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. 2022 Apr 21;47:101405. doi: 10.1016/j.eclinm.2022.101405

Table 3.

Summary of included studies by design, aim, category of study and a short summary of the findings.

Authors Title Study design Aim Category Summary
Lines et al. (A)., 202036 Associations between perceptions of care experiences and receipt of mental health care among older adults with cancer. A cross-sectional study using the SEER- CAHPS data for patients diagnosed with one from the 10 most prevalent solid tumour and completed CAHPS between 2006 and 2013 To examine whether older adults who received care for anxiety or mood disorders tend to report better care experiences. 1 Around 22% of the study sample (n = 4998) had both cancer and a claim for an anxiety or mood disorder. Worse mental health status was associated with worse care experience and was significantly associated with worse global care experience (0–10 scale driven from experiences with overall Care, personal doctor, and Specialist).
Chan et al., 202032 Racial differences in lung cancer patient experiences with medical care and their association with cancer mortality: A SEER-CAHPS study A cross-sectional study using the SEER- CAHPS data for 2603 lung cancer patients To assess the association between a patient's race and their global ratings of care and composite scores (driven from three domains of patients’ experiences: centeredness, timeliness, and realized access) 1 This study showed variation in patients’ experiences with care by their race, and these variations were also associated with their subsequent mortality. Asians reported worse experiences with their ability to get care quickly, get needed drugs, get needed care, and rating of their overall health care compared to non-Hispanic white patients.
Farias et al., 202141 Racial/ethnic Disparities in Patient Experiences with Health Care in Association with Earlier Stage at Colorectal Cancer Diagnosis A cross-sectional study using the SEER- CAHPS date between 1997 and 2011 for colorectal cancer patients To examine variations in patients’ experiences with patient-centeredness, timeliness, and realized access by race, and to determine the association between patients’ experiences with their stage at diagnosis. 1 This study showed that poor experiences with timeliness and realized access of care were more likely to be reported by patients diagnosed at advanced cancer stage. Asian patients reported worse experiences with getting care quickly and Black patients reported worse experiences for getting needed prescription drugs compared with non- Hispanic White patients.
Fauer et al. 202138 Understanding quality and equity: patient experiences with care in older adults diagnosed with hematologic malignancies A cross-sectional study using the SEER- CAHPS date between 2000 and 2015 for leukaemia or lymphoma cancer patients To examine factors associated with patients’ experiences during the first year of their cancer diagnosis 1 Compared to patients form a white ethnic background, those from Asian, Indian Native, and Pacific backgrounds reported worse experiences of overall care. Multimorbidity was associated with better patients’ experiences with their personal doctor. Patients completing the survey 8 to 12 months after diagnosis reported a higher global rating of care compared to those who completed it 0 to 3 months after diagnosis.
Lyratzopoulos et al., 201219 Variation in number of general practitioner consultations before hospital referral for cancer: findings from the 2010 National Cancer Patient Experience Survey in England A cross-sectional study using 2010 CPES data in England for patients with 24 different cancers To examine variation in patients’ experiences with the number of pre-referral consultations with a general practitioner (GP). 1 Three or more visits to the GP before hospital referral was considered a negative experience of care. The study found wide variation in patients’ experiences with GP visits by patients’ cancer types and demographic characteristics. Higher probability of three or more pre-referral consultations was found among young patients (aged 16–24 years), those from black ethnic minorities, women, and among patients with pancreatic, stomach, and lung cancers.
El Turabi et al., 201321 Variation in reported experience of involvement in cancer treatment decision making evidence from the National Cancer Patient Experience Survey A cross-sectional study using 2010 CPES data in England for patients with 38 primary cancers To examine how experiences with involvement in decisions about treatment varied by patients’ characteristics and cancer type. 1 Patients’ experiences of involvement in decision making varied by their demographic characteristics and cancer types. Younger patients, those from ethnic minorities, and those with ovarian, myeloma, bladder and rectal cancers reported worse experiences compared with other patient groups.
Bone et al., 201420 Inequalities in the care experiences of patients with cancer: analysis of data from the National Cancer Patient Experience Survey 2011–2012 A cross-sectional study using the 2012 CPES data in England for all cancer patients included To explore inequalities in cancer patients' experiences by patient, clinical and trust-level factors. 1 This study showed inequalities in cancer patients’ experiences by their gender, age, ethnicity, and disability. After adjusting for patient, clinical and trust-level factors, female, non-white, younger patients, and patients with long-standing conditions (particularly those with learning disabilities or mental health conditions), were less likely to rate their overall care as excellent or very good
Saunders et al., 20147 What explains worse patient experience in London? Evidence from secondary analysis of the Cancer Patient Experience Survey A cross-sectional study using the 2012 CPES data and the Adult Inpatients survey in England for all cancer patients To explore why cancer patients treated in London hospitals reported worse experiences of care compared with patients treated in all other English regions. 1 Patients with cancer treated by London hospitals reported worse care experiences. The differences were not explained by patient case-mix or whether the hospital was a teaching hospital. The study showed evidence of poorer experiences reported in London when comparing 10 of 16 experience aspects in both the CPES and the Adult Inpatients Surveys.
Saunders et al., 201522 Inequalities in reported cancer patient experience by socio-demographic characteristics and cancer site: evidence from respondents to the English Cancer Patient Experience Survey A cross-sectional study using all patients included in 2012 CPES data To understand variation in cancer patients’ experiences among patients with different cancers. 1 Younger and very old patients, those from ethnic minorities, and women were more likely to report worse care experiences across CPES questions. Specifically, patients with multiple myeloma, ovarian, anal, hepatobiliary, and renal cancer reported notably worse experiences than patients with gynaecological, haematological, gastrointestinal, and urological malignancies respectively.
Stephens et al., 201523 Keeping the customer satisfied #2 It Is OK to ask - who are we asking, and who participates? further findings from the National Cancer Patient Experience Survey 2013 A cross-sectional study using all patients included in the CPES 2013 data To assess factors associated with variation in patients' experiences of being involved in cancer research. 1 There was little variation by gender in whether patients reported a conversation about taking part in research. There was a clear decline in being asked to participate in cancer research for patients aged over 75. Skin and urological cancer patients were less likely to be asked to participate in cancer research.
Mc Grath-Lone et al., 201524 Exploring research participation among cancer patients: analysis of a national survey and an in-depth interview study A mixed method study using the 2012–13 CPES data in England To investigate variation in cancer patients’ experiences with being asked to participate in cancer research. 1 The study identified barriers to research participation at staff, patient, and trust level. Specifically, staff were less likely to discuss research with older patients. Asian and black patients were less likely to take part in research, while patients treated at specialist or teaching trusts had higher levels of discussion and participation in cancer research.
Lacey et al., 201645 Presentations to general practice before a cancer diagnosis in Victoria: a cross-sectional survey A cross-sectional study using CPES in care settings in Victoria, Australia for patients with 19 cancer types To assess and understand variations in the number of general practitioner visits prior to a cancer diagnosis. 1 Patients with certain cancer types more frequently reported multiple GP visits, with 34% of all patients having visited a GP at least three times before being referred to hospital. Adjusting for age, sex, language, and socioeconomic deprivation, the highest number of GP visits were more likely to be made by patients with pancreatic, thyroid, vulvar, and multiple myeloma cancers, whereas the lowest number were by among patients with breast, cervical, and endometrial cancers.
Pinder et al., 20164 Minority ethnicity patient satisfaction and experience: results of the National Cancer Patient Experience Survey in England A cross-sectional study using the CPES data in England for all cancer patients included in the survey in 2012 and 2013 To explore reported experience of interacting with medical and nursing staff for cancer patients from ethnic minority backgrounds. 1 Patients from ethnic minority backgrounds reported lower satisfaction with and less positive experiences of care overall. Specifically, after adjusting for demographic factors, patients from ethnic minorities remained less positive in terms of having lower confidence in, and less understanding of healthcare professionals (including clinical nurse specialists, doctors, and ward nurses).
Shirk et al., 201630 Patient experience and quality of urologic cancer surgery in US hospitals A cross-sectional study using HCAHPS data from 2009 through 2011 for patients with genitourinary cancers To determine whether there is an association between patients’ experiences and cancer surgical outcomes. 1 This study found a limited association between patients’ experiences and cancer surgical outcomes with variation by patient age, race, income, comorbidity, and cancer type. The study showed that patients’ experiences may be viewed as an independent quality domain rather than a mechanism by which to improve surgical outcomes.
Trenchard et al., 201425 Ethnic variation in cancer patients' ratings of information provision, communication, and overall care A cross-sectional study using the CPES data for all patients in England completing the survey in 2012 To examine variation in patients’ experiences with information provision and communication by their ethnic sub-categories. 1 Ethnic inequalities in cancer patients' experiences of information provision and communication were evident both between and within broad ethnic categories. Asian patients were less likely than White patients to receive an understandable explanation of treatment side effects. Specifically, Asian patients with Bangladeshi ethnicity were less likely to receive an understandable answer to their important questions.
Richard and Shaw, 201644 How do myeloma patients' experiences before and during diagnosis compare to those for all cancers? Findings from secondary analysis of the National Cancer Patient Experience Survey 2014 A cross-sectional study using the CPES for all patients in England completing the survey in 2014 To examine whether myeloma patients reported worse experiences of diagnosis compared to all other cancer patients. 1 Myeloma patients reported worse experiences of diagnosis in the following care aspects: time prior to seeing a specialist, receiving information about diagnostic tests, and understanding at the time of diagnosis than the average for all other cancers. In addition, Myeloma patients reported longer times waiting for a diagnosis than the average for all other cancers and were less likely to feel that they received the information they needed about the tests and subsequent diagnosis.
Coronado et al., 201739 The experience of patients with cancer during diagnosis and treatment planning: a descriptive study of Canadian survey results A cross-sectional study using the AOPSS data in Canada for all cancer patients included in the survey between 2012 and 2016 To examine variation in patients’ experiences with patient-provider communication, during the diagnosis and treatment planning phases of cancer care 1 This study showed variation in patients’ experiences with patient-provider communication. Most respondents (92%) reported that their care provider told them of their cancer diagnosis in a sensitive manner and felt that they were provided with enough information about their cancer treatment. Across all cancers, prostate cancer patients reported the worst experiences with being referred for emotional support even though they reported having anxieties and fears upon diagnosis.
Cunningham and Wells, 201726 Qualitative analysis of 6961 free-text comments from the first National Cancer Patient Experience Survey in Scotland Qualitative analysis examining all cancer patients’ experiences reported in the first Scottish CPES in 2014 To understand patients' experiences of care, identify valued aspects and areas for improvement. 1 Although the majority of patients’ comments on their care were positive, there were a significant number of negative comments, especially about diagnosis care. The number of negative comments about care experiences varied by gender, age, employment status, and cancer type.
Halpern et al., 201731 The health care experience of patients with cancer during the last year of life: Analysis of the SEER-CAHPS data set Cross-sectional study using the SEER- CAHPS data between 1998 and 2011 for patients with all cancer types in the dataset To assess factors influencing cancer patients’ experiences among individuals within one year before death. 1 Patients with higher general or mental health status were significantly more likely to report excellent experiences across all the measures examined. Sex, ethnicity, clinical characteristics, and education status were associated with patients’ experiences. Individuals in fee-for-service Medicare plans were more likely to report better experiences with health plans, getting care quickly, and getting needed care.
Hulbert-Williams et al., 201727 The cancer care experiences of gay, lesbian and bisexual patients: A secondary analysis of data from the UK Cancer Patient Experience Survey A cross-sectional study using the CPES data for all patients in England included in the 2013 survey To assess whether there is variation in care experiences for patients based on their sexual orientation. 1 Around 0.8% of CPES responders in 2013 identified themselves as lesbian, gay or bisexual. After adjusting for age, gender and concurrent mental health comorbidity, less positive cancer experiences were reported by patients who identified themselves as lesbian, gay and (especially) bisexual.
Halpern, Urato et al., 201735 Healthcare experience among older cancer survivors: Analysis of the SEER-CAHPS dataset A cross-sectional study using the SEER- CAHPS data for breast, colorectal, lung, and prostate cancer patients completed CAHPS (1998 – 2011) To examine experience of care among cancer patients and assess associations of patients’ characteristics with their experience. 1 Higher self-reported health status was associated with better experiences of cancer care with limited differences in patients’ experiences by sex or years since diagnosis. This association was significant for breast, colorectal, and prostate cancer patients. Better mental-health status was associated with better experience for lung cancer patients only. College-educated and Asian survivors reported lower care experiences.
Mollica et al., 20188 Examining urban and rural differences in perceived timeliness of care among cancer patients: A SEER-CAHPS study A cross-sectional study using the SEER-CAHPS (1998 - 2013) dataset for patients with breast, lung, colorectal, or prostate cancers To examine whether there is variation in patients’ experiences by their place of residence at cancer diagnosis (urban vs rural). 1 Rural cancer patients were more likely to report better experiences with timely care than those in urban areas. Ethnic-minority rural patients were more likely to report negative experiences with accessing needed care as quickly. Black and Hispanic respondents from rural areas rated getting needed care lower than their counterparts residing in urban areas.
Lines et al., 20199 Care experiences among dually enrolled older adults with cancer: SEER-CAHPS, 2005–2013 A cross-sectional study using the SEER- CAHPS date between 2005 and 2013 To understand the effects of poverty on self-reported care experiences among seniors diagnosed with cancer. 1 Patients who were enrolled in both Medicare and Medicaid tended to be poorer, have more functional and cognitive limitations, and have more medical needs compared with beneficiaries enrolled in Medicare or Medicaid alone. Cancer patients who were enrolled in both Medicare and Medicaid reported better care experiences with prescription drug plans and health plans than patients enrolled in Medicare-only.
Loiselle, 201933 Cancer information-seeking preferences linked to distinct patient experiences and differential satisfaction with cancer care A cross-sectional study using AOPSS data (2013–2017) for patients with 14 different cancers To understand patients' needs and preferences as part of their care experiences. 1 60% of patients reported they wanted to actively seek information about their cancer, while around 40% did not want seek information about their cancer. Men were more likely to avoid asking about cancer information than women.
Farias et al., 202042 Racial/ethnic differences in patient experiences with health care in association with earlier stage at breast cancer diagnosis: findings from the SEER-CAHPS data Cross-sectional study using the SEER- CAHPS data for breast cancer patients who completed CAHPS survey between 1997 and 2011 To identify whether there is variation in patients’ experiences by their ethnicity and whether that is associated with stage at diagnosis. 1 Ethnic minorities reported poorer experiences with care preceding a diagnosis of breast cancer. In the adjusted analysis, black patients reported lower mean scores for getting care quickly, getting needed prescription drugs, getting needed care, and lower ratings of their overall health care compared to white patients. These worse experiences were more likely to be reported by patients with earlier stage breast cancer.
Mollica et al., 202034 Perceptions of care coordination among older adult cancer survivors: A SEER-CAHPS study A cross-sectional study using the SEER- CAHPS (2002 – 2013) dataset for over 14 different cancers patients To examine sociodemographic and clinical variables associated with patients’ experiences with care coordination. 1 Several variables were associated with variation in patients' experiences with care coordination. Rural residence at diagnosis and visiting a personal doctor four times or more were associated with better care. in contrast, older age and seeing more specialists were associated with worse experiences with care coordination.
Wagland et al., 201746 Differences in experiences of care between patients diagnosed with metastatic cancer of known and unknown Primaries: Mixed-Method Findings From the 2013 Cancer Patient Experience Survey in England Qualitative analysis examining patients’ experiences reported in CPES 2013 for patients with cancer of unknown primary and those with metastatic disease of known primary in England To explore differences in patients’ experiences between patients with cancer of unknown primary (CUP) and those with metastatic disease of known primary (non-CUP). 1 In a matched analysis for 2992 patients, there was a significant difference in care experiences between patients with cancer of unknown primary (CUP) and those with metastatic disease of known primary (non-CUP). CUP patients were more likely to report that they wanted more written information about their type of cancer and tests received, to receive their diagnosis from a GP and have seen allied health professionals, but less likely to have understood explanations of their condition or to have had surgery
Lines et al., 202037 Illness burden is associated with care experience measures among Medicare beneficiaries surveyed before or after a cancer diagnosis A cross-sectional study using the SEER- CAHPS date between 2007 and 2013 (no cancer type specified) To understand patients ' Illness Burden Index (SCIBI) scores is associated with patients reported experiences. 1 In the adjusted analysis, the time between cancer diagnosis and survey response and SCIBI scores were associated with patients' care experiences. In particular, those with a higher illness burden reported worse care experiences with prescription drug plan customer service, doctor communication, and overall care.
Griffiths et al., 201352 Is a larger specialist nurse workforce in cancer care associated with better patient experience? Cross-sectional study A cross-sectional study using the 2010 CPES data for patients with 14 different cancers To assess whether variation in the provision of cancer specialist nurses is associated with better reported patients’ experiences. 2 Cancer patients' experiences of care coordination and emotional support was better in trusts with more specialist nurses. Specifically, patients in these trusts reported better experiences with being treated and cared for well, being provided with enough emotional support, and being supported with the control of chemotherapy side effects.
Clucas, 201653 Cancer patients' respect experiences in relation to perceived communication behaviours from hospital staff: analysis of the 2012–2013 National Cancer Patient Experience Survey A cross-sectional study using CPES data in England for all cancer patients included in the 2012 survey To explore whether communication behaviours from hospital staff are associated with cancer patients' experiences for being treated with respect. 2 Affective communication from hospital staff was associated with better patients’ experiences. Providing care with emotional support was associated with better reported experiences of being treated with respect although this varied by gender, ethnicity, age, comorbidity, treatment response, time since first treated, employment status, and type of cancer.
Mendonca et al., 201654 Pre-referral general practitioner consultations and subsequent experience of cancer care: evidence from the English Cancer Patient Experience Survey A cross-sectional study using CPES data for all patients in England completing the survey in 2012 and 2013 To examine whether visiting a GP (3+ visits) prior to diagnosis is associated with negative experiences of other cancer services using 12 CPES questions. 2 There was a negative association between multiple pre-diagnostic consultations with a GP and the experience of subsequent cancer care. Patients with 3+ pre-referral consultations reported worse care experiences in several CPES questions including involvement in the treatment decision, communication with clinical nurse specialist and being given information about treatment and care.
Saunders et al., 201655 Do differential response rates to patient surveys between organizations lead to unfair performance comparisons? Evidence from the English Cancer Patient Experience Survey A cross-sectional study using the CPES data for all cancer patients in England completing the survey in 2010 To explore possible associations between hospital-level survey response rates and patients’ experiences. 2 Hospitals that had higher CPES response rates also had more positive experience scores, which was partly explained by patient case-mix. In the multivariable analysis, associations between individual patient experience and hospital-level response rates were statistically significant in terms of managing late appointments, surgery admission delay, and providing correct documentation to patients.
Abel et al., 201756 Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data A cross-sectional study using the 2010 CPES data linked to route to diagnosis data for patients with the 18 most common cancers in England To examine the experiences of patients who were diagnosed through emergency route with any previous or multiple primary care consultations. 2 Around a third of patients who were diagnosed through the emergency route never had any prior GP consultation. These patients were more likely to be male, older (≥85 years), living in deprived areas, and to be diagnosed with brain cancer. In addition, among emergency presenters with prior consultations, 41% reported 3+ GP visits, and these were more likely to be female, younger, and non-white and to be diagnosed with multiple myeloma.
Mollica et al., 20178 Examining colorectal cancer survivors' surveillance patterns and experiences of care: a SEER-CAHPS study A cross-sectional study using the SEER- CAHPS data for colorectal cancer patients diagnosed between 1999 and 2009 To examine the association between experiences of care and adherence to surveillance guidelines among Medicare Fee-For-Service beneficiaries. 2 Most of the 314 responders were highly satisfied with their care experience. This study showed that better experiences with patient-provider relationships improved adherence to office visits for colorectal cancer surveillance.
Salika et al., 201840 Associations between diagnostic pathways and care experience in colorectal cancer: evidence from patient-reported data A cross-sectional study using the 2010 CPES data inked to information on diagnostic route for colorectal cancer patients To examine how different pathways to the diagnosis of colorectal cancer may be associated with patients’ experiences of care. 2 Screening-detected patients reported the best experiences of care, while emergency presenters reported the worst experiences. In 18 CPES questions about care experience, emergency presenters were more likely to report a negative experience for most questions, including those about diagnosis information and sufficient explanation before operations. Screen-detected patients were least likely to report negative experiences except for support from primary care.
Mollica et al., 201958 Patient experiences of care in localized prostate cancer A cross-sectional study using the SEER- CAHPS data between 1998 and 2011 for prostate cancer patients To examine the association between treatment received (surgery, radiation, or no treatment) and patients overall experiences with care. 2 This study assessed patients’ experiences among localized prostate cancer patients (n = 507) receiving surgery, radiation, or no treatment. Respondents who received radiation were more likely to report their overall care as better than those not receiving this treatment. The overall care rating did not differ between patients who received surgery and patients received no treatment at all.
Pham, Gomez-Cano, et al., 20195 Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data A cross-sectional study using the 2014 CPES data linked with data on diagnostic route and tumour stage at diagnosis for breast, prostate, colon, lung, and rectal cancers To examine whether diagnostic route (e.g. screening or emergency presentation) is associated with cancer patients’ experiences independently of tumour stage. 2 Diagnostic route was associated with reported care experiences independently of cancer stage. In the adjusted analysis, emergency presenters had the highest likelihood of reporting a negative experience while screening-detected presenters had the lowest likelihood of reporting these experiences. Patients with advanced stage reported more negative experiences with little evidence of confounding between stage and diagnostic route, and no evidence for cancer-stage or cancer-route interactions.
Singer et al., 201959 Patient Satisfaction After Lung Cancer Surgery: Do Clinical Outcomes Affect Hospital Consumer Assessment of Health Care Providers and Systems Scores? A cross-sectional study using clinical data linked to HCAHPS survey data between 2014 and 2018 for lung cancer patients To determine whether length of hospital stay affects HCAHPS scores. 2 Length of hospital stay (6+ days) after having lung resection for cancer was negatively associated with overall satisfaction scores (driven from several HCAHPS experience questions). In the adjustment analysis, increasing length of stay was associated with worse patient satisfaction in the aspects of communication with physicians and nurses (less likely to report that doctors gave understandable explanations and that nurses listened carefully).
Fitch et al., 201960 Exploring the perspectives of patients about their care experience: identifying what patients perceive are important qualities in cancer care Qualitative analysis examining cancer patients’ experiences reported in AOPSS in Canada between 2012 and 2016 To explore patients’ experiences of their care and identify aspects of care patients thought were important. 2 Out of 6232 patients’ comments, four themes were identified: characteristics of a "positive" experience, personal care, interaction with health care providers, and service delivery. Respondents reported that being treated as a person with respect and dignity, clear communication with staff, access to relevant and timely information, and care that takes their needs into account are important aspects of their experiences.
Gomez-Cano et al., 20196 Patient experience drivers of overall satisfaction with care in cancer patients: Evidence from responders to the English Cancer Patient Experience Survey A cross-sectional study using 2015 data CPES in England for all cancer patients included in CPES To examine which aspects of care experience are the key drivers of overall satisfaction with cancer care. 2 Overall, out of 68,340 English patients who responded to CPES in 2015, 86% were highly satisfied with their cancer care. The strongest predictors of overall satisfaction with cancer care across all frameworks were responses to two questions on experience: the care administration and the coordination.
Watson er al., 202066 A Cross-Sectional Analysis of Ambulatory Oncology Experience by Treatment Intent A cross-sectional study using AOPSS data (2019) for patients with over 14 different cancers To assess patients' perceived treatment goal, their experiences, and their satisfaction. 2 Out of 2104 participants, those who reported that their self-goal of treatment was to cure their cancer rather than controlling it reported better care experiences in five care aspects. These are access to care, coordination of care, respect for patient preferences, communication, and emotional support.
Fauer et al. ., 202061 Health care experiences for older adults diagnosed with leukaemia and lymphoma: Factors associated with emergency department use, timeliness and access of health care A cross-sectional study using the SEER- CAHPS date between 2002 and 2015 for leukaemia or lymphoma cancer patients To examine the association between the emergency department, use in the first year of diagnosis and patients' experiences with care. 2 In the adjusted analysis, patients who had used an emergency department were more likely to report worse care experiences with getting care quickly and getting needed care aspects. The association was stronger for the “getting needed care”, and constant when comparing rural residents vs. urban.
Halpern et al., 202062 Associations between shared care and patient experiences among older cancer survivors A cross-sectional study using the SEER- CAHPS data for more than 8 cancer types patients completed CAHPS between 2000 and 2011. To compare experiences of care between cancer patients who received shared care (a care pathway in USA), and those who did not. 2 Compared with other care pathways, shared care was not associated with better care experiences. This study concluded that patients receiving shared care reported similar care experiences to those receiving oncologists led care or primary care providers-led care.
Hamad et al., 202067 Time-to-Treatment after Cancer Diagnosis and the Patient Experience with Care: A SEER-CAHPS Study A cross-sectional study using the SEER- CAHPS (1998 – 2013) dataset for prostate, breast, lung, bladder or colorectal cancers To assess if there is an association between time-to-treatment and cancer patients' experiences. 2 The adjusted multivariable analyses showed that delays in receiving cancer treatment were associated with reporting worse care experiences. Patients treated >6 months after their cancer diagnosis reported worse overall care, health plan, and getting needed care measures than patients treated less than two months from diagnosis.
Abel et al., 201647 Post-sampling mortality and non-response patterns in the English Cancer Patient Experience Survey: Implications for epidemiological studies based on surveys of cancer patients A cross-sectional study using the CPES data for all cancer patients in England included in the 2010 survey. To assess if CPES sampling processes, post-sampling mortality and non-response can influence the CPES representativeness. 3 The overall response rate to CPES was 67%, being >70% for the most affluent patients and those diagnosed with colon or breast cancer, and <50% for Asian or Black patients. Patients with brain and pancreatic cancers had the highest risk of post-sampling mortality meaning that they had initially been included in the survey sampling but died and were removed before the survey was distributed.
Alessy et al., 201948 How representative are colorectal, lung, breast and prostate cancer patients responding to the National Cancer Patient Experience Survey (CPES) of the cancer registry population in England? A population-based case control study Population-based case-control study using 2010 - 2014 CPES data linked with cancer registration data in England for colorectal, lung, breast, and prostate cancers. To assess the representativeness of CPES responders compared with the wider English cancer registry population In England. 3 CPES responders with colorectal, breast, lung and prostate cancers do not necessarily represent all patients with these cancers in terms of demographic characteristics and tumour stage at diagnosis. Across all cancer types, survey responders were younger, more likely to have a White ethnic background, to be resident in less deprived areas, and diagnosed with earlier stage disease although this varied between cancers. Survey responders also had higher median survival than the cancer registry population across all four cancers.
Pham, Abel, et al., 201950 Predictors of Postal or Online Response Mode and Associations with Patient Experience and Satisfaction in the English Cancer Patient Experience Survey A cross-sectional study using the 2015 CPES data for all cancer patients in the dataset. To examine predictors of postal or online response mode, and associations with patient reported experience 3 Around 8% of CPES responders completed the survey online in 2015. Online and postal CPES responders tend to differ in their characteristics and rating of their care experiences. In the adjusted analysis, male, younger (<55 years), least deprived, and non-white patients were more likely to respond online. Patients responding online were more likely to report an overall satisfied experience of care.
Nartey et al., 202049 Is the English Cancer Patient Experience Survey representative? A comparative analysis with the National Lung Cancer Audit A cross-sectional study using CPES data from 2010 - 2015 in England for lung cancer patients. To assess the representativeness of lung cancer patients responding to CPES in England. 3 There is a low representativeness of lung cancer patients who responded to CPES between 2010 and 2015 compared with the general lung cancer patients in England. Only 7% of all lung cancer patients were included in CPES. Older patients, those from more socioeconomically deprived areas, those with the worse performance status, multiple comorbidities, and patients diagnosed via emergency presentation were under-represented in CPES.
Alessy et al., 202164 Being assigned a clinical nurse specialist is associated with better experiences of cancer care: English population-based study using the linked National Cancer Patient Experience Survey and Cancer Registration Dataset Population-based cross- sectional study using 2010 - 2014 CPES data linked with cancer registration data in England for colorectal, lung, breast, and prostate cancers. To assess whether being assigned a clinical nurse specialist is associated with better cancer patients' experiences 2 Patients who reported being given the name of a CNS in the CPES reported better care experiences on four aspects of care: involvement in treatment decisions, care coordination, treatment with respect and dignity, and overall care experience.
Dalby et al., 202151 Analysis of local qualitative cancer patient experience alongside the 2019 results of the UK National Cancer Patient Experience Survey A qualitative study using ten questions from the CPES in a local population This study aimed to provide a in depth analysis of the results of the 2019 CPES. 3 The overall national CPES results do not always reflect focus group or interview findings using the same questions. CPES used on its own without qualitative data might not always be helpful for developing accurate improvement plans for cancer patient experiences.
Prue et al., 202165 Exploring patient experiences of cancer care in Northern Ireland: A thematic analysis of free-text responses to the 2018 Northern Ireland Patient Experience Survey (NICPES) A qualitative study using CPES data from 2018 in Northern Ireland The study aimed to analyse free-text responses from CPES in Northern Ireland in 2018 to understand patients’ experiences of care 2 Overall, respondents reported very positive experiences of the cancer service in Northern Ireland. Positive experiences were attributed to the caring and professional nature of cancer staff, but some specific concerns about aftercare and perceived disconnect between primary and secondary care.
Nartey et al., 202228 Using patient experiences to evaluate care and expectations in lung cancer: analysis of the English Cancer Patient Experience Survey linked with the national cancer registry A cross-sectional study using CPES data from 2009 - 2015 in England for lung cancer patients To assess lung cancer patients’ experiences of care according to demographic and clinical characteristics. 1 Patients’ experiences varied according to demographic and clinical characteristics. Patients aged between 65 and 80, those living in the most deprived areas, those who were diagnosed at lung cancer stage IIA–B, and those diagnosed through inpatient elective admissions were more likely to report positive care experiences.
Snyder et al., 202163 Association of Patient Experience with Guideline-Concordant Colon Cancer Treatment in the Elderly A cross-sectional study using the SEER- CAHPS data between 2003 and 2013 for colon cancer patients. To assess whether there is an association between better cancer care experience and guideline-concordant care (GCC) delivery among elderly patients with colon cancer 2 Of elderly patients who received the Guideline Concordant Cancer Care pathway, those with stage III colon cancer reported better experiences with getting needed care.
Navarro et al., 202243 Racial/ethnic disparities in patient experiences with care and Gleason score at diagnosis of prostate cancer: a SEER‑CAHPS study A cross-sectional study using the SEER- CAHPS data between 1997 and 2011 for prostate cancer patients. To assess whether racial/ethnic differences in patient experiences with care are associated with disparities in Gleason score at diagnosis. 1 Gleason score varied by reported patient experiences with care.
Among non-Hispanic white and non-Hispanic black respondents, the ability to get needed prescription drugs was associated
with lower odds of a higher Gleason score at diagnosis.

Abbreviations: CPES = Cancer Patient Experience Survey; CHAPS or HCHAPS = Hospital Consumer Assessment of Healthcare Providers and Systems; AOPSS = Ambulatory Oncology Patient Satisfaction Survey; GP= General practitioner. Category = 1) patients’ cancer types and demographic characteristics; 2) patients’ interactions with the healthcare system; and 3) survey administration.