Cancer doctors say after a survey of external oncologists that patients ‘requests are “an enemy that proves to be more mythical than real,” and suggest that only 1 percent of their patients’ encounters involve a clinically inappropriate request. .
Consultation with the patient’s doctor
Very few patients are so unreasonable Super Keto that oncologists “should stop blaming patients because they are demanding.”
Sixty doctors were interviewed at three hospitals in the Philadelphia area that provided services to outpatients with cancer, and physicians who received the low proportion of inappropriate claims almost always refused to act on it.
A clinically inappropriate test or treatment was agreed upon in only 0.14% of patient meetings. However, “doctors often confirm,” the researchers say, “that the dissemination of information has led patients to request expensive tests and treatments.”
The study, which was first published online at JAMA Oncology, examined a total of 5,050 interviews with a clinician that included 3,624 individual patients.
The majority of patients in Philadelphia (2427) attended the University Hospital of Pennsylvania, and the rest were roughly equally divided between going to the Presbyterian Hospital (559 patients) and the Pennsylvania Hospital (638).
Of the 60 doctors interviewed, 34 were oncologists, 11 oncologists and 15 nurses or medical assistants.
The researchers say there has not been much research to determine the validity of the fact that patient demand supports the widespread perception that it is high. “Physicians tend to attribute high costs of medical care to lawyers, insurance companies, pharmaceutical companies and patients rather than to themselves,” they say. They say:
“Physicians may feel obliged to satisfy patients’ requests to protect the doctor-patient relationship, especially because the reimbursement depends more and more on patient satisfaction and prevents patients from changing their practice.”
But, in fact, these fears are unfounded, the study says. Directed by Dr. Kiriti Guginini of the Department of Cancer and Oncology of the University Hospital of Pennsylvania and the co-investigators found that of the 5050 patients
Appropriate requests or requests were made to patients 316 times (6.3% of meetings)
Inappropriate presentations or requests were made in only 50 of the interviews (1%).
Of the approximately 50 non-clinically appropriate applications, physicians complied with seven of these cases, which translates into only 0.14% of the interviews that led to a purely clinical trial or treatment for the patient’s request, but not clinically necessary.
“At least in oncology,” the researchers conclude, “physicians’ perception that patients are required to produce a large number of clinically inappropriate tests and treatments seems inaccurate.”