Cancer Patients, Oncologists Have Discordant Opinions on Prognosis

This article originally appeared here.
Share this content:
Cancer Patients, Oncologists Have Discordant Opinions on Prognosis
Cancer Patients, Oncologists Have Discordant Opinions on Prognosis

FRIDAY, July 15, 2016 (HealthDay News) -- Cancer patients and their oncologists often hold different opinions about the patient's chances for survival and how long they might live, according to a study published online July 14 in JAMA Oncology.

Researchers asked 236 patients with advanced cancer about their prognosis. The 38 oncologists who treated them independently said they would "not have been surprised" if their patients died within a year. The team also asked whether patients knew that their opinions about their prognosis differed from those of their oncologists and the extent to which life expectancy influenced treatment options.

The researchers found that 68 percent of patients rated their odds for survival differently from their oncologists. Almost all patients were more optimistic than their oncologist. Of the 68 percent, only 10 percent understood that their views and their oncologist's differed. Seven out of 10 patients surveyed said they would opt for supportive care rather than aggressive treatment as the end of their lives neared. To make an informed decision, however, patients need to know when death is imminent, the researchers said.

"Our findings suggest that patient-oncologist prognostic discordance is common in advanced cancer and that it is usually due to patients not knowing their oncologists' prognosis opinions," the authors write. "This study supports the urgent clinical and societal need to better understand what it means to communicate well about prognosis to achieve treatment that honors patients' values, preferences, and wishes."

Abstract
Full Text
Editorial

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions

More in Home

Deaths, Cardiac Arrest Not Rare in Triathlon Participants

Deaths, Cardiac Arrest Not Rare in Triathlon Participants

Incidence of death or cardiac arrest 1.74 per 100,000 participants; higher incidence in men, with age

ACP Does Not Support Legalization of Assisted Suicide

ACP Does Not Support Legalization of Assisted Suicide

Legalization would affect trust in the patient-physician relationship, and in the medical profession

AAP: Epinephrine Admin Training Needed in Many Schools

AAP: Epinephrine Admin Training Needed in Many Schools

In 2015 to 2016, 2.7 percent reported that epinephrine was administered by unlicensed staff

is free, fast, and customized just for you!

Already a member?

Sign In Now »