Communication between oncologists and lymphoma survivors during follow-up consultations: A qualitative analysis

Kara Franco, Elyse Shuk, Errol Philip, Danielle Blanch-Hartigan, Patricia A. Parker, Matthew Matasar, Steven Horwitz, David Kissane, Smita C. Banerjee, Carma L Bylund

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Cancer survivors often experience both short- and long-term challenges as a result of their cancer treatment. Many patients report feeling “lost in transition” following cancer treatment. The oncologist plays a key role in helping the patient to transition to survivorship. The purpose of this paper is to provide a descriptive understanding of the clinical care delivered during follow-up visits for lymphoma patients transitioning from active therapy into survivorship. We used thematic text analysis to identify themes in transcripts of audio recordings of 21 physicians and their patients in follow up visits within 3 years of completing lymphoma treatment. Conversations between oncologists and patients during follow-up visits addressed a variety of themes, including specific health concerns, follow-up care, health promotion, prior treatment and test results, overall health status, emotional communication and affective tone, post-treatment rehabilitation, discussions occurring in the patient's physical examination, and social issues. However, the frequency with which these themes were discussed varied. In addition, there did not appear to be a consistent framework for these visits. The varied nature of the follow-up visits analyzed in this study suggests the need for increased structure in survivorship care consultations.
Original languageEnglish
Number of pages18
JournalJournal of Psychosocial Oncology
Volume35
Issue number5
DOIs
Publication statusPublished - 2017

Keywords

  • doctor-patient communication
  • lymphoma
  • survivorship

Cite this

Franco, Kara ; Shuk, Elyse ; Philip, Errol ; Blanch-Hartigan, Danielle ; Parker, Patricia A. ; Matasar, Matthew ; Horwitz, Steven ; Kissane, David ; Banerjee, Smita C. ; Bylund, Carma L. / Communication between oncologists and lymphoma survivors during follow-up consultations : A qualitative analysis. In: Journal of Psychosocial Oncology. 2017 ; Vol. 35, No. 5.
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title = "Communication between oncologists and lymphoma survivors during follow-up consultations: A qualitative analysis",
abstract = "Cancer survivors often experience both short- and long-term challenges as a result of their cancer treatment. Many patients report feeling “lost in transition” following cancer treatment. The oncologist plays a key role in helping the patient to transition to survivorship. The purpose of this paper is to provide a descriptive understanding of the clinical care delivered during follow-up visits for lymphoma patients transitioning from active therapy into survivorship. We used thematic text analysis to identify themes in transcripts of audio recordings of 21 physicians and their patients in follow up visits within 3 years of completing lymphoma treatment. Conversations between oncologists and patients during follow-up visits addressed a variety of themes, including specific health concerns, follow-up care, health promotion, prior treatment and test results, overall health status, emotional communication and affective tone, post-treatment rehabilitation, discussions occurring in the patient's physical examination, and social issues. However, the frequency with which these themes were discussed varied. In addition, there did not appear to be a consistent framework for these visits. The varied nature of the follow-up visits analyzed in this study suggests the need for increased structure in survivorship care consultations.",
keywords = "doctor-patient communication, lymphoma, survivorship",
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year = "2017",
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Franco, K, Shuk, E, Philip, E, Blanch-Hartigan, D, Parker, PA, Matasar, M, Horwitz, S, Kissane, D, Banerjee, SC & Bylund, CL 2017, 'Communication between oncologists and lymphoma survivors during follow-up consultations: A qualitative analysis' Journal of Psychosocial Oncology, vol. 35, no. 5. https://doi.org/10.1080/07347332.2017.1313352

Communication between oncologists and lymphoma survivors during follow-up consultations : A qualitative analysis. / Franco, Kara; Shuk, Elyse; Philip, Errol; Blanch-Hartigan, Danielle ; Parker, Patricia A.; Matasar, Matthew; Horwitz, Steven; Kissane, David; Banerjee, Smita C.; Bylund, Carma L.

In: Journal of Psychosocial Oncology, Vol. 35, No. 5, 2017.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Communication between oncologists and lymphoma survivors during follow-up consultations

T2 - A qualitative analysis

AU - Franco, Kara

AU - Shuk, Elyse

AU - Philip, Errol

AU - Blanch-Hartigan, Danielle

AU - Parker, Patricia A.

AU - Matasar, Matthew

AU - Horwitz, Steven

AU - Kissane, David

AU - Banerjee, Smita C.

AU - Bylund, Carma L

PY - 2017

Y1 - 2017

N2 - Cancer survivors often experience both short- and long-term challenges as a result of their cancer treatment. Many patients report feeling “lost in transition” following cancer treatment. The oncologist plays a key role in helping the patient to transition to survivorship. The purpose of this paper is to provide a descriptive understanding of the clinical care delivered during follow-up visits for lymphoma patients transitioning from active therapy into survivorship. We used thematic text analysis to identify themes in transcripts of audio recordings of 21 physicians and their patients in follow up visits within 3 years of completing lymphoma treatment. Conversations between oncologists and patients during follow-up visits addressed a variety of themes, including specific health concerns, follow-up care, health promotion, prior treatment and test results, overall health status, emotional communication and affective tone, post-treatment rehabilitation, discussions occurring in the patient's physical examination, and social issues. However, the frequency with which these themes were discussed varied. In addition, there did not appear to be a consistent framework for these visits. The varied nature of the follow-up visits analyzed in this study suggests the need for increased structure in survivorship care consultations.

AB - Cancer survivors often experience both short- and long-term challenges as a result of their cancer treatment. Many patients report feeling “lost in transition” following cancer treatment. The oncologist plays a key role in helping the patient to transition to survivorship. The purpose of this paper is to provide a descriptive understanding of the clinical care delivered during follow-up visits for lymphoma patients transitioning from active therapy into survivorship. We used thematic text analysis to identify themes in transcripts of audio recordings of 21 physicians and their patients in follow up visits within 3 years of completing lymphoma treatment. Conversations between oncologists and patients during follow-up visits addressed a variety of themes, including specific health concerns, follow-up care, health promotion, prior treatment and test results, overall health status, emotional communication and affective tone, post-treatment rehabilitation, discussions occurring in the patient's physical examination, and social issues. However, the frequency with which these themes were discussed varied. In addition, there did not appear to be a consistent framework for these visits. The varied nature of the follow-up visits analyzed in this study suggests the need for increased structure in survivorship care consultations.

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