An effective cross-cultural doctor-patient communication is vital for health literacy and patient compliance. Building a good relationship with medical staff is also relevant for the treatment decision-making process for cancer patients. Studies about the role of a specific migrant background regarding patient preferences and expectations are lacking. We therefore conducted a multicentre prospective survey to explore the needs and preferences of patients with a migrant background (PMB) suffering from gynecological malignancies and breast cancer to evaluate the quality of doctor-patient communication and cancer management compared to non-migrants (NM). This multicentre survey recruited patients with primary or recurrence of breast, ovarian, peritoneal, or fallopian tube cancer. The patients either filled out a paper form, participated via an online survey, or were interviewed by trained staff. A 58-item questionnaire was primarily developed in German and then translated into three different languages to reach non-German-speaking patients. A total of 606 patients were included in the study: 54.1% (328) were interviewed directly, 9.1% (55) participated via an online survey, and 36.8% (223) used the paper print version. More than one quarter, 27.4% (166) of the participants, had a migrant background. The majority of migrants and NM were highly satisfied with the communication with their doctors. First-generation migrants (FGM) and patients with breast cancer were less often informed about participation in clinical trials (p < 0.05) and 24.5% of them suggested the help of an interpreter to improve the medical consultation. Second and third-generation migrants (SGM and TGM) experienced more fatigue and nausea than expected. Our results allow the hypothesis that training medical staff in intercultural competence and using disease-related patient information in different languages can improve best supportive care management and quality of life in cancer patients with migrant status.

中文翻译：

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移民背景对乳腺癌和妇科恶性肿瘤患者偏好和期望的影响（NOGGO 表达 V 研究）：一项对德国 606 名患者的前瞻性多中心研究结果

有效的跨文化医患沟通对于健康素养和患者依从性至关重要。与医务人员建立良好的关系也与癌症患者的治疗决策过程相关。缺乏关于特定移民背景对患者偏好和期望的作用的研究。因此，我们进行了一项多中心前瞻性调查，以探讨患有妇科恶性肿瘤和乳腺癌的移民背景 (PMB) 患者的需求和偏好，以评估与非移民 (NM) 相比的医患沟通和癌症管理质量。这项多中心调查招募了原发性或复发性乳腺癌、卵巢癌、腹膜癌或输卵管癌的患者。患者要么填写纸质表格，通过在线调查参与，或由训练有素的工作人员采访。一份包含 58 个项目的问卷主要用德语开发，然后翻译成三种不同的语言，以覆盖非德语患者。研究共纳入 606 名患者：54.1% (328) 人接受直接采访，9.1% (55) 人通过在线调查参与，36.8% (223) 人使用纸质印刷版。超过四分之一，即 27.4% (166) 的参与者具有移民背景。大多数移民和 NM 对与他们的医生的沟通非常满意。第一代移民 (FGM) 和乳腺癌患者很少被告知参与临床试验 (p < 0.05)，其中 24.5% 的人建议通过口译帮助改善医疗咨询。第二代和第三代移民（SGM 和 TGM）经历了比预期更多的疲劳和恶心。我们的结果支持这样一个假设，即培训医务人员的跨文化能力和使用不同语言的疾病相关患者信息可以改善具有移民身份的癌症患者的最佳支持性护理管理和生活质量。