Patient and providers-level drivers of healthcare utilization related to a diagnosis of a precancerous condition: monoclonal gammopathy of undetermined significance (MGUS) (original) (raw)

Abstract

Purpose Monoclonal gammopathy of undetermined significance (MGUS) is the precursor of multiple myeloma. This qualitative study described patient (n = 14) experiences and healthcare providers’ (n = 8) opinions and practices concerning care for patients with MGUS in the US. Methods Semi-structured, in-depth interviews were analyzed using thematic analysis. Results We identified six overarching themes related to the care pathway for patients with MGUS. (1) Process of MGUS diagnosis, (2) Providers’ explanations, (3) Patients’ understanding, (4) Impact of the diagnosis, (6) follow-up/management, and (6) factors influencing healthcare utilization. Patients demonstrated a basic understanding of MGUS. However, some patients felt anxiety around the diagnosis, which may affect other aspects of their lives. Non-hematologist providers report having less MGUS-specific knowledge. Older age, high-risk MGUS, and insurance/cost influenced healthcare utilization. Conclusion Patients with MGUS may hav...

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