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10.06.2021 | Original Article

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

verfasst von: Lucie Gehenne, Sophie Lelorain, Clarisse Eveno, Guillaume Piessen, Christophe Mariette, Olivier Glehen, Xavier D’journo, Muriel Mathonnet, Nicolas Regenet, Bernard Meunier, Anne-Sophie Baudry, Véronique Christophe, The FREGAT Working Group

Erschienen in: Supportive Care in Cancer | Ausgabe 12/2021

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Abstract

Objective

To 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.

Methods

We 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.

Results

Physician 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.

Conclusions

Physician 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.

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Titel: Associations between the severity of medical and surgical complications and perception of surgeon empathy in esophageal and gastric cancer patients
verfasst von: Lucie Gehenne
Sophie Lelorain
Clarisse Eveno
Guillaume Piessen
Christophe Mariette
Olivier Glehen
Xavier D’journo
Muriel Mathonnet
Nicolas Regenet
Bernard Meunier
Anne-Sophie Baudry
Véronique Christophe
The FREGAT Working Group
Publikationsdatum: 10.06.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 12/2021
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-021-06257-y

Springer Medizin

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