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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Associations between the severity of medical and surgical complications and perception of surgeon empathy in esophageal and gastric cancer patients.

Lucie Gehenne, Sophie Lelorain, Clarisse Eveno, Guillaume Piessen, Christophe Mariette, Olivier Glehen, Xavier D'journo, Muriel Mathonnet, Nicolas Regenet, Bernard Meunier and 3 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Lucie GehenneSCALab UMR CNRS 9193, University of Lille, Villeneuve D'AscqCedex, Rue du Barreau BP 60149, Lille, France. lucie.gehenne@univ-lille.fr.ORCID http://orcid.org/0000-0001-7288-6195
Sophie LelorainSCALab UMR CNRS 9193, University of Lille, Villeneuve D'AscqCedex, Rue du Barreau BP 60149, Lille, France.
Clarisse EvenoDepartment of Digestive and Oncological Surgery, Claude Huriez University Hospital, F-59000, Lille, France.
Guillaume PiessenDepartment of Digestive and Oncological Surgery, Claude Huriez University Hospital, F-59000, Lille, France.
Christophe MarietteDepartment of Digestive and Oncological Surgery, Claude Huriez University Hospital, F-59000, Lille, France.
Olivier GlehenDepartment of General and Oncological Surgery, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, 165 Chemin du grand Revoyet, 69310, Pierre-Bénite, France.
Xavier D'journoDepartment of Thoracic Surgery, Marseille Cancerology Research Center (CRCM), Aix-Marseille University, CNRS, INSERM, Marseille, France.
Muriel MathonnetDepartment of Digestive Surgery, CHU Limoges, Limoges, France.
Nicolas RegenetDepartment of Digestive Surgery, Nantes Hospital, Nantes, France.
Bernard MeunierDepartment of Hepatobiliary and Digestive Surgery, CHU, Rennes, France.
Anne-Sophie BaudrySCALab UMR CNRS 9193, University of Lille, Villeneuve D'AscqCedex, Rue du Barreau BP 60149, Lille, France.
Véronique ChristopheSCALab UMR CNRS 9193, University of Lille, Villeneuve D'AscqCedex, Rue du Barreau BP 60149, Lille, France. veronique.christophe@univ-lille.fr.
FREGAT Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of global physician empathy and its three subdimensions (establishing rapport, emotional and cognitive processes) on the severity of postoperative complications in a sample of cancer patients.

methodsWe retrospectively analyzed data on 256 patients with esogastric cancer from the French national FREGAT database. Empathy and its subdimensions were assessed using the patient-reported CARE scale and the severity of medical and surgical complications was reported with the Clavien-Dindo classification system. The usual covariates were included in multinomial logistic regression analyses.

resultsPhysician empathy predicted the odds of reporting major complications. When patients perceived high empathy, they were less likely to report major complications compared to no complications (OR = .95, 95% CI = [.91-.99], p = .029). Among the three dimensions, only "establishing rapport" (OR = .84, 95% CI = [.73-.98], p = .019) and the "emotional process" (OR = .85, 95% CI = [.74-.98], p = .022) predicted major complications.

conclusionsPhysician empathy is essential before surgery. Further research is needed to understand the mechanisms associating empathy with health outcomes in cancer. Physicians should be trained to establish good rapport with patients, especially in the preoperative period.

Indexed as

Esophageal NeoplasmsStomach NeoplasmsSurgeonsEmpathyHumansPerceptionPhysician-Patient RelationsRetrospective StudiesCancerEmpathyPatient-physician communicationPostoperative complications

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