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• W4382361650 endingPage "107876" @default.
• W4382361650 startingPage "107876" @default.
• W4382361650 abstract "Patient-Centered Communication (PCC) is an essential element of patient-centered cancer care. Thus, this study aimed to examine the prevalence of and factors associated with optimal PCC among cancer survivors during COVID-19, which has been less studied. We used national survey (Health Information National Trends Survey) among cancer survivors (n=2,579) to calculate the prevalence (%) of optimal PCC in all 6 PCC domains and overall (mean) by time (before COVID-19, 2017-19 vs. COVID-19, 2020). Multivariable logistic regressions were performed to explore the associations of sociodemographic (age, birth gender, race/ethnicity, income, education, usual source of care), and health status (general health, depression/anxiety symptoms, time since diagnosis, cancer type) factors with optimal PCC. The prevalence of optimal PCC decreased during COVID-19 overall, with the greatest decrease in managing uncertainty (7.3%). Those with no usual source of care (odd ratios, ORs =1.53-2.29), poor general health (ORs=1.40-1.66), depression/anxiety symptoms (ORs=1.73-2.17) were less likely to have optimal PCC in most domains and overall PCC. We observed that the decreased prevalence of optimal PCC, and identified those with suboptimal PCC during COVID-19. Practice implications More efforts to raise awareness and improve PCC are suggested, including education and guidelines, given the decreased prevalence during this public health emergency." @default.
• W4382361650 created "2023-06-29" @default.
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• W4382361650 date "2023-10-01" @default.
• W4382361650 modified "2023-10-13" @default.
• W4382361650 title "Cancer survivors with sub-optimal patient-centered communication before and during the early COVID-19 pandemic" @default.
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• W4382361650 doi "https://doi.org/10.1016/j.pec.2023.107876" @default.
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