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Evaluation of supportive care needs: Comparison between patients and physicians' perception.

e20649 Background: In order to optimize supportive care for cancer patients, we proposed them to fill a short questionnaire evaluating their potential complaints and we evaluated the concordance of their answers with the perception of their referent physician.


METHODS
Patients seen in consultation in an oncology unit were proposed to answer anonymously to 7 questions designed to identify potential social, psychological, nutritional problems or uncontrolled pain. Their physician answered to a similar questionnaire. Physicians were blinded to patients' answers.


RESULTS
155 patients accepted to complete the questionnaire. Median age was 60 yrs [21-85], 45% of patients were in metastatic setting. 70% of patients reported at least one problem, especially in the field of potential social problems (35%) or sleep disorders (25%). Concordance between patients and physicians was high for psychological support need (81%) or nutritional problems (87%) but was lower for social problems (62%) or uncontrolled pain (69%). Physicians tended to underestimate patients' problems and missed social issues for 30% of patients or sleep disorders for 18% of patients. On the contrary and surprisingly, physicians overestimate patients' complaints about uncontrolled pain (underestimation in 9% of cases but overestimation in 20% of cases for the item).


CONCLUSIONS
Discordance between physicians and patients' perception of supportive care needs emphasizes the importance of extending the use of screening tolls in daily practice. No significant financial relationships to disclose.