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  • Tauroursodeoxycholate br Table br Adjusted and unadjusted pr

    2020-08-12


    Table 4
    Adjusted and unadjusted predicted satisfaction domain scores by the HRQoL sample mean and standard deviation change (N = 637).
    Unadjusted satisfaction scores
    Adjusted satisfaction scores
    Unadjusted satisfaction scores
    Adjusted satisfaction scores
    At Mean At Mean At Mean At Mean At Mean At Mean
    At Mean At Mean At Mean
    At Mean At Mean At Mean
    Communication
    SD, standard deviation; HRQoL, health related quality of life.
    Predicted satisfaction scores from fractional logit models. Satisfaction scores range from 0 to 1.
    Scores adjusted for cancer type, race, education, phase of care, and comorbidity score.
    There are a number of limitations in this study. First, we cannot make conclusions about causal effects because of the cross-sectional study design. Second, these data were derived from a cohort of older patients in the Southeastern U.S. and therefore may reflect regional demographic, supplemental insurer, and institutional-related circum-stances that may not be generalizable to all older adults with cancer in other regions of the United States or elsewhere. Only those covari-ates that were available in our data were considered in the analysis; other factors may also influence both patient satisfaction and HRQoL. Lastly, use of the top-box method to estimate patient satisfaction scores may result in loss of information, however, this is the method used for reporting of satisfaction-related items in the CAHPS Clinician & Group Survey.
    In our sample of older patients with cancer, we did not find a rele-vant association between HRQoL and patient satisfaction domains. Therefore, our results indicate that for health care policy determina-tions, these two constructs should not be assumed to correlate. We identified three domains as potential areas for improvement of satisfac-tion with oncology care among older patients, including how patients access care, coordinate care, and engage within the healthcare system. Incidental findings suggested that satisfaction with care differs by Tauroursodeoxycholate and education, which warrants further examination. Finally, patient sat-isfaction assessment across age groups may contribute to inform oncol-ogy care providers on ways in which patients perceive the quality of care received, which ultimately affect healthcare organizations' accred-itation, ranking, and reimbursement.
    Contributors
    Conception and Design: GR, CW
    Data Collection, Analysis and Interpretation of Data: CW, AA
    Manuscript Writing: All authors
    Approval of Final Article: All authors
    Conflicts of Interest
    None.
    Funding/Support
    This study was supported by grant from Genentech (G-55600) and from the Centers for Medicare & Medicaid Services (1C1CMS331023). The re-search was conducted by the awardee with input from Genentech per-sonnel. CMS had no role in any aspect of guard cells study.
    Appendix A. Supplementary Data
    Supplementary data to this article can be found online at https://doi.
    References
    [2] Lis CG, Rodeghier M, Gupta D. Distribution and determinants of patient satisfac-tion in oncology: a review of the literature. Patient Prefer Adherence 2009;3: 287–304.
    [3] Bredart A, Kop JL, Griesser AC, et al. Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care. Ann Oncol 2013;24(8):2151–8.
    [4] Bredart A, Razavi D, Robertson C, et al. Assessment of quality of care in an oncology institute using information on patients' satisfaction. Oncology 2001;61(2):120–8. [5] Lis CG, Rodeghier M, Grutsch JF, Gupta D. Distribution and determinants of patient satisfaction in oncology with a focus on health related quality of life. BMC Health Serv Res 2009;9:190.
    [6] Nguyen TV, Anota A, Bredart A, Monnier A, Bosset JF, Mercier M. A longitudinal anal-ysis of patient satisfaction with care and quality of life in ambulatory oncology based on the OUT-PATSAT35 questionnaire. BMC Cancer 2014;14:42. [7] Nguyen TV, Bosset JF, Monnier A, et al. Determinants of patient satisfaction in ambu-latory oncology: a cross sectional study based on the OUT-PATSAT35 questionnaire. BMC Cancer 2011;11:526. [8] Sanda MG, Dunn RL, Michalski J, et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med 2008;358(12):1250–61. [9] van Ryn M, Phelan SM, Arora NK, et al. Patient-reported quality of supportive care among patients with colorectal cancer in the veterans affairs health care system. J Clin Oncol 2014;32(8):809–15. [10] Mariano C, Hanson LC, Deal AM, et al. Healthcare satisfaction in older and younger patients with cancer. J Geriatr Oncol 2016;7(1):32–8.