Patients With Advanced Cancer and Minor Children: An Exploratory Study of Health-Related Quality of Life and Satisfaction With Care

Abstract

Objectives: Patients with advanced cancer and minor children experience high rates of depression and anxiety. However, associations between parental status and other aspects of the patient experience are not well understood. This study compared patient-reported outcomes of patients with and without minor children.

Sample & setting: This was a retrospective analysis of 448 adults with stage III or IV solid tumors from a public research registry.

Methods & variables: Multiple linear regression models or modified Poisson regression models were fitted to evaluate differences in health-related quality of life, global health, and patient satisfaction scores between patients living with and without minors.

Results: One in five patients lived with minor children. They reported significantly worse health-related quality of life, global physical health, and global mental health. They also expressed lower satisfaction with time spent with their provider, communication, and financial aspects.

Implications for nursing: Patients with minor children may benefit from earlier identification and support for their psychosocial needs and concerns.

Keywords: Advanced Cancer; Health-Related Quality of Life; Minor Children; Patient Satisfaction.