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Evaluation of quality of care in relation to health-related quality of life of patients diagnosed with brain tumor: a novel clinic for proton beam therapy

Journal article
Authors Ulrica Langegård
Karin Ahlberg
Per Fransson
Birgitta Johansson
Katarina Sjövall
Thomas Björk-Eriksson
Emma Ohlsson-Nevo
Published in Supportive Care in Cancer
Volume 27
Issue 7
Pages 2679-2691
ISSN 0941-4355
Publication year 2019
Published at Institute of Clinical Sciences, Department of Oncology
Institute of Health and Care Sciences
Pages 2679-2691
Language en
Keywords Brain tumor, Health-related quality of life, Proton beam therapy, Quality of care, Radiotherapy
Subject categories Nursing


© 2018, The Author(s). Purpose: Patients with brain tumors constitute a vulnerable group, and it is important that they receive the highest quality of care (QoC). The study aim was to describe the perceptions of QoC and its association with health-related quality of life in brain tumor patients undergoing proton beam therapy in a newly established clinic. Method: Data were collected at the start of treatment and after 3 and 6 weeks. Adult patients (≥ 18 years old) with brain tumors (n = 186) completed two self-administered questionnaires: a modified Quality from the Patients’ Perspective, which measures perceived reality and subjective importance of care, and the EORTC QLQ-C30. Data were analyzed using parametric and non-parametric statistical tests. Results: The perceived QoC was highest for treatment information and lowest for dietician and smoking information, whereas interaction with doctors and nurses was rated as the most important aspect of quality of care. Subjective importance ratings were significantly higher than perceived reality ratings for 60% of items. A better global health was moderately correlated with a higher perceived support for fatigue. Conclusions: A need for quality improvement was identified for several aspects of patient care. Greater symptom distress during the treatment period led to greater perceived importance of symptom support. Ensuring QoC is complex and collaboration with other health care professionals is essential. Relevance to clinical practice: The clinic could improve QoC regarding information about possible symptoms, adjust care according to patient perceptions of importance, and involve patients in care decisions.

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