Patient information in radiation oncology: a cross-sectional pilot study using the EORTC QLQ-INFO26 module

Abstract

Background: The availability of alternative sources of information, e. g. the internet, may influence the quantity and quality of information cancer patients receive regarding their disease and treatment. The purpose of the present study was to assess perception of information in cancer patients during radiotherapy as well as media preferences and specifically the utilization of the internet.

Methods: In a cross-sectional, single-centre study 94 patients currently undergoing radiotherapy were asked to complete two questionnaires. The EORTC QLQ-INFO26 module was used to assess the quality and quantity of information received by patients in the areas disease, medical tests, treatment, other services, different places of care and how to help themselves, as well as qualitative aspects as helpfulness of and satisfaction with this information. The importance of different media, in particular the internet, was investigated by a nine-item questionnaire.

Results: The response rate was n = 72 patients (77%). Patients felt best informed concerning medical tests (mean +/- SD score 79 +/- 22, scale 0-100) followed by disease (68 +/- 21). Treatment (52 +/- 24) and different places of care and other services (30 +/- 36 and 30 +/- 30, respectively) ranked last. 37% of patients were very satisfied and 37% moderately satisfied with the amount of information received, 61% wished more information. Among eight media, brochures, television and internet were ranked as most important. 41% used the internet themselves or via friends or family, mostly for research of classic and alternative treatment options. Unavailability and the necessity of computer skills were most mentioned obstacles.

Conclusion: In a single-center pilot study, radiotherapy patients indicated having received most information about medical tests and their disease. Patients very satisfied with their information had received the largest amount of information. Brochures, television and internet were the most important media. Individual patient needs should be considered in the development of novel information strategies.

Figure 1

Amount of information received by cancer patients undergoing radiotherapy on a scale from 0 to 100 (mean ± SD) concerning information about the disease, medical tests and treatment, about other services (e. g. physiotherapy), different places of care and about information to help themselves at home, as assessed by EORTC QLQ-INFO26 module (score of 100: maximum amount of information received).

Figure 2

Percentage of cancer patients undergoing radiotherapy stating that they are very unsatisfied, less, moderately or very satisfied with the amount of information received, as assessed by EORT QLQ-INFO26 module.

Figure 3

Eight possible information media and their mean ± SD importance ranked by cancer patients undergoing radiotherapy from unimportant (0) to very important (2). Data are displayed as mean ± SD scores.

Figure 4

Frequency in percent of internet use among subgroups of cancer patients undergoing radiotherapy.