Current status of accurate prognostic awareness in advanced/terminally ill cancer patients: Systematic review and meta-regression analysis
@article{Chen2017CurrentSO, title={Current status of accurate prognostic awareness in advanced/terminally ill cancer patients: Systematic review and meta-regression analysis}, author={Chen Hsiu Chen and Su-Ching Kuo and Siew Tzuh Tang}, journal={Palliative Medicine}, year={2017}, volume={31}, pages={406 - 418} }
Background: No systematic meta-analysis is available on the prevalence of cancer patients’ accurate prognostic awareness and differences in accurate prognostic awareness by publication year, region, assessment method, and service received. Aim: To examine the prevalence of advanced/terminal cancer patients’ accurate prognostic awareness and differences in accurate prognostic awareness by publication year, region, assessment method, and service received. Design: Systematic review and meta…
83 Citations
Prognostic awareness in advanced cancer: an integrative literature review
- Psychology, MedicineBMJ Supportive & Palliative Care
- 2020
An integrative literature review was undertaken to identify if there is concordance between actual prognosis and accurate prognostic awareness in individuals with advanced cancer and the rationale for any discordance was identified.
Prognostic Awareness in Advanced Disease: A Review Update and Concept Analysis
- MedicineFrontiers in Psychology
- 2021
There appears to be a lack of theoretical embedding of PA that in turn influences the methods used for empirical investigation, and drawing on a clear conceptual definition would be desirable.
Interventions to Improve Prognostic Understanding in Advanced Stages of Life-Limiting Illness: A Systematic Review.
- Medicine, PsychologyJournal of pain and symptom management
- 2021
Prognostic Awareness and Discussions of Incurability in Patients with Pretreated Non-Small Cell Lung Cancer and Caregivers: A Prospective Cohort Study
- MedicineThe oncologist
- 2022
Patients with advanced cancer who had both recent and past discussions about incurability with their oncologists have more accurate prognostic awareness, which could reduce the preference for life-prolonging treatment.
The Effect of Prognostic Communication on Patient Outcomes in Palliative Cancer Care: a Systematic Review
- Medicine, PsychologyCurrent Treatment Options in Oncology
- 2020
A systematic review of literature on the association between prognostic disclosure (strategies) and patient outcomes in palliative cancer care, and its moderators revealed a positive association with patients’ prognostic awareness.
Patients’ Awareness of Advanced Disease Status, Psychological Distress and Quality of Life Among Patients With Advanced Cancer: Results From the APPROACH Study, India
- MedicineThe American journal of hospice & palliative care
- 2021
It is recommended that future studies may explore prognostic understanding in Indian patients according to their socio-cultural, spiritual and educational background.
Associations of prognostic-awareness-transition patterns with end-of-life care in cancer patients’ last month
- Medicine, PsychologySupportive Care in Cancer
- 2022
Cancer patients’ accurate prognostic awareness should be facilitated earlier to reduce their risk of receiving aggressive end-of-life care, especially for avoiding chemotherapy/immunotherapy close to death.
The Importance of Prognostication: Impact of Prognostic Predictions, Disclosures, Awareness, and Acceptance on Patient Outcomes
- MedicineCurrent Treatment Options in Oncology
- 2021
A conceptual framework is used to highlight 5 key steps along the prognostic continuum, including prognostic formulation, disclosure, awareness, and acceptance, which may allow clinicians to provide personalized interventions towards personalizing prognostic disclosure, enhancing prognostic awareness, increasing prognostic acceptance, and supporting decision-making and, ultimately, improving patient outcomes.
The Impacts of Prognostic Awareness on Mood and Quality of Life Among Patients With Advanced Cancer
- Medicine, PsychologyThe American journal of hospice & palliative care
- 2020
Accurate prognostic awareness may pose harm and may provide no additional benefits in terms of QoL and mood among patients with advanced cancer for a short period of time.
Prognostic awareness, prognostic communication, and cognitive function in patients with malignant glioma
- Medicine, PsychologyNeuro-oncology
- 2017
Most MG patients were unaware of their LE and memory impairment may influence preferences for prognostic information, which is likely to influence preferred forms of communication.
References
SHOWING 1-10 OF 85 REFERENCES
Conceptualizing prognostic awareness in advanced cancer: A systematic review
- PsychologyJournal of health psychology
- 2014
This systematic review synthesizes the complex literature on prognostic awareness in cancer and highlights surprisingly low rates of prognostic Awareness in patients with advanced cancer as well as discrepancies in prognosticawareness assessment, suggesting the need for empirically validated measures of prognosis awareness.
The impact of patients' awareness of disease status on treatment preferences and quality of life among patients with metastatic cancer: a systematic review from 1997-2014.
- MedicineJournal of palliative medicine
- 2015
A systematic review of the published literature from 1997-2014 to evaluate the evidence of the impact of patients' awareness of disease status on treatment preferences and quality of life among patients with metastatic cancer found mixed findings.
Awareness of incurable cancer status and health-related quality of life among advanced cancer patients: A prospective cohort study
- Medicine, PsychologyPalliative medicine
- 2013
The findings demonstrate the importance of patients’ awareness of disease status to HRQOL, and patients with advanced cancer undergoing palliative chemotherapy experienced deterioratedHRQOL.
Prognostic awareness and the terminally ill.
- Psychology, MedicinePsychosomatics
- 2000
Depression was nearly three times greater among patients who did not acknowledge their prognosis, as compared with those who demonstrated partial or complete acknowledgment, and male patients, older patients, and those having "intense social contact" were associated with lower ratings of prognostic awareness.
Truth-telling in discussing prognosis in advanced life-limiting illnesses: a systematic review
- Medicine, PsychologyPalliative medicine
- 2007
A systematic review of 46 studies relating to truth-telling in discussing prognosis with patients with progressive, advanced life-limiting illnesses and their caregivers showed that although the majority of HPs believed that patients and caregivers should be told the truth about the prognosis, in practice many either avoid discussing the topic or withhold information.
Emergency department attendance by patients with cancer in their last month of life: a systematic review and meta-analysis.
- MedicineJournal of clinical oncology : official journal of the American Society of Clinical Oncology
- 2015
The findings may be used to develop screening interventions and assist policy-makers to direct resources and investigate previously neglected areas of research, including psychosocial factors, and patients' and caregivers' emergency care preferences.
Awareness of disease among Italian cancer patients: is there a need for further improvement in patient information? The Italian Group for the Evaluation of Outcomes in Oncology (IGEO).
- MedicineAnnals of oncology : official journal of the European Society for Medical Oncology
- 1999
A great lack of awareness of the severity and curability of their disease in a large group of unselected Italian cancer patients is suggested, which could be partly related to inadequacies in the process by which the Italian patient is informed.
A systematic review of prognostic/end-of-life communication with adults in the advanced stages of a life-limiting illness: patient/caregiver preferences for the content, style, and timing of information.
- Psychology, MedicineJournal of pain and symptom management
- 2007
Patients' expectations about effects of chemotherapy for advanced cancer.
- MedicineThe New England journal of medicine
- 2012
Many patients receiving chemotherapy for incurable cancers may not understand that chemotherapy is unlikely to be curative, which could compromise their ability to make informed treatment decisions that are consonant with their preferences.
Advanced cancer patients’ prognostic information preferences: a review
- MedicinePalliative medicine
- 2009
The evidence shows that all patients wanted honesty from their professional team and the vast majority wanted some broad indication of their prognosis, but that preferences for quantitative information were more varied and hope and realism were irreconcilable when presented with detailed or unequivocal information.