000169447 001__ 169447
000169447 005__ 20260301175533.0
000169447 0247_ $$2doi$$a10.1136/bmjopen-2025-099918
000169447 0248_ $$2sideral$$a148380
000169447 037__ $$aART-2026-148380
000169447 041__ $$aeng
000169447 100__ $$0(orcid)0000-0003-0420-6746$$aSañudo, Yeray$$uUniversidad de Zaragoza
000169447 245__ $$aIdentifying emotional variations in Spanish oncology patients during treatment decision consultations: a qualitative study
000169447 260__ $$c2026
000169447 5060_ $$aAccess copy available to the general public$$fUnrestricted
000169447 5203_ $$aObjectives This qualitative study aims to identify which themes cause the most emotional variation in patients' decisions about cancer treatment. Patients' emotional variations are analysed to detect negative and positive variations to certain themes during the consultations. This analysis helps to detect what themes or elements affect patients' experiences.Design and settings A total of 31 clinical consultations from cancer care pathways were recorded, transcribed and analysed. Patients were followed up until they decided and started treatment for their cancer. An inductive content analysis is followed to interpret patients' emotional variations. All patients were from Hospital Universitario Miguel Servet of Zaragoza, Spain.Participants Twelve patients participated in the study, consisting of eight with breast cancer and four with melanoma. Of these patients, nine were female and three were male. Eligible participants were required to be new to the care pathways or to have used them more than 10 years ago. Participants were also required to be aged 18 or older, be fluent in Spanish and be available to participate for 3 months. Participants were excluded if the authors or oncologists noticed poor health conditions that could be exacerbated by the stress and additional effort involved in participating in the study.Results Patients' emotional variations identify five main themes: clinical history, cancer diagnosis, discussion of possible treatment choice, side effects (possible side effects of the selected treatment) and next steps (require complementary medical tests and more consultations to decide the treatment). Most of the emotional variations detected were negative and were mostly grouped into the categories of treatment, side effects and next steps. The most pronounced negative variations were related to delays in starting treatment and the possibility of hair loss.Conclusions The themes and emotional variations identified in this study can help to understand patients' experiences during their initial oncology consultations. These results represent a significant step towards enhancing communication and the patient experience within oncology practices. Oncologists could use these data and procedures to identify where patients experience negative emotions and respond appropriately.
000169447 536__ $$9info:eu-repo/grantAgreement/EC/HORIZON EUROPE/101057332/EU/Design-based Data-Driven Decision-support Tools: Producing Improved Cancer Outcomes Through User-Centred Research/4D PICTURE
000169447 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000169447 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000169447 700__ $$aAguado-González, Laura$$uUniversidad de Zaragoza
000169447 700__ $$aMedina Castillo, Alba
000169447 700__ $$0(orcid)0000-0002-7660-3508$$aSierra-Pérez, Jorge$$uUniversidad de Zaragoza
000169447 7102_ $$15002$$2305$$aUniversidad de Zaragoza$$bDpto. Ingeniería Diseño Fabri.$$cÁrea Expresión Gráfica en Ing.
000169447 773__ $$g16, 2 (2026), e099918$$pBMJ Open$$tBMJ Open$$x2044-6055
000169447 8564_ $$s637314$$uhttps://zaguan.unizar.es/record/169447/files/texto_completo.pdf$$yVersión publicada
000169447 8564_ $$s3393189$$uhttps://zaguan.unizar.es/record/169447/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000169447 909CO $$ooai:zaguan.unizar.es:169447$$particulos$$pdriver
000169447 951__ $$a2026-03-01-17:55:12
000169447 980__ $$aARTICLE