Associations between the severity of medical and surgical complications and perception of surgeon empathy in esophageal and gastric cancer patients.
Cancer
Empathy
Patient-physician communication
Postoperative complications
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
14
01
2021
accepted:
26
04
2021
pubmed:
11
6
2021
medline:
29
10
2021
entrez:
10
6
2021
Statut:
ppublish
Résumé
To assess the impact of global physician empathy and its three subdimensions (establishing rapport, emotional and cognitive processes) on the severity of postoperative complications in a sample of cancer patients. We retrospectively analyzed data on 256 patients with esogastric cancer from the French national FREGAT database. Empathy and its subdimensions were assessed using the patient-reported CARE scale and the severity of medical and surgical complications was reported with the Clavien-Dindo classification system. The usual covariates were included in multinomial logistic regression analyses. Physician empathy predicted the odds of reporting major complications. When patients perceived high empathy, they were less likely to report major complications compared to no complications (OR = .95, 95% CI = [.91-.99], p = .029). Among the three dimensions, only "establishing rapport" (OR = .84, 95% CI = [.73-.98], p = .019) and the "emotional process" (OR = .85, 95% CI = [.74-.98], p = .022) predicted major complications. Physician empathy is essential before surgery. Further research is needed to understand the mechanisms associating empathy with health outcomes in cancer. Physicians should be trained to establish good rapport with patients, especially in the preoperative period.
Identifiants
pubmed: 34110486
doi: 10.1007/s00520-021-06257-y
pii: 10.1007/s00520-021-06257-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
7551-7561Investigateurs
Antoine Adenis
(A)
Thomas Aparicio
(T)
Eric Assenat
(E)
Maximilien Barret
(M)
Leonor Benhaim
(L)
Céline Benoit
(C)
Damien Bergeat
(D)
Valérie Boige
(V)
Fréderic Borie
(F)
Olivier Bouche
(O)
Damien Bourriez
(D)
Pierre-Yves Brichon
(PY)
Cécile Brigand
(C)
Nicolas Carrere
(N)
Pierre Cattan
(P)
Niki Christou
(N)
Benoit Coffin
(B)
Romain Cohen
(R)
Denis Collet
(D)
Thierry Conroy
(T)
Xavier Benoit D'journo
(XB)
Laetitia Dahan
(L)
Sophie Deguelte
(S)
Fréderic Di Fiore
(F)
Bertrand Dousset
(B)
Antoine Drouillard
(A)
Frédéric Dumont
(F)
Farid Elhajbi
(F)
Clarisse Eveno
(C)
Jean Michel Fabre
(JM)
Joseph Fabre
(J)
Johan Gagniere
(J)
Marie Pierre Galais
(MP)
Adeline Germain
(A)
Sophie Geyl
(S)
Olivier Glehen
(O)
Diane Goere
(D)
Jean Marc Gornet
(JM)
Victoire Granger
(V)
Caroline Gronnier
(C)
Rosine Guimbaud
(R)
Vincent Hautefeuille
(V)
Morgane Helyon
(M)
Jacques Jougon
(J)
Gilles Lebreton
(G)
Jérémie H Lefevre
(JH)
Côme Lepage
(C)
Astrid Lievre
(A)
Frédéric Marchal
(F)
Pierre Mathieu
(P)
Muriel Mathonnet
(M)
Tamara Mathysiak
(T)
Bernard Meunier
(B)
Nicolas Michot
(N)
David Moszkowicz
(D)
Driffa Moussata
(D)
Simon Msika
(S)
Cindy Neuzillet
(C)
Medhi Ouaissi
(M)
Brice Paquette
(B)
François Paye
(F)
Christophe Penna
(C)
Guillaume Père
(G)
Marine Perrier
(M)
Frédérique Peschaud
(F)
Denis Pezet
(D)
Valérie Phoutthsang
(V)
Guillaume Piessen
(G)
Marc Pocard
(M)
Paul Rat
(P)
Nicolas Regenet
(N)
Jean Marc Regimbeau
(JM)
Florence Renaud
(F)
Jean-Marc Sabate
(JM)
Régis Souche
(R)
Eric Terrebonne
(E)
Williams Tessier
(W)
Pascal Alexandre Thomas
(PA)
Anthony Turpin
(A)
Delphine Vaudoyer
(D)
Angélique Vienot
(A)
Thibault Voron
(T)
Benoit You
(B)
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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