Prognostic significance of the "surprise" question in cancer patients.

  title={Prognostic significance of the "surprise" question in cancer patients.},
  author={Alvin Howard Moss and June R Lunney and Stacey L. Culp and Miklos Auber and Sobha Kurian and John Penrose Rogers and Joshua Dower and J. -P. Abraham},
  journal={Journal of palliative medicine},
  volume={13 7},
BACKGROUND Physicians consistently overestimate survival for patients with cancer. The "surprise" question--"Would I be surprised if this patient died in the next year?"--improves end-of-life care by identifying patients with a poor prognosis. It has not been previously studied in patients with cancer. OBJECTIVE To determine the efficacy of the surprise question in patients with cancer. DESIGN Prospective cohort study. SETTING Academic cancer center. PATIENTS 853 consecutive patients… CONTINUE READING
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