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 S. 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… Expand
View on SAGE
ncbi.nlm.nih.gov
53 Citations
Highly Influential Citations
1
Background Citations
9
Methods Citations
1

53 Citations

Citation Type

Citation Type

Prognostic awareness in advanced cancer: an integrative literature review
TLDR
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. Expand
Prognostic Awareness in Advanced Disease: A Review Update and Concept Analysis
TLDR
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. Expand
The Effect of Prognostic Communication on Patient Outcomes in Palliative Cancer Care: a Systematic Review
TLDR
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. Expand
The Importance of Prognostication: Impact of Prognostic Predictions, Disclosures, Awareness, and Acceptance on Patient Outcomes
TLDR
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. Expand
The Impacts of Prognostic Awareness on Mood and Quality of Life Among Patients With Advanced Cancer
  • EunKyo Kang, Jung Hun Kang, +15 authors Young Ho Yun
  • Medicine
  • The American journal of hospice & palliative care
  • 2020
TLDR
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. Expand
Prognostic awareness, prognostic communication, and cognitive function in patients with malignant glioma
TLDR
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. Expand
Prognostic tools or clinical predictions: Which are better in palliative care?
TLDR
Although four commonly used prognostic algorithms for palliative care generally showed good discrimination and calibration, none of them demonstrated superiority to clinical predictions of survival (CPS). Expand
Transitions in Prognostic Awareness Among Terminally Ill Cancer Patients in Their Last 6 Months of Life Examined by Multi-State Markov Modeling.
TLDR
Health care professionals should appropriately assess patients' readiness for prognostic information and respect patients' reluctance to confront their poor prognosis if they are not ready to know, but sensitively coach them to cultivate their accurate prognostic awareness in a timely manner. Expand
Palliative Chemotherapy or Radiation and Prognostic Understanding among Advanced Cancer Patients: The Role of Perceived Treatment Intent.
TLDR
Depending on patient perceptions of curative intent, receipt of palliative chemotherapy or radiation is associated with better or worse prognostic understanding, and research should examine if enhancing patients' understanding of treatment intent can improve accurate prognostic expectations. Expand
Don’t Shoot the Messenger: Experiences of Delivering Prognostic Information in the Context of Advanced Cancer
TLDR
The present study draws on the experiences of experts in the field of palliative care in order to examine the communication of prognostic information and highlights the need for clinicians to join with patients to ensure that prognostic Information is well understood. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 85 REFERENCES
Conceptualizing prognostic awareness in advanced cancer: A systematic review
TLDR
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. Expand
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.
TLDR
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. Expand
Communicating prognosis in cancer care: a systematic review of the literature.
TLDR
It was found that the majority of the published research has been conducted in the early stage cancer setting providing mostly descriptive evidence, and there is little evidence of the best method of communicating prognosis or of the impact of prognostic information on patient outcomes. Expand
Awareness of incurable cancer status and health-related quality of life among advanced cancer patients: A prospective cohort study
TLDR
The findings demonstrate the importance of patients’ awareness of disease status to HRQOL, and patients with advanced cancer undergoing palliative chemotherapy experienced deterioratedHRQOL. Expand
Prognostic awareness and the terminally ill.
TLDR
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. Expand
Truth-telling in discussing prognosis in advanced life-limiting illnesses: a systematic review
TLDR
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. Expand
Emergency department attendance by patients with cancer in their last month of life: a systematic review and meta-analysis.
  • L. Henson, W. Gao, +4 authors B. Daveson
  • Medicine
  • Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2015
TLDR
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. Expand
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).
  • Medicine
  • Annals of oncology : official journal of the European Society for Medical Oncology
  • 1999
TLDR
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. Expand
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.
TLDR
Although there were individual differences, patients/caregivers in general had high levels of information need at all stages of the disease process regarding the illness itself, likely future symptoms and their management, and life expectancy and information about clinical treatment options. Expand
Patients' expectations about effects of chemotherapy for advanced cancer.
TLDR
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. Expand
...
1
2
3
4
5
...