Rapid Fire Best of the Best Oral 2025 Joint Meeting of the COSA ASM and IPOS Congress

Comorbidity, cancer care settings and satisfaction with care: an international cross-sectional study based on the EORTC PATSAT-C33 and OUT-PATSAT7 (121549)

Anne Brédart 1 2 , Jean-Luc Kop 3 , Louis Fox 4 , Omar Shamieh 5 , Waleed Alrjoub 5 , Nazim Serdar Turhal 6 , Juan Arraras 7 , Renée Bultijnck 8 , Amélie Harle 9 , Mieke Van Hemelrirjck 4 , Eleonora Pinto 10 , Eric Roth 11 , Georgios Ioannidis 12 , Anna Costantini 13 , Tara Chalk 14 , Gudrun Rohde 15 , Hiroto Ishiki 16 , Yuichiro Kikawa 17 , Heike Schmidt 18 , Vasilis Vasiliou 19 , Stephanie Shayler 20 , Jens Lehmann 21
  1. Psychology Institute, Psychopathology and health process laboratory UR4057, ED 261, Paris City UNIVERSITY, Paris, IDF, France
  2. Institut Curie, Paris, IDF, France
  3. Département de Psychologie, 2LPN, Université de Lorraine, Nancy, France
  4. Transforming cancer OUtcomes through Research (TOUR) group , King’s College London and Cancer & Surgery at Guy's Hospital, London, United Kingdom
  5. Centre for palliative and Cancer Care in Conflict (CPCCC), Amman, Jordan
  6. Anadolu Medical Centre, Gebze/Kocaeli, Turkey
  7. Hospital of Navarre, Pamplona, Spain
  8. Ghent University, Gent, Belgium
  9. 10. University Hospitals Dorset, Bournemouth, United Kingdom
  10. Veneto Institute of Oncology , Castelfranco, Italy
  11. Universidad Católica Boliviana “San Pablo”, La Paz, Bolivia
  12. Nicosia General Hospital, Lemesou, Cyprus
  13. Sant’Andrea Universitary Hospital, Roma, Italy
  14. Mount Vernon Cancer Centre, East & North Hertfordshire NHS Trust, Northwood, United Kingdom
  15. Sorlandet Hospital, Kristiansand, Norway
  16. National Cancer Centre Hospital, Tokyo, Japan
  17. Kansai Medical University Hospital, Osaka, Japan
  18. Martin Luther University Halle Wittenberg, Halle, Germany
  19. Bank of Cyprus Oncology Centre, Strovolos, Cyprus
  20. University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
  21. Medical University of Innsbruck, Innsbruck, Austria

Objectives and settings Advances in genomics, targeted therapies and immunotherapies allowed indubitable progress in cancer care and treatment. At the same time, the delivery of high quality care has become more complex and prone to fragmentation. Among criteria used internationally for health care quality improvement, patient satisfaction plays an important role. This multi-national cross-sectional study conducted within the European Organization for Research and Treatment of Cancer Quality of Life Group (EORTC QLG) assessed sociodemographic and clinical determinants of satisfaction with cancer care in patients enrolled from hospital inpatient and outpatient settings.

Participants and measures 690 consecutive patients with any cancer type or stage including 558 outpatients, were approached between October 2019 and October 2023 in 12 countries (20 cancer centres) from Asia, Europe, Middle East and South America. Among them, 675 (98%) and 521 (93%) completed the EORTC PATSAT-C33, and the OUT-PATSAT71, respectively. Multi-level analyses were performed accounting for institutional differences on satisfaction with care.  

Main results Patients without comorbidity were significantly less satisfied with most care domains. Cancer care in day hospitals and treatment toxicities predicted less satisfaction with domains of doctors’ care and services organization. Patients with a respiratory tumour displayed higher satisfaction with doctors’ care. Higher self-reported quality of life strongly predicted higher satisfaction with all care domains. Not being married/with a partner and less travelling distance between home and hospital predicted less satisfaction, especially with regard to clinicians’ affective behaviours. 

Conclusion Higher satisfaction with cancer care among patients with comorbidity underscores the importance of familiarizing patients with cancer care procedures and environment. Patients’ quality of life and treatment toxicities strongly predicted patient satisfaction. While cancer care is increasingly delivered in outpatient settings, lower satisfaction with care in day hospitals underscores the requirement of ensuring cancer care continuity and coordination while the patient is at home.

  1. Bredart A, Anota A, Young T, Tomaszewski KA, Arraras JI, Moura De Albuquerque Melo H, et al. Phase III study of the European Organisation for Research and Treatment of Cancer satisfaction with cancer care core questionnaire (EORTC PATSAT-C33) and specific complementary outpatient module (EORTC OUT-PATSAT7). Eur J Cancer Care (Engl). 2018;27(1).