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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Patient satisfaction with service quality as a predictor of survival outcomes in breast cancer
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Patient satisfaction with service quality as a predictor of survival outcomes in breast cancer

机译：患者对服务质量的满意程度可预测乳腺癌的生存结果

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Purpose: Despite the recognized relevance of symptom burden in breast cancer, there has been limited exploration of whether an individual patient's assessment of the overall quality of care received might influence outcome. We therefore evaluated the relationship between patient-reported satisfaction with service quality and survival in breast cancer. Methods: A random sample of 1,521 breast cancer patients treated at Cancer Treatment Centers of America. A questionnaire which covered several dimensions of patient satisfaction was administered. Items were measured on a seven-point Likert scale ranging from "completely dissatisfied" to "completely satisfied". Univariate and multivariate Cox regression was used to evaluate the association between patient satisfaction and survival. Results: Of 1,521 patients, 836 were newly diagnosed, and 685 had previously been treated. A number of 409, 611, 323, and 178 patients had stage I, II, III, and IV disease, respectively. A total of 1,106 (72.7 %) patients were completely satisfied with the overall service quality, while 415 (27.3 %) were not. On univariate analysis, completely satisfied patients had a significantly lower risk of mortality compared to those not completely satisfied (HR = 0.62; 95 % CI 0.50-0.76; p < 0.001). On multivariate analysis, completely satisfied patients demonstrated significantly lower mortality (HR = 0.71; 95 % CI 0.57-0.87; p = 0.001) compared to those not completely satisfied. Conclusions: Patient satisfaction with service quality was an independent predictor of survival in breast cancer. Further exploration of a possible meaningful relationship between patient satisfaction with the care they receive and outcomes in breast cancer is indicated.
机译：目的：尽管已认识到乳腺癌中症状负担的相关性，但对于单个患者对所接受的总体护理质量的评估是否会影响结果的研究还很少。因此，我们评估了患者报告的对服务质量的满意度与乳腺癌生存率之间的关系。方法：在美国癌症治疗中心随机抽取1521名乳腺癌患者作为样本。进行了涵盖患者满意度几个方面的问卷调查。使用从“完全不满意”到“完全满意”的七点李克特量表对项目进行测量。单因素和多因素Cox回归用于评估患者满意度和生存率之间的关联。结果：在1,521例患者中，新诊断836例，先前已治疗685例。分别有409、611、323和178名患者患有I，II，III和IV期疾病。共有1,106名（72.7％）患者对总体服务质量完全满意，而415名（27.3％）不满意。单因素分析显示，完全满意的患者与未完全满意的患者相比，死亡率显着降低（HR = 0.62; 95％CI 0.50-0.76; p <0.001）。在多变量分析中，与不完全满意的患者相比，完全满意的患者显示出较低的死亡率（HR = 0.71; 95％CI 0.57-0.87; p = 0.001）。结论：患者对服务质量的满意度是乳腺癌生存率的独立预测指标。指出了对患者对他们所接受的护理的满意度与乳腺癌结局之间可能有意义的关系的进一步探索。

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