Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey

Kistler, Christine E.; Lewis, Carmen L.; Amick, Halle R; Bynum, Debra L.; Walter, Louise C.; Watson, Lea C.

doi:10.1186/1471-2296-7-9

Cited by 28 publications

(46 citation statements)

References 30 publications

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“…Estimates of HALE by urologists and radiation oncologists [3] as well as by primary care providers [24] also had a high margin of error. In one study, 64% of patients felt that their physicians were “unskilled, ill-equipped, and uncomfortable with the task” of estimating HALE [24].…”

Section: Introductionmentioning

confidence: 99%

Self-rated health as a tool for estimating health-adjusted life expectancy among patients newly diagnosed with localized prostate cancer: a preliminary study

Mohan

Beydoun

et al. 2010

Qual Life Res

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Purpose Localized prostate cancer (LPC) patients are faced with numerous treatment options, including observation or watchful waiting. The choice of treatment largely depends on their baseline health-adjusted life expectancy (HALE). By consensus, physicians recommend treatment if the patient’s HALE is ten or more years. However, the estimation of HALE is difficult. Although subjective by nature, self-rated health (SRH) is a robust predictor of mortality. We studied the usefulness of SRH in estimating HALE in patients who are considering treatment for LPC. Methods A total of 144 LPC patients from a large urology private practice in Norfolk, Virginia, were surveyed before they had chosen a treatment option. Results HALE determined by SRH correlated well with objective health measures, and was higher than age-based life expectancy by an average of 2 years. The observed difference in life expectancy due to SRH adjustment was higher among patients with a better socioeconomic and health profile. Conclusions SRH is an easy-to-use indicator of HALE in LPC patients. A table for HALE estimation by age and SRH is provided for men aged 70-80 years. Additional research with larger samples and prospective study designs are needed before the SRH method can be used in primary care and urology settings.

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Section: Introductionmentioning

confidence: 99%

Self-rated health as a tool for estimating health-adjusted life expectancy among patients newly diagnosed with localized prostate cancer: a preliminary study

Mohan

Beydoun

et al. 2010

Qual Life Res

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“…However, older adults' life expectancy varies depending upon age and health status. Inaccuracies with estimating life expectancy are well described [7] and it is unclear whether physicians or patients take life expectancy into account when making medical decisions [8].…”

Section: Introductionmentioning

confidence: 99%

Interest in breast cancer chemoprevention among older women

Tjia

Micco

Armstrong

2007

Breast Cancer Res Treat

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“…A theoretical model was developed that describes the process of decision making by caregivers of family members with HF (see Figure 1). Triangulation is a method used by qualitative researchers to establish validity in their work (Guion, 2002). Theory triangulation involves the use of multiple theoretical perspectives to draw inferences or conclusions from a set of data in an effort to validate data findings (Watson, McKenna, Cowman, & Keady, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…However, not all caregivers and patients want information regarding the prognosis of the illness. Fried, Bradley, and O'Leary (2003) studied end-of-life care in cancer patients and found that many elders and caregivers are unable or unwilling to accept a prognosis of limited life expectancy despite previous reports indicating a desire for such disclosure. Hansen, Archbold, Stewart, Westfall, and Ganzini (2005) report that role strain for caregivers exists during the actual decision-making phase, as well as during the days, months, and years prior to the event and may continue after the decisions are made.…”

Section: Decision Making In Caregivingmentioning

confidence: 97%

A Process of Decision Making by Caregivers of Family Members With Heart Failure

Sanford¹,

Townsend-Rocchicciolli²,

Horigan³

et al. 2011

Res Theory Nurs Prac

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Heart failure (HF) is a major cardiovascular problem and the number of people living with HF continues to climb. Throughout the illness continuum, patients and their family caregivers are involved in decision making. As the illness worsens and patients can no longer make decisions, decision making becomes the responsibility of their caregivers who may have little preparation for the role. The purpose of this grounded theory study was to examine how caregivers of family members with HF make decisions. A nonlinear decision-making process consisting of several actions was identified, which included actualizing; seeking input, information, or support; reflecting; choosing; evaluating; and validating the decision.

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Older adults' beliefs about physician-estimated life expectancy: a cross-sectional survey

Cited by 28 publications

References 30 publications

Self-rated health as a tool for estimating health-adjusted life expectancy among patients newly diagnosed with localized prostate cancer: a preliminary study

Self-rated health as a tool for estimating health-adjusted life expectancy among patients newly diagnosed with localized prostate cancer: a preliminary study

Interest in breast cancer chemoprevention among older women

A Process of Decision Making by Caregivers of Family Members With Heart Failure

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