometimes used to legitimise changes. Conclusions: Explicit mention of PROMs data in the consultation may strengthen opportunities for patients to elaborate on their problems, but doctors may not always know how to do this. Our findings have informed the development of a training package to enable doctors to optimise their use of PROMs data within the consultation.en_UK
dc.publisherSpringer Verlag for the International Society of Quality of Life Researchen_UK
dc.relationGreenhalgh J, Abhyankar P, McCluskey S, Takeuchi E & Velikova G (2013) How do doctors refer to patient-reported outcome measures (PROMS) in oncology consultations?. Quality of Life Research, 22 (5), pp. 939-950.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectPatient-reported outcome measuresen_UK
dc.subjectConversation analysisen_UK
dc.titleHow do doctors refer to patient-reported outcome measures (PROMS) in oncology consultations?en_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[How do doctors refer to patient-reported outcome measures (PROMS) in oncology consultations.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleQuality of Life Researchen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Leedsen_UK
dc.contributor.affiliationUniversity of Huddersfielden_UK
dc.contributor.affiliationSt James University Hospitalen_UK
dc.contributor.affiliationSt James University Hospitalen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorGreenhalgh, Joanne|en_UK
local.rioxx.authorAbhyankar, Purva|0000-0002-0779-6588en_UK
local.rioxx.authorMcCluskey, Serena|en_UK
local.rioxx.authorTakeuchi, Elena|en_UK
local.rioxx.authorVelikova, Galina|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameHow do doctors refer to patient-reported outcome measures (PROMS) in oncology consultations.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
How do doctors refer to patient-reported outcome measures (PROMS) in oncology consultations.pdfFulltext - Published Version2.07 MBAdobe PDFUnder Embargo until 2999-12-17    Request a copy

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.