Awareness of incurable cancer status and health-related quality of life among advanced cancer patients: A prospective cohort study

Lee, Myung Kyung; Baek, Sun Kyung; Kim, Sang Yong; Heo, Dae Seog; Yun, Young Ho; Park, Sook Ryun; Kim, Jun Suk

doi:10.1177/0269216311429042

Cited by 55 publications

(79 citation statements)

References 46 publications

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“…However, we did not find an association between information provision and illness perceptions for patients with mCRC. In comparison, a recent study showed that patient awareness of incurable disease was associated with improvements in health status, 40 because they were better able to understand and manage their symptoms.…”

Section: Husson Et Al Discussionmentioning

confidence: 97%

Information Provision and Patient Reported Outcomes in Patients with Metastasized Colorectal Cancer: Results from the PROFILES Registry

Husson

Thong

Mols

et al. 2013

Journal of Palliative Medicine

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Background: Patients with metastasized colorectal cancer (mCRC) have different information needs compared with patients with nonmetastatic colorectal cancer (CRC). Appropriate information provision leads to better patient reported outcomes for patients with nonmetastatic disease. Objective: To measure the perceived level of, and satisfaction with, information received by patients with mCRC as compared with those with nonmetastatic (stage I,II,III) CRC. Also, associations of information provision with health status, anxiety, depression, and illness perceptions were investigated. Results: The perceived receipt of information was quite comparable between CRC patients with and without mCRC. Only perceived receipt of treatment information was higher for patients with mCRC (45 versus 37; p < 0.01). Sixty percent of the patients with mCRC were satisfied with the amount of received information and almost 30% wanted to receive more information. The perceived receipt of more disease information and information about other services was associated with worse health outcomes, whereas satisfaction with the received information was not associated with health outcomes Conclusion: The findings of this study indicate that some improvements can be made in the provision of information to patients with mCRC. Adequate assessment of information needs of mCRC patients, as well as appropriate responses to these needs by providing the information in an appropriate way could possibly lead to improvements in patient satisfaction.

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Section: Husson Et Al Discussionmentioning

confidence: 97%

Information Provision and Patient Reported Outcomes in Patients with Metastasized Colorectal Cancer: Results from the PROFILES Registry

Husson

Thong

Mols

et al. 2013

Journal of Palliative Medicine

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“…In a previous study, the all-cause and cancer-specific survival of a cancer-status-aware group was 1.3-fold higher than that of a non-aware group [5]. Additionally, a group of patients who were aware of having incurable cancer showed a higher health-related quality of life than patients who were unaware of that status [6].…”

Section: Introductionmentioning

confidence: 82%

Discordance between Perceived and Actual Cancer Stage among Cancer Patients in Korea: A Nationwide Survey

et al. 2014

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PurposeWe assessed the accuracy of communication between doctors and patients by evaluating the consistency between patient perception of cancer stage and the medical records, and analyzed the most influential factors of incongruence among cancer patients at 10 cancer centers across Korea.MethodsInformation was gathered from cancer patients at the National Cancer Center and nine regional cancer centers located in every province of Korea between 1 July 2008 and 31 August 2008. Data were analyzed using Pearson's χ2 test and multivariate logistic regression analysis.ResultsThe stages of cancer reported by the 1,854 patients showed a low degree of congruence with the stages given in medical records (k = 0.35, P<0.001). Only 57.1% of the patients had accurate knowledge of their cancer stage. In total, 18.5% underestimated their stage of disease, and the more advanced the cancer stage, the more likely they were to underestimate it, in order of local (14.2%), regional (23.7%), and distant (51.6%). Logistic regression analysis showed that congruence was lower in patients with cervical cancer (odds ratio [OR] = 0.51, 95% confidence interval [CI] = 0.30–0.87), recurrence (OR = 0.64, 95% CI = 0.50–0.83), and treatment at the National Cancer Center (OR = 0.53, 95% CI = 0.39–0.72).ConclusionThere are knowledge gaps between patients' perceived and actual stage of cancer. Patients with cervical cancer, recurrence, and who received treatment at a regional cancer center showed less understanding of their cancer stage.

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“…Yet, in many cultures, such as in collectivist Asian and Muslim cultures, illness is a shared family affair, and concealing the truth is a common practice, whereas in Western cultures, the disclosure of diagnosis and terminal prognosis is regarded as patient autonomy [8]. Relating to these issues, the prognostic awareness of patients with cancer has generated a growing interest among researchers [9][10][11][12][13]. However, the prevalence of disease prognosis and perception of treatment purpose were inconsistent in these studies.…”

Section: Introductionmentioning

confidence: 99%

Patients’ understanding of treatment goals and disease course and their relationship with optimism, hope, and quality of life: a preliminary study among advanced breast cancer outpatients before receiving palliative treatment

Soylu

Babacan

Sever

et al. 2016

Support Care Cancer

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A large proportion of patients diagnosed with advanced breast cancer believed that their treatment was "curative", and they would improve within a year. Findings of our study suggest that patients with inaccurate perception of treatment intent and unrealistic expectation of prognosis have higher hope and optimism scores than those who do not, but there were no significant differences in terms of global health status.

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Awareness of incurable cancer status and health-related quality of life among advanced cancer patients: A prospective cohort study

Abstract: Our findings demonstrate the importance of patients' awareness of disease status to HRQOL.

Cited by 55 publications

References 46 publications

Information Provision and Patient Reported Outcomes in Patients with Metastasized Colorectal Cancer: Results from the PROFILES Registry

Information Provision and Patient Reported Outcomes in Patients with Metastasized Colorectal Cancer: Results from the PROFILES Registry

Discordance between Perceived and Actual Cancer Stage among Cancer Patients in Korea: A Nationwide Survey

Patients’ understanding of treatment goals and disease course and their relationship with optimism, hope, and quality of life: a preliminary study among advanced breast cancer outpatients before receiving palliative treatment

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