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The religious/spiritual beliefs and needs of cancer survivors who underwent cancer-directed surgery

Published online by Cambridge University Press:  28 August 2020

Elizabeth Palmer Kelly ,
Anghela Z. Paredes ,
Stephanie DiFilippo ,
Madison Hyer ,
Diamantis I. Tsilimigras ,
Daniel Rice ,
Junu Bae  and
Timothy M. Pawlik Open the ORCID record for Timothy M. Pawlik [Opens in a new window]
Elizabeth Palmer Kelly
Affiliation:
Comprehensive Cancer Center, The Ohio State University, Columbus, OH
Anghela Z. Paredes
Affiliation:
Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH
Stephanie DiFilippo
Affiliation:
Comprehensive Cancer Center, The Ohio State University, Columbus, OH
Madison Hyer
Affiliation:
Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH
Diamantis I. Tsilimigras
Affiliation:
Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH
Daniel Rice
Affiliation:
Lake Erie College of Osteopathic Medicine, Greensburg, PA
Junu Bae
Affiliation:
The Ohio State University College of Medicine, The Ohio State University, Columbus, OH
Timothy M. Pawlik*
Affiliation:
Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH
*
Author for correspondence: Timothy M. Pawlik, Department of Surgery, The Ohio State University Wexner Medical Center, 395 W. 12th Ave., Suite 670, Columbus, OH, USA. E-mail: Tim.Pawlik@osumc.edu
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Abstract

Objective

We sought to characterize patients’ preferences for the role of religious and spiritual (R&S) beliefs and practices during cancer treatment and describe the R&S resources desired by patients during the perioperative period.

Method

A cross-sectional survey was administered to individuals who underwent cancer-directed surgery. Data on demographics and R&S beliefs/preferences were collected and analyzed.

Results

Among 236 participants, average age was 58.8 (SD = 12.10) years; the majority were female (76.2%), white (94.1%), had a significant other or spouse (60.2%), and were breast cancer survivors (43.6%). Overall, more than one-half (55.9%) of individuals identified themselves as being religious, while others identified as only spiritual (27.9%) or neither (16.2%). Patients who identified as religious wanted R&S integrated into their care more often than patients who were only spiritual or neither (p < 0.001). Nearly half of participants (49.6%) wanted R&S resources when admitted to the hospital including the opportunity to speak with an R&S leader (e.g., rabbi; 72.1%), R&S texts (64.0%), and journaling materials (54.1%). Irrespective of R&S identification, 68.0% of patients did not want their physician to engage with them about R&S topics.

Significance of results

Access to R&S resources is important during cancer treatment, and incorporating R&S into cancer care may be especially important to patients that identify as religious. R&S needs should be addressed as part of the cancer care plan.

Keywords

CancerPatient-centered careReligion and spiritualitySpiritual care
Type
Original Article
Information
Palliative & Supportive Care , Volume 19 , Issue 2 , April 2021 , pp. 175 - 181
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

REFERENCES

Akoglu, H (2018) User's guide to correlation coefficients. Turkish Journal of Emergency Medicine. doi:10.1016/j.tjem.2018.08.001CrossRefGoogle ScholarPubMed
Astrow, AB, Kwok, G, Sharma, RK, et al. (2016) Just what are spiritual needs of cancer patients? An empirical study in a diverse population. Journal of Clinical Oncology. doi:10.1200/jco.2016.34.15_suppl.10005CrossRefGoogle Scholar
Balogh, EP, Ganz, PA, Murphy, SB, et al. (2011) Patient-centered cancer treatment planning: Improving the quality of oncology care. Summary of an Institute of Medicine Workshop. The Oncologist 16(12), 1800–1805. doi:10.1634/theoncologist.2011-0252CrossRefGoogle ScholarPubMed
Bernard, M, Strasser, F, Gamondi, C, et al. (2017) Relationship between spirituality, meaning in life, psychological distress, wish for hastened death, and their influence on quality of life in palliative care patients. Journal of Pain and Symptom Management 54(4), 514–522. doi:10.1016/j.jpainsymman.2017.07.019CrossRefGoogle ScholarPubMed
Best, M, Aldridge, L, Butow, P, et al. (2015a) Assessment of spiritual suffering in the cancer context: A systematic literature review. Palliative and Supportive Care 13(5), 1335–1361. doi:10.1017/S1478951514001217CrossRefGoogle Scholar
Best, M, Butow, P and Olver, I (2015b) Do patients want doctors to talk about spirituality? A systematic literature review. Patient Education and Counseling 98(11), 1320–1328. doi:10.1016/j.pec.2015.04.017CrossRefGoogle Scholar
Best, M, Butow, P and Olver, I (2016) Doctors discussing religion and spirituality: A systematic literature review. Palliative Medicine 30(4), 327–337. doi:10.1177/0269216315600912CrossRefGoogle ScholarPubMed
Cohen, SR, Sawatzky, R, Russell, LB, et al. (2017) Measuring the quality of life of people at the end of life: The McGill Quality of Life Questionnaire-Revised. Palliative Medicine 31(2), 120–129. doi:10.1177/0269216316659603CrossRefGoogle ScholarPubMed
Cotton, S, Puchalski, CM, Sherman, SN, et al. (2006) Spirituality and religion in patients with HIV/AIDS. Journal of General Internal Medicine. doi:10.1111/j.1525-1497.2006.00368.xCrossRefGoogle ScholarPubMed
Ejaz, A, Kim, Y, Winner, M, et al. (2016) Associations between patient perceptions of communication, cure, and other patient-related factors regarding patient-reported quality of care following surgical resection of lung and colorectal cancer. Journal of Gastrointestinal Surgery. doi:10.1007/s11605-015-3035-5CrossRefGoogle ScholarPubMed
Harris, PA, Scott, KW, Lebo, L, et al. (2012) ResearchMatch: A national registry to recruit volunteers for clinical research. Academic Medicine 87(1), 66–73. doi:10.1097/ACM.0b013e31823ab7d2CrossRefGoogle Scholar
Institute of Medicine (2001) Crossing the quality chasm: A new health system for the 21th century. IoM. doi:10.17226/10027Google Scholar
Kim, Y, Winner, M, Page, A, et al. (2015) Patient perceptions regarding the likelihood of cure after surgical resection of lung and colorectal cancer. Cancer 121(20), 3564–3573. doi:10.1002/cncr.29530CrossRefGoogle ScholarPubMed
Koenig, HG (2012) Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry. doi:10.5402/2012/278730CrossRefGoogle ScholarPubMed
Koenig, HG and Büssing, A (2010) The Duke University Religion Index (DUREL): A five-item measure for use in epidemological studies. Religions 1(1), 78–85. doi:10.3390/rel1010078CrossRefGoogle Scholar
Krupski, TL, Kwan, L, Fink, A, et al. (2006) Spirituality influences health related quality of life in men with prostate cancer. Psycho-Oncology. doi:10.1002/pon.929CrossRefGoogle ScholarPubMed
Kruser, JM, Pecanac, KE, Brasel, KJ, et al. (2015) “And I think that we can fix it”: Mental models used in high-risk surgical decision making HHS public access. Annals of Surgery 261(4), 678–684. doi:10.1097/SLA.0000000000000714CrossRefGoogle Scholar
Lai, C, Luciani, M, Di Mario, C, et al. (2018) Psychological impairments burden and spirituality in caregivers of terminally ill cancer patients. European Journal of Cancer Care. doi:10.1111/ecc.12674CrossRefGoogle ScholarPubMed
Merath, K, Kelly, EP, Hyer, JM, et al. (2019) Patient perceptions about the role of religion and spirituality during cancer care. Journal of Religion and Health, 1–13. doi:10.1007/s10943-019-00907-6Google Scholar
Palmer Kelly, E, Agne, JL and Pawlik, TM (2019 a) Exploring the perception of survivors on the bidirectional impact between cancer and their social contexts: A mixed-methods approach. Palliaitive & Supportive Care 17(6), 668–676.CrossRefGoogle ScholarPubMed
Palmer Kelly, E, Payne, N and Pawlik, TM (2019 b) Understanding patient expectations around therapeutic benefits, risks, and the chance of cure. The American Journal of Surgery 217(3), 410–412. doi:10.1016/J.AMJSURG.2018.08.012CrossRefGoogle Scholar
Paredes, AC and Pereira, MG (2018) Spirituality, distress and posttraumatic growth in breast cancer patients. Journal of Religion and Health. doi:10.1007/s10943-017-0452-7CrossRefGoogle ScholarPubMed
Pargament, KI, Koenig, HG, Tarakeshwar, N, et al. (2004) Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology. doi:10.1177/1359105304045366CrossRefGoogle ScholarPubMed
Pecanac, KE, Kehler, JM, Brasel, KJ, et al. (2014) It's big surgery: Preoperative expressions of risk, responsibility, and commitment to treatment after high-risk operations. Annals of Surgery 259(3), 458–463. doi:10.1097/SLA.0000000000000314CrossRefGoogle ScholarPubMed
Peteet, JR and Balboni, MJ (2013) Spirituality and religion in oncology. CA: A Cancer Journal for Clinicians. doi:10.3322/caac.21187Google ScholarPubMed
Puchalski, CM (2001) The role of spirituality in health care. Proceedings (Baylor University Medical Center) 14(4), 352–357. doi:10.1080/08998280.2001.11927788CrossRefGoogle ScholarPubMed
Puchalski, CM (2012) Spirituality in the cancer trajectory. Annals of Oncology 23(suppl. 3), 49–55. doi:10.1093/annonc/mds088CrossRefGoogle ScholarPubMed
Puchalski, CM, Sbrana, A, Ferrell, B, et al. (2019) Interprofessional spiritual care in oncology: A literature review. ESMO Open 4(1), 1–12. doi:10.1136/esmoopen-2018-000465CrossRefGoogle ScholarPubMed
Reja, U, Manfreda, K, Hlebec, V, et al. (2003) Open-ended vs. close-ended questions in web questionnaires. Developments in Applied Statistics. doi:10.1016/0040-6031(92)85160-WGoogle Scholar
Roland, KB, Rodriguez, JL, Patterson, JR, et al. (2013) A literature review of the social and psychological needs of ovarian cancer survivors. Psycho-Oncology 22(11), 2408–2418. doi:10.1002/pon.3322CrossRefGoogle ScholarPubMed
Sankhe, A, Dalal, K, Agarwal, V, et al. (2017) Spiritual care therapy on quality of life in cancer patients and their caregivers: A prospective non-randomized single-cohort study. Journal of Religion and Health 56(2), 725–731. doi:10.1007/s10943-016-0324-6CrossRefGoogle ScholarPubMed
Visser, A, Garssen, B and Vingerhoets, A (2010) Spirituality and well-being in cancer patients: A review. Psycho-Oncology 19(6), 565–572. doi:10.1002/pon.1626CrossRefGoogle ScholarPubMed
Williams, JA, Meltzer, D, Arora, V, et al. (2011) Attention to inpatients’ religious and spiritual concerns: Predictors and association with patient satisfaction. Journal of General Internal Medicine. doi:10.1007/s11606-011-1781-yCrossRefGoogle ScholarPubMed
Winner, M, Wilson, A, Yahanda, A, et al. (2016) A cross-sectional study of patient and provider perception of “cure” as a goal of cancer surgery. Journal of Surgical Oncology. doi:10.1002/jso.24401CrossRefGoogle ScholarPubMed