Jaeger Ruben, Mosku Nasian, Paganini Daniela, Schelling Georg, van Oudenaarde Kim, Falkowski Anna L, Guggenberger Roman, Studer Gabriela, Bode-Lesniewska Beata, Heesen Philip, Fuchs Bruno
Faculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Luzern, Switzerland.
Sarcoma Center, Department of Orthopedics and Trauma Surgery, LUKS University Hospital Lucerne, 6000 Luzern, Switzerland.
Cancers (Basel). 2024 Nov 21;16(23):3901. doi: 10.3390/cancers16233901.
This study evaluates the effectiveness of communication strategies and pain management protocols to enhance patients' experiences during sarcoma core biopsies. Recognizing the complexity and anxiety associated with sarcoma diagnoses, this research aims to assess the utility of the Invasive Procedure Assessment (IPA) tool, focusing on its ability to identify areas for improvement through Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs). Conducted at two Integrated Practice Units (IPUs) within the Swiss Sarcoma Network, this study involved 282 consecutive patients who underwent core biopsies. One week post-procedure, patients completed the IPA questionnaire, which included PROMs and PREMs. Statistical analyses explored correlations between physician communication, patient understanding, anxiety, pain, and overall satisfaction. The IPA tool effectively captured patient perspectives on sarcoma core biopsies. A significant positive correlation (rho = 0.619, < 0.0001) was found between effective physician communication and patient understanding, which was associated with reduced anxiety and pain. Higher anxiety levels strongly correlated with increased pain perception (rho = 0.653, < 0.0001), emphasizing the need for anxiety management. Patients with malignant tumors reported lower overall satisfaction compared to those with benign tumors ( = 0.0003), highlighting the need for tailored communication and pain management strategies. The data also suggested that clear communication might mitigate overly negative subjective impressions, such as concerns about wound complications. Effective communication and anxiety management are essential for improving patient satisfaction during sarcoma core biopsies. The study emphasizes the need for personalized care strategies tailored to tumor characteristics and patient demographics. Future research should validate these findings in diverse healthcare settings and explore the broader application of the IPA tool across different cultural and demographic contexts.
本研究评估沟通策略和疼痛管理方案在增强肉瘤粗针活检患者体验方面的有效性。认识到肉瘤诊断相关的复杂性和焦虑情绪，本研究旨在评估侵入性操作评估（IPA）工具的效用，重点关注其通过患者报告结局测量（PROMs）和患者报告体验测量（PREMs）来识别改进领域的能力。该研究在瑞士肉瘤网络内的两个综合实践单元（IPUs）进行，纳入了282例连续接受粗针活检的患者。术后一周，患者完成了IPA问卷，其中包括PROMs和PREMs。统计分析探讨了医生沟通、患者理解、焦虑、疼痛和总体满意度之间的相关性。IPA工具有效地捕捉了患者对肉瘤粗针活检的看法。发现有效的医生沟通与患者理解之间存在显著正相关（rho = 0.619，< 0.0001），这与焦虑和疼痛的减轻相关。较高的焦虑水平与疼痛感知增加密切相关（rho = 0.653，< 0.0001），强调了焦虑管理的必要性。与良性肿瘤患者相比，恶性肿瘤患者报告的总体满意度较低（ = 0.
