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
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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
...