"It wasn't as bad as I thought it would be": a qualitative study of early stage non-small cell lung cancer patients after treatment

• Published in: BMC research notes 2017-11, Vol.10 (1), p.642-7, Article 642
• Main Authors: Golden, Sara E, Thomas, Jr, Charles R, Deffebach, Mark E, Sukumar, Mithran S, Schipper, Paul H, Tieu, Brandon H, Kee, Andrew Y, Tsen, Andrew C, Slatore, Christopher G
• Format: Article
• Language: English
• Subjects: Aged; Cancer research; Cancer treatment; Carcinoma, Non-Small-Cell Lung - pathology; Carcinoma, Non-Small-Cell Lung - psychology; Carcinoma, Non-Small-Cell Lung - radiotherapy; Carcinoma, Non-Small-Cell Lung - surgery; Care and treatment; Communication; Early Detection of Cancer; Female; Humans; Lung Neoplasms - pathology; Lung Neoplasms - psychology; Lung Neoplasms - radiotherapy; Lung Neoplasms - surgery; Male; Middle Aged; Neoplasm Staging; Non-small cell lung cancer; Patient Satisfaction; Patient-centered outcomes; Physician-patient relations; Qualitative Research; Quality of Life; Radiosurgery; Radiotherapy; Research Note; Small cell lung cancer; Thoracic diseases
• ISSN: 1756-0500; 1756-0500
• DOI: 10.1186/s13104-017-2956-3

While surgical resection is recommended for most patients with early stage lung cancer, stereotactic body radiotherapy (SBRT) is being increasingly utilized. Provider-patient communication regarding risks/benefits of each approach may be a modifiable factor leading to improved patient-centered outcomes. Our objective was to determine a framework and recommended strategies on how to best communicate with patients with early stage non-small cell lung cancer (NSCLC) in the post-treatment setting. We qualitatively evaluated the experiences of 11 patients with early clinical stage NSCLC after treatment, with a focus on treatment experience, knowledge obtained, communication, and recommendations. We used conventional content analysis and a patient-centered communication theoretical model to guide our understanding. Five patients received surgery and six received SBRT. Both treatments were generally well-tolerated. Few participants reported communication deficits around receiving follow-up information, although several had remaining questions about their treatment outcome (mainly those who underwent SBRT). They described feeling anxious regarding their first surveillance CT scan and clinician visit. Overall, participants remained satisfied with care because of implicit trust in their clinicians rather than explicit communication. Communication gaps remain but may be addressed by a trusting relationship with the clinician. Patients recommend clinicians give thorough explanations and personalize when possible.