Abstract
Objective: To determine the potential relationship between measures of patient-provider communication and patient body mass index (BMI) and gender in cancer care. Methods: We audio-recorded cancer patients’ communication with their clinicians in an academic medical oncology practice from 2012-2014. We coded audio-recordings with the Roter Interaction Analysis System. We then examined whether BMI was associated with patient centeredness, time with doctor, global affect, and patient self-reported communication quality. Univariate associations with BMI were assessed with Chi-square and Kruskal-Wallis tests. A cumulative logit model adjusted for patient and visit characteristics in a multivariable model. Results: We recorded 327 patient interactions with 37 clinicians. After adjusting for patient sex, and visit characteristics, visit length, patient-centeredness, global affect (patient or clinician) and satisfaction did not differ. However, higher BMI was associated with shorter visit length, and lower Negative Global Affect (p = 0.03 and p = 0.03, respectively) in men only. Conclusion: In this exploratory analysis, communication characteristics did not vary by patient BMI overall. However, in men, higher BMI was associated with shorter visit length and more negative affect. Those differences did not persist after adjusting for multiple comparisons. Practice Implications: Patient body size may contribute to clinical communication in cancer care, particularly for obese men.
| Original language | English (US) |
|---|---|
| Journal | Patient Education and Counseling |
| DOIs | |
| State | Published - Jan 1 2019 |
Fingerprint
Keywords
- Patient-centeredness
- Patient-physician communication
ASJC Scopus subject areas
- Medicine(all)
Cite this
Higher BMI associated with shorter visits in male oncology patients : An exploratory analysis. / Tilburt, Jon C; O Byrne, Thomas; Branda, Megan E.; Phelan, Sean M.
In: Patient Education and Counseling, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Higher BMI associated with shorter visits in male oncology patients
T2 - An exploratory analysis
AU - Tilburt, Jon C
AU - O Byrne, Thomas
AU - Branda, Megan E.
AU - Phelan, Sean M
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Objective: To determine the potential relationship between measures of patient-provider communication and patient body mass index (BMI) and gender in cancer care. Methods: We audio-recorded cancer patients’ communication with their clinicians in an academic medical oncology practice from 2012-2014. We coded audio-recordings with the Roter Interaction Analysis System. We then examined whether BMI was associated with patient centeredness, time with doctor, global affect, and patient self-reported communication quality. Univariate associations with BMI were assessed with Chi-square and Kruskal-Wallis tests. A cumulative logit model adjusted for patient and visit characteristics in a multivariable model. Results: We recorded 327 patient interactions with 37 clinicians. After adjusting for patient sex, and visit characteristics, visit length, patient-centeredness, global affect (patient or clinician) and satisfaction did not differ. However, higher BMI was associated with shorter visit length, and lower Negative Global Affect (p = 0.03 and p = 0.03, respectively) in men only. Conclusion: In this exploratory analysis, communication characteristics did not vary by patient BMI overall. However, in men, higher BMI was associated with shorter visit length and more negative affect. Those differences did not persist after adjusting for multiple comparisons. Practice Implications: Patient body size may contribute to clinical communication in cancer care, particularly for obese men.
AB - Objective: To determine the potential relationship between measures of patient-provider communication and patient body mass index (BMI) and gender in cancer care. Methods: We audio-recorded cancer patients’ communication with their clinicians in an academic medical oncology practice from 2012-2014. We coded audio-recordings with the Roter Interaction Analysis System. We then examined whether BMI was associated with patient centeredness, time with doctor, global affect, and patient self-reported communication quality. Univariate associations with BMI were assessed with Chi-square and Kruskal-Wallis tests. A cumulative logit model adjusted for patient and visit characteristics in a multivariable model. Results: We recorded 327 patient interactions with 37 clinicians. After adjusting for patient sex, and visit characteristics, visit length, patient-centeredness, global affect (patient or clinician) and satisfaction did not differ. However, higher BMI was associated with shorter visit length, and lower Negative Global Affect (p = 0.03 and p = 0.03, respectively) in men only. Conclusion: In this exploratory analysis, communication characteristics did not vary by patient BMI overall. However, in men, higher BMI was associated with shorter visit length and more negative affect. Those differences did not persist after adjusting for multiple comparisons. Practice Implications: Patient body size may contribute to clinical communication in cancer care, particularly for obese men.
KW - Patient-centeredness
KW - Patient-physician communication
UR - http://www.scopus.com/inward/record.url?scp=85069586529&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069586529&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2019.07.009
DO - 10.1016/j.pec.2019.07.009
M3 - Article
C2 - 31331706
AN - SCOPUS:85069586529
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
ER -