Author of

• 25952

  +

  P2.15 - Treatment in the Real World - Support, Survivorship, Systems Research (Not CME Accredited Session) (ID 964)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall

  • 27237

    +

    P2.15-15 - Differentiating Characteristics of Patients Seeking a Second Opinion: A Survey on Non-Small Cell Lung Cancer Patients (ID 11156)

    16:45 - 18:00  |  Author(s): Kathryn Volpicelli Leonard
    • Abstract
    • Slides

    Background
    

    Data on second-opinion seeking characteristics and behaviors is limited, especially for non-small cell lung cancer (NSCLC) patients. Seeking a second opinion could influence future treatment decisions, treatment satisfaction, and the patient-provider relationship. As patients are more involved in the decision-making process and care is more personalized than ever before, it is important to understand factors associated with seeking a second opinion. This research aims to determine and describe differentiating characteristics of NSCLC second-opinion seekers.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    An online survey was conducted with NSCLC patients (N=542) to gain insights on second opinion seeking characteristics. Measures included single-answer and multiple-answer multiple-choice questions, including self-reported risk factors. Responses were evaluated using descriptive statistics and comparisons using a Chi-square test.

    4c3880bb027f159e801041b1021e88e8 Result
    

    Among NSCLC patients surveyed, 29% (N=158) indicated that they sought a second opinion when initially diagnosed. Second-opinion seekers were less likely to identify smoking as a personal risk factor than non-second opinion-seekers, (66% vs. 78%, X²=7.68, p <.01). Analyses then examined second-opinion seekers versus non-second opinion seekers separately to look for distinct patterns among ever-smokers and never-smokers. Among never-smokers, those who sought a second opinion were more likely to have been diagnosed with Stage IV NSCLC compared to those who did not seek a second opinion (56% vs. 29%, - X²=9.39, p <.01), and to say they were interested at time of diagnosis in information about treatment options (46%, X²=11.66, p=.001) and clinical trials (33%, X²=7.74, p <.01).

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    Late stage never-smokers are more likely to seek a second opinion, and they are more interested in information about treatment options and clinical trials. Stigma among ever-smokers may be preventing them from seeking a second opinion. Understanding these characteristics and potential bias or stigma related to smoking may help to tailor the conversation between patient and provider to ensure patient needs are met at initial diagnosis.

    6f8b794f3246b0c1e1780bb4d4d5dc53

    Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.