Second Opinion Seeking in Paediatric Oncology: Motivations and Predictors.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2024-11-01 DOI:10.1002/pon.70011

Stephen Kerras, Kate Hetherington, Sara Toofanian, Neevika Manoharan, David S Ziegler, Marion K Mateos

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引用次数: 0

Abstract

Introduction: This study investigated the prevalence, methods and factors leading carers of childhood cancer patients to seek second opinions.

Methods: A prospective, questionnaire-based study was conducted among families attending oncology clinics at Sydney Children's Hospital, Randwick. Participants were asked whether they had sought a second opinion for their child and if so, their motivations. Factors including cancer diagnosis, carer demographics and online health seeking behaviours were evaluated in association with second opinions. A separate online questionnaire invited paediatric oncologists worldwide to indicate the frequency of, and their approach to, second opinion requests via email.

Results: Fourteen out of 126 carers (11.1%) sought a second opinion from another oncologist to confirm diagnoses (64.3%), explore treatment options (64.3%) or receive additional information (57.1%). A brain cancer diagnosis was the most significant predictor for second opinion seeking in univariate (p = 0.009) and multivariate analyses (p = 0.015). Among carers who reported using the internet for health information seeking (n = 98), second opinions were independently associated with social media use (p = 0.014) and frequent health-related searches (p = 0.027). Most paediatric oncologists (71/89, 79.8%) had received second opinion requests via email, with 21.3% (19/89) reporting that these occur at least weekly. Surveyed oncologists provided a second opinion for some (59.2%) or all (33.8%) requests they received, with 68.5% supporting guideline development for second opinions in paediatric oncology.

Conclusions: Second opinions are regularly sought by carers of childhood cancer patients, with many paediatric oncologists approached over email. International guidelines may be warranted to assist paediatric oncologists and families in navigating these requests.

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儿科肿瘤学中的第二意见寻求：动机和预测因素

导言本研究调查了导致儿童癌症患者的照顾者寻求第二意见的发生率、方法和因素：方法：本研究对在兰德威克悉尼儿童医院肿瘤诊所就诊的家庭进行了前瞻性问卷调查。研究人员询问参与者是否曾为其子女寻求过第二意见，如果是，其动机是什么。评估了包括癌症诊断、照顾者的人口统计学特征和在线医疗行为在内的因素与第二意见的关联性。另外一份在线调查问卷邀请世界各地的儿科肿瘤专家通过电子邮件说明第二意见请求的频率及其处理方法：结果：在126名照护者中，有14人（11.1%）向另一名肿瘤专家寻求第二意见，以确认诊断（64.3%）、探索治疗方案（64.3%）或获取更多信息（57.1%）。在单变量分析（p = 0.009）和多变量分析（p = 0.015）中，脑癌诊断是寻求第二意见的最重要预测因素。在报告使用互联网寻求健康信息的护理者（n = 98）中，第二意见与社交媒体的使用（p = 0.014）和频繁的健康相关搜索（p = 0.027）独立相关。大多数儿科肿瘤学家（71/89，79.8%）都收到过通过电子邮件提出的第二意见请求，其中 21.3%（19/89）的肿瘤学家表示至少每周都会收到此类请求。接受调查的肿瘤专家为他们收到的部分（59.2%）或全部（33.8%）请求提供了第二意见，68.5%的专家支持制定儿科肿瘤第二意见指南：结论：儿童癌症患者的照护者经常寻求第二意见，许多儿科肿瘤专家通过电子邮件与他们联系。可能需要制定国际指南，以帮助儿科肿瘤专家和患者家属处理这些请求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.