Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China

Objectives To explore the lived experiences of patients with advanced pancreatic cancer enrolled in a patient-reported outcomes (PROs) management programme and to preliminarily understand how PROs management influences various aspects of patient care and overall quality of life.Design A qualitative...

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Main Authors: Li Ma, Ping Chen, Cheng Yi, Wanting Hou, Changlin Li, Qingyue Liang, Xiumei Zhao
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e084259.full
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author Li Ma
Ping Chen
Cheng Yi
Wanting Hou
Changlin Li
Qingyue Liang
Xiumei Zhao
author_facet Li Ma
Ping Chen
Cheng Yi
Wanting Hou
Changlin Li
Qingyue Liang
Xiumei Zhao
author_sort Li Ma
collection DOAJ
description Objectives To explore the lived experiences of patients with advanced pancreatic cancer enrolled in a patient-reported outcomes (PROs) management programme and to preliminarily understand how PROs management influences various aspects of patient care and overall quality of life.Design A qualitative phenomenological study.Setting A national cancer care centre in Southwest China specialised in cancer care, with a comprehensive PROs management programme.Participants 15 participants diagnosed with advanced pancreatic cancer.Results Five key themes emerged from our interviews, including enhanced communication with healthcare providers, attributed to the structured nature of PROs; increased perceived sense of care, with patients feeling more valued and heard; PROs management facilitated better treatment decision-making, with patients feeling more involved and empowered; improved communication with family members, aiding in better understanding and support; and varied perceptions of the impact on quality of life, with some noting improvements in specific aspects like symptom management, while others were uncertain about the overall benefit.Conclusions PROs management plays a significant role in improving communication between patients with advanced pancreatic cancer and their healthcare providers, enhancing patients’ involvement in treatment decisions, and potentially improving family dynamics. However, the impact of PROs management on the overall quality of life of patients remains complex and individualised. The findings suggest that further research with a more diverse patient population is needed to fully understand the implications of PROs management in advanced cancer care.
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spelling doaj-art-46800ee56f794300a651a83555aad9982025-01-31T19:25:10ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-084259Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest ChinaLi Ma0Ping Chen1Cheng Yi2Wanting Hou3Changlin Li4Qingyue Liang5Xiumei Zhao61 Department of Oncology, Chengdu Seventh People`s Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, Sichuan, China1 Department of Oncology, Chengdu Seventh People`s Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, Sichuan, China2 Division of Abdominal Tumor Multimodality Treatment, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China2 Division of Abdominal Tumor Multimodality Treatment, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China1 Department of Oncology, Chengdu Seventh People`s Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, Sichuan, China3 Clinical Nutrition Department, Chengdu Seventh People`s Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, Sichuan, China1 Department of Oncology, Chengdu Seventh People`s Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, Sichuan, ChinaObjectives To explore the lived experiences of patients with advanced pancreatic cancer enrolled in a patient-reported outcomes (PROs) management programme and to preliminarily understand how PROs management influences various aspects of patient care and overall quality of life.Design A qualitative phenomenological study.Setting A national cancer care centre in Southwest China specialised in cancer care, with a comprehensive PROs management programme.Participants 15 participants diagnosed with advanced pancreatic cancer.Results Five key themes emerged from our interviews, including enhanced communication with healthcare providers, attributed to the structured nature of PROs; increased perceived sense of care, with patients feeling more valued and heard; PROs management facilitated better treatment decision-making, with patients feeling more involved and empowered; improved communication with family members, aiding in better understanding and support; and varied perceptions of the impact on quality of life, with some noting improvements in specific aspects like symptom management, while others were uncertain about the overall benefit.Conclusions PROs management plays a significant role in improving communication between patients with advanced pancreatic cancer and their healthcare providers, enhancing patients’ involvement in treatment decisions, and potentially improving family dynamics. However, the impact of PROs management on the overall quality of life of patients remains complex and individualised. The findings suggest that further research with a more diverse patient population is needed to fully understand the implications of PROs management in advanced cancer care.https://bmjopen.bmj.com/content/15/1/e084259.full
spellingShingle Li Ma
Ping Chen
Cheng Yi
Wanting Hou
Changlin Li
Qingyue Liang
Xiumei Zhao
Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China
BMJ Open
title Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China
title_full Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China
title_fullStr Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China
title_full_unstemmed Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China
title_short Lived experiences of patients with advanced pancreatic cancer on patient-reported outcomes (PROs) management: a qualitative phenomenological study in Southwest China
title_sort lived experiences of patients with advanced pancreatic cancer on patient reported outcomes pros management a qualitative phenomenological study in southwest china
url https://bmjopen.bmj.com/content/15/1/e084259.full
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