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This study assessed how closely patients’ and HCPs’ views on colorectal cancer care align and which factors may drive perceptual disparities. Patients described perceived disease status and completed measures of anxiety, depression, PTSD, and well-being, while blinded HCPs reviewed files to determine treatment stage. Concordance and clinical and psychological correlates were tested using univariate and multivariate analyses.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/exploring-perceptual-disparities-a-study-on-the-level-of-understanding-of-colorectal-cancer-care-among-patients-and-healthcare-professionals/460568/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/exploring-perceptual-disparities-a-study-on-the-level-of-understanding-of-colorectal-cancer-care-among-patients-and-healthcare-professionals/460568.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Wilson","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the main goal of the study?","Question",{"text":112,"@type":113},"To evaluate whether patients and healthcare professionals have aligned views about colorectal cancer care and to identify factors that may explain perceptual disparities.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were patients’ and HCPs’ perceptions measured?",{"text":117,"@type":113},"Patients described their perceived disease status and completed psychometric assessments for anxiety, depression, PTSD, and well-being. Two blinded HCPs reviewed case files to determine the stage of treatment at which patients were enrolled.",{"name":119,"@type":110,"acceptedAnswer":120},"What key difference in perception did the study find?",{"text":121,"@type":113},"There was a significant overall discrepancy between HCPs and patients, especially for patients whom HCPs identified as having progressing disease, and notable discrepancies among those receiving palliative care.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},460568,1791153984,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","International Journal of Colorectal Disease (2026) 41:22  \n[https://doi.org/10.1007/s00384-025-05064-9](https://doi.org/10.1007/s00384-025-05064-9)  \nExploring perceptual disparities: A study on the level of understanding of colorectal cancer care among patients and healthcare professionals  \nEleftherios Christodoulis1 · Panagiotis Ntellas2 · Lilly Simpson1 · Katerina Dadouli3 · Jacqueline Connell1 · Kok Haw Jonathan Lim4,5 · Joseph Williams1,6 · Jurjees Hasan1 · Marios Adamou7 · Saifee Mullamitha1 · Daniel Anderson8 · Francisca Marti Marti1 · Michael Braun1 · Mark Saunders9 · Tess Gillham1 ·  \nKonstantinos Kamposioras1,4  \nReceived: 16 July 2025 / Accepted: 12 December 2025 © Crown 2026  \nAbstract  \nBackground Emotional engagement, family support and personal beliefs can influence how patients and healthcare professionals (HCPs) perceive cancer differently. This study examined the extent to which the views of patients and HCPs on cancer care align, and identified factors that may underlie disparities.  \nMethods Participants with colorectal cancer (CRC) were asked to describe their perception of their disease (i.e. whether they felt it was under control (DC), was progressing (PD), or was of an unknown status) and to complete psychometric assessments of anxiety, depression, PTSD and well-being. Two HCPs, who were blinded to the patients’ responses, examined the case files to determine the stage of treatment at which the patients were enrolled in the study. The concordance of perceptions between patients and HCPs was examined, along with associations with clinical variables and psychometric health outcomes, using both univariate and multivariate analyses.  \nResults A total of 205 patients with CRC were included in the study. The mean age was 65 years, with 58% of patients being male. Overall, a significant difference in perception was observed between HCPs and patients (p \u003C 0.001), particularly for patients identified by HCPs as having PD. Significant discrepancies were observed among patients receiving palliative care (p \u003C 0.001), whereas those in the adjuvant or neo-adjuvant pathway appeared to align more closely with HCPs’ perceptions (p = 0.99). Neither demographic nor psychological factors were significant determinants of concordance between HCPs and patients’ understanding of cancer status in this population. In multivariate analysis, patients perceiving PD or expressing uncertainty were found to have significantly higher levels of depression than those with DC (OR 6.42, p = 0.001 and OR 3.86, p = 0.009, respectively) .  \nConclusions This study reveals significant differences in how cancer is perceived by HCPs and patients, particularly among those without disease control or undergoing palliative care. This highlights the importance of effective communication in addressing patients’ needs and their psychological well-being.  \nKeywords Colorectal cancer · Perception · Concordance · Health care professional · Communication · Palliative care  \nIntroduction  \nCancer care requires close collaboration between patients and their healthcare professionals (HCPs), yet, their respective perceptions ofthe disease, treatment goals, and prognosis often diverge. Previous studies have shown that patients with cancer often struggle to fully understand the complex medical  \nEleftherios Christodoulis and Panagiotis Ntellas contributed equally.  \nExtended author information available on the last page of the article  \ninformation and recommendations they receive [1–5] . These discrepancies can arise from a multitude of inter-related factors, including the patient’s background education, health literacy, lived experiences, family involvement, personal beliefs and, importantly, the intense emotional burden linked to the information being shared [5–7] . Processing medical information can be especially challenging for patients as they contend with fears about the future, worries for their family, and concerns about how cancer will impact their dai","cbCainqiRemhAiuI","https://ap.wps.com/l/cbCainqiRemhAiuI","pdf",776253,"English","# Abstract\n# Background\n# Methods\n## Participants and study design\n# Results\n# Conclusions\n# Keywords\n# Introduction","[{\"question\":\"What was the main goal of the study?\",\"answer\":\"To evaluate whether patients and healthcare professionals have aligned views about colorectal cancer care and to identify factors that may explain perceptual disparities.\"},{\"question\":\"How were patients’ and HCPs’ perceptions measured?\",\"answer\":\"Patients described their perceived disease status and completed psychometric assessments for anxiety, depression, PTSD, and well-being. Two blinded HCPs reviewed case files to determine the stage of treatment at which patients were enrolled.\"},{\"question\":\"What key difference in perception did the study find?\",\"answer\":\"There was a significant overall discrepancy between HCPs and patients, especially for patients whom HCPs identified as having progressing disease, and notable discrepancies among those receiving palliative care.\"}]","Exploring perceptual disparities - A study on the level of understanding of colorectal cancer care among patients and healthcare professionals | PDF",1790758786,23]