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

Lucie Gehenne 1 Sophie Lelorain 1 Clarisse Eveno 2 Guillaume Piessen 2, 3 Christophe Mariette 2 Olivier Glehen 4 Xavier d'Journo 5 Muriel Mathonnet 6 Nicolas Regenet 7 Bernard Meunier 8 Anne-Sophie Baudry 1, 9 Véronique Christophe 1 Antoine Adenis Thomas Aparicio Eric Assenat 10, 11 Maximilien Barret Leonor Benhaim Céline Benoit Damien Bergeat Valérie Boige Fréderic Borie Olivier Bouche Damien Bourriez Pierre-Yves Brichon Cécile Brigand Nicolas Carrere Pierre Cattan Niki Christou Benoit Coffin Romain Cohen Denis Collet Thierry Conroy Laetitia Dahan 5 Sophie Deguelte Fréderic Di Fiore Bertrand Dousset Antoine Drouillard Frédéric Dumont Farid Elhajbi Jean Michel Fabre 10 Joseph Fabre Johan Gagniere Marie Pierre Galais Adeline Germain Sophie Geyl Diane Goere Jean Marc Gornet Victoire Granger Caroline Gronnier Rosine Guimbaud Vincent Hautefeuille Morgane Helyon Jacques Jougon Gilles Lebreton Jérémie Lefevre Côme Lepage Astrid Lievre Frédéric Marchal Pierre Mathieu Tamara Mathysiak Nicolas Michot David Moszkowicz Driffa Moussata Simon Msika Cindy Neuzillet Medhi Ouaissi Brice Paquette François Paye Christophe Penna Guillaume Père Marine Perrier Frédérique Peschaud Denis Pezet Valérie Phoutthsang Marc Pocard Paul Rat Jean Marc Regimbeau Florence Renaud Jean-Marc Sabate Régis Souche 10 Eric Terrebonne Williams Tessier Pascal Alexandre Thomas Anthony Turpin Delphine Vaudoyer Angélique Vienot Thibault Voron Benoit You 
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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https://hal.umontpellier.fr/hal-03652394
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Soumis le : mardi 26 avril 2022 - 15:54:03
Dernière modification le : vendredi 9 septembre 2022 - 10:20:08

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Lucie Gehenne, Sophie Lelorain, Clarisse Eveno, Guillaume Piessen, Christophe Mariette, et al.. Associations between the severity of medical and surgical complications and perception of surgeon empathy in esophageal and gastric cancer patients. Supportive Care in Cancer, Springer Verlag (Germany), 2021, 29 (12), pp.7551-7561. ⟨10.1007/s00520-021-06257-y⟩. ⟨hal-03652394⟩

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