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Physician requests by patients with malignant pleural mesothelioma in Japan

Yasuko Nagamatsu1, Isao Oze2, Keisuke Aoe3

  • 1St. Luke's International University, Graduate School of Nursing Science, 10-1 Akashicho, Chuo-ku, Tokyo, 1040044, Japan.

BMC Cancer
|April 27, 2019
PubMed
Abstract

Insights

Malignant pleural mesothelioma (MPM) patients desire improved physician communication, empathy, and dedicated care. They seek clear explanations and a better support system to address unmet needs.

Area of Science:

  • Oncology
  • Pulmonology
  • Patient-Reported Outcomes

Background:

  • Malignant pleural mesothelioma (MPM) is a rare, fatal cancer linked to asbestos exposure.
  • Understanding patient needs is crucial for improving care quality in MPM.

Purpose of the Study:

  • To analyze treatment and care requests from MPM patients.
  • To identify unmet patient needs regarding physician interactions and support systems.

Main Methods:

  • Cross-sectional survey of 73 MPM patients (part of a 133-patient study).
  • Analysis of 217 responses to open-ended questions on patient requests.
  • Categorization of requests into 6 main categories and 24 subcategories.

Main Results:

  • Most requests focused on patient-physician communication.
  • Patients desired clear explanations, empathy for anxiety/pain, and dedicated physician involvement.
  • Patients expected improved medical support systems for MPM care.

Conclusions:

  • MPM patients have significant unmet needs from their physicians.
  • Physician training in communication and stress management is recommended.
  • Establishment of multidisciplinary care, including respiratory and palliative services, is essential.
Keywords:
AsbestosCommunicationMesotheliomaPatient-centered careSupport

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