1617PDWorse patient- physician relationship is associated with more fear of cancer recurrence (Deimos Study): A study of the palliative care working committee of the Turkish Oncology Group (TOG)

2019 
Abstract Background Fear of cancer recurrence (FCR) is an important psychological trauma that has been associated with reduction in the quality of life, disruptions in the level of adjustment, emotional distress and anxiety. The purpose of the study is to evaluate the impact of patient–physician relationship on FCR. Methods The study was designed as a multicenter survey study. The cancer survivors who were under remission, were evaluated with structured questionnaires. Patient–physician relationship (PPR) scale in which higher scores indicate better relationship and FCR inventory were used. Results Between January-April 2019, 1580 patients were evaluated. The median age was 57.0(19-88) and 66% were female. There was high level of FCR scores in 51% of participants. There was a negative correlation between PPR and FCR scores (r= -0.134, p  Conclusions It is the first data showing the adverse impact of worse PPR on FCR. The strategies to improve the PPR should be practiced. In addition, the cancer survivors who are under the risk of FCR, should be evaluated and managed. Legal entity responsible for the study Ali Alkan. Funding Has not received any funding. Disclosure All authors have declared no conflicts of interest. Table: 1617PD . The multivariate analysis of factors associated with high FCR scores High FCR scores OR CI(95%) p Young age( 1.46 1.1-1.8 0.002 Female gender 1.93 1.5-2.4 History of non-routine imaging 1.89 1.4-2.4 Worse PPS 1.31 1.07-1.6 0.009
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