ESTRO 2024 - Abstract Book

S2813

Interdisciplinary - Health economics & health services research

ESTRO 2024

with NMSC patients. Patient engagement into SDM was measured with SURE-scale. When using sXRT the communication algorithms based on M. Rokeach model was used to prepare patients for the procedure. The patients' condition and treatment results were monitored 3 months after discharge. PREMs was measured with FACE-Q SKIN CANCER MODULE – SATISFACTION WITH INFORMATION: APPEARANCE.

Results:

Mean appearance-related distress was 43.5 points (Rasch psychometric model). Younger patients (r= – 0.398, p=0.009) and female patients (r= – 0.475, p=0.001) demonstrated more heavily appearance-related distress. In 10 cases (24%), patients’ engagement was estimated as 4 points, 18 cases (43%) - 3 points, 14 cases (33%) - 2 points. Older patients were less involved in the choice of treatment modality (r= – 0633, p<0.001). The level of satisfaction with communications was more than 50 points. Of these, 7% (n=3) had a total Rasch score of 56, 14% (n=6) - 66, 2% (n=1) - 75, 14% (n=6) - 80, 21% (n=9) - 85, 21% (n=9) have 92 and 19% (n=8) have 100 points The use of a patient communication algorithm had positive effect on a patient's experience and decreased the number of treatment course interruption. NMSC treatment choice should be made based on disease-related factor (ECOG stage, cancer location, disease area, tissue sensitivity) and patient-related factors (cosmetic requirements, patient phobia, pain limit, treatment length and schedule).

Conclusion:

Superficial X-ray therapy is a common treatment of non-melanoma skin cancer with a high incidence worldwide. Interrupting the course of radiation therapy can negatively affect patient survival and treatment results. Low treatment adherence may be associated with a lack of a patient-centered approach and ineffective communications. Value- based healthcare strategy requires multimodality and patients’ values measurement. Patient-related factors when choosing treatment modality should be considered for patient adherence and satisfaction.

Keywords: adherence, value-based healthcare, PROM

References:

1. Porter, M., Teisberg E., Redefining Health Care: Creating Value-Based Competition on Results. Harvard Business School Press, 2006

2. Rokeach, M. (1973). The nature of human values. New York: Free Press

3. Elwyn, G., Edwards, A.G., Kinnersley, P., & Grol, R. (2000). Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices. The British journal of general practice : the journal of the Royal College of General Practitioners, 50 460, 892-9 4. Elwyn G, Hutchings H, Edwards A, Rapport F, Wensing M, Cheung WY, Grol R. The OPTION scale: measuring the extent that clinicians involve patients in decision-making tasks. Health Expect. 2005 Mar;8(1):34-42. doi: 10.1111/j.1369-7625.2004.00311.x. PMID: 15713169; PMCID: PMC5060272