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Willingness to be informed during treatment among cancer patients?

18522 Background: More than ever the question of patient's information remains a matter of debate. Some consider information as a risk of anxiety, others see it as a way of patient implication in the treatment and allowing a better patient-physician relationship. Does the model of informed, empowered patient valid in European institution? To assess the impact, in term of anxiety, quality of life (QoL) and satisfaction, of a change in usual practice by proposing a specific structured and organized file (SSOF) including all medical information in real time.


METHODS
To evaluate this practice change, patients (breast or colon cancer and lymphoma) who have accepted to participate have been randomized between an "access" to the SSOF arm and a "non access" arm. The patients after being randomized in the "access" arm have had the choice to hold, or not, the SSOF. To help the patient, SSOF contains a lexical and a designed trained person was available. Anxiety (state-trait anxiety scale), Qol (EORTC QLQ-C30) and satisfaction were assessed at baseline, during and at the end of the treatment. Moreover, impact of this change was also assessed among the patients' nurse, general practitioner and referent physician in our institution.


RESULTS
Among the 277 eligible patients, only 12 (4%) have refused to participate in the study. 134 have been randomized in the "non-access" arm and 131 in the "access" arm. A counter intuitive result was that no one of these 131 patients has refused to hold the SSOF. No statistical difference in baseline scores of QoL and anxiety scores between the two arms was observed at the time of randomization.


CONCLUSIONS
First observation is that when you give the opportunity to hold an extended information all patients want to benefit from, even in French European institution. No significant financial relationships to disclose.