Patients' attitudes to risk in lung cancer surgery: a qualitative study
Objectives Lung cancer surgery leads to long term survival for some patients but little is known about how patients decide whether to accept the associated surgical risks. The objective of this qualitative study was to explore patients’ attitudes to the risks associated with lung cancer surgery....
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Published: |
Elsevier
2015
|
| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/32063/ |
| _version_ | 1848794327109599232 |
|---|---|
| author | Powell, Helen A. Jones, Laura L. Baldwin, David R. Duffy, John P. Hubbard, Richard B. Tod, Angela M. Solomon, Josie Bains, Manpreet |
| author_facet | Powell, Helen A. Jones, Laura L. Baldwin, David R. Duffy, John P. Hubbard, Richard B. Tod, Angela M. Solomon, Josie Bains, Manpreet |
| author_sort | Powell, Helen A. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objectives
Lung cancer surgery leads to long term survival for some patients but little is known about how patients decide whether to accept the associated surgical risks. The objective of this qualitative study was to explore patients’ attitudes to the risks associated with lung cancer surgery.
Methods
Fifteen patients with resectable lung cancer, recruited via multi-disciplinary team meetings at an English tertiary referral centre, participated in semi-structured interviews to explore their attitudes to the morbidity and mortality risks associated with lung cancer surgery. Transcripts were analysed using the framework method.
Results
Participants reported being ‘pleased’ to hear that they were suitable for surgery and felt that surgery was not a treatment to be turned down because they did not see any
alternatives. Participants had some knowledge of perioperative risks, including mortality estimates; however, many voiced a preference not to know these risks and to let the medical team decide their treatment plan. Some found it difficult to relate the potential risks and complications of surgery to their own situation and appeared willing to accept high perioperative mortality risks. Generally, participants were willing to accept quite severe long-term postoperative breathlessness; however, it was apparent that many actually found this possibility difficult to imagine.
Conclusion
Patients do not necessarily wish to know details of risks associated with lung cancer surgery and may wish to defer decisions about treatment to their medical team. Investment in the doctor-patient relationship, particularly for the surgeon, is therefore
important in the management of patients with lung cancer. |
| first_indexed | 2025-11-14T19:14:26Z |
| format | Article |
| id | nottingham-32063 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:14:26Z |
| publishDate | 2015 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-320632020-05-04T20:06:35Z https://eprints.nottingham.ac.uk/32063/ Patients' attitudes to risk in lung cancer surgery: a qualitative study Powell, Helen A. Jones, Laura L. Baldwin, David R. Duffy, John P. Hubbard, Richard B. Tod, Angela M. Solomon, Josie Bains, Manpreet Objectives Lung cancer surgery leads to long term survival for some patients but little is known about how patients decide whether to accept the associated surgical risks. The objective of this qualitative study was to explore patients’ attitudes to the risks associated with lung cancer surgery. Methods Fifteen patients with resectable lung cancer, recruited via multi-disciplinary team meetings at an English tertiary referral centre, participated in semi-structured interviews to explore their attitudes to the morbidity and mortality risks associated with lung cancer surgery. Transcripts were analysed using the framework method. Results Participants reported being ‘pleased’ to hear that they were suitable for surgery and felt that surgery was not a treatment to be turned down because they did not see any alternatives. Participants had some knowledge of perioperative risks, including mortality estimates; however, many voiced a preference not to know these risks and to let the medical team decide their treatment plan. Some found it difficult to relate the potential risks and complications of surgery to their own situation and appeared willing to accept high perioperative mortality risks. Generally, participants were willing to accept quite severe long-term postoperative breathlessness; however, it was apparent that many actually found this possibility difficult to imagine. Conclusion Patients do not necessarily wish to know details of risks associated with lung cancer surgery and may wish to defer decisions about treatment to their medical team. Investment in the doctor-patient relationship, particularly for the surgeon, is therefore important in the management of patients with lung cancer. Elsevier 2015-11 Article PeerReviewed Powell, Helen A., Jones, Laura L., Baldwin, David R., Duffy, John P., Hubbard, Richard B., Tod, Angela M., Solomon, Josie and Bains, Manpreet (2015) Patients' attitudes to risk in lung cancer surgery: a qualitative study. Lung Cancer, 90 (2). pp. 358-363. ISSN 0169-5002 Lung neoplasm; Thoracic surgery; Risk; Mortality; Morbidity; Qualitative Research. http://www.sciencedirect.com/science/article/pii/S0169500215300386 doi:10.1016/j.lungcan.2015.08.014 doi:10.1016/j.lungcan.2015.08.014 |
| spellingShingle | Lung neoplasm; Thoracic surgery; Risk; Mortality; Morbidity; Qualitative Research. Powell, Helen A. Jones, Laura L. Baldwin, David R. Duffy, John P. Hubbard, Richard B. Tod, Angela M. Solomon, Josie Bains, Manpreet Patients' attitudes to risk in lung cancer surgery: a qualitative study |
| title | Patients' attitudes to risk in lung cancer surgery: a qualitative study |
| title_full | Patients' attitudes to risk in lung cancer surgery: a qualitative study |
| title_fullStr | Patients' attitudes to risk in lung cancer surgery: a qualitative study |
| title_full_unstemmed | Patients' attitudes to risk in lung cancer surgery: a qualitative study |
| title_short | Patients' attitudes to risk in lung cancer surgery: a qualitative study |
| title_sort | patients' attitudes to risk in lung cancer surgery: a qualitative study |
| topic | Lung neoplasm; Thoracic surgery; Risk; Mortality; Morbidity; Qualitative Research. |
| url | https://eprints.nottingham.ac.uk/32063/ https://eprints.nottingham.ac.uk/32063/ https://eprints.nottingham.ac.uk/32063/ |