Patient–oncologist communication in advanced cancer: predictors of patient perception of prognosis

Robinson, Tracy M.; Alexander, Stewart C.; Hays, Margie; Jeffreys, Amy S.; Olsen, Maren K.; Rodriguez, Keri L.; Pollak, Kathryn I.; Abernethy, Amy P.; Arnold, Robert M.; Tulsky, James A.

doi:10.1007/s00520-007-0372-2

Cited by 124 publications

(126 citation statements)

References 33 publications

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“…In the present study, the cps was disclosed in only 28% of cases. Many articles suggest that most patients with incurable cancer are keen on receiving information regarding their prognosis [1][2][3]15,16 . Most patients would like to know their predicted survival, although physician and patient predictions are largely discordant 17 .…”

Section: Discussionmentioning

confidence: 99%

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Can Oncologists Predict Survival for Patients with Progressive Disease After Standard Chemotherapies?

et al. 2014

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Section: Discussionmentioning

confidence: 99%

“…Many cancer patients want to obtain information about their prognosis in a direct and honest manner [1][2][3] . Nevertheless, clinicians are often averse to predicting survival 4 and divulging prognostic information 5 , possibly because breaking bad news to a patient can be stressful for the physician.…”

Section: Introductionmentioning

confidence: 99%

Can Oncologists Predict Survival for Patients with Progressive Disease After Standard Chemotherapies?

et al. 2014

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“…Another study reported that patients' perceptions of disease risks and development influenced their attitude towards treatment preferences, [19] and that an effective communication about prognosis is a prerequisite to define goals of care, making treatment decisions, and planning for the future. [20] This clearly indicates how nourishing the knowledge of cancer patients and enhancing their perception can influence their attitude to communicate such needs to CNCs. Cancer treatments are stressful and their clinical pathway is filled with complications, such as opportunistic infections and medication side effects.…”

Section: Discussionmentioning

confidence: 99%

Self-reported awareness and attitude of cancer patients towards clinical nurse coordinators

Deeb

Alkaiyat

Hlal

et al. 2017

JNEP

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Background and objective: Lack of knowledge or poor perception towards the roles and responsibilities of clinical nurse coordinators among cancer patients might lead to a decrease in seeking their services. The objective of the study was to assess the knowledge, perception and attitude towards clinical nurse coordinators among cancer patients at a specialized cancer center in Jordan.Methods: This is a cross sectional study that was conducted by distributing a self-reported and anonymous survey to 240 cancer patients visiting the center. The survey questioned some patient characteristics such as sex, age, educational level, marital status, disease type and duration, type of therapy. The patients' knowledge (12-statement), the perception (9-statement) regarding the actual roles/responsibilities of coordinators and the attitude (5-statement) towards seeking their services were measured. Responses on Likert scales were converted to percentage mean scores.Results: The overall percentage mean scores ± standard deviation of knowledge was 59 ± 17, perception towards clinical nurse coordinators (79 ± 14) and attitude towards seeking their services (69 ± 16). Linear regression showed that participants on chemotherapy had significantly better perception (higher scores) compared to participants on concurrent therapies (β = -3.91, p = .049). Participants with higher knowledge scores had better perception indicating a better comprehension about the clinical nurse coordinators' roles, compared to those with lower knowledge percentage mean scores (β = 0.13, p = .019). Female patients had higher percentage mean score of attitude compared to male particpants (β = -3.77, p = .034). Better perception of Clinical nurse coordinators (CNCs) among cancer patients was significantly more associated with a more positive attitude towards seeking CNC services (β = 0.72, p < .001). Conclusions:Patients' knowledge about the roles and responsibilities of nurse coordinators is associated with a better patients' perception towards coordinators, which in return is associated with a more positive attitude towards seeking their services. Special consideration should be paid for patients on concurrent therapies who were more likely to have poorer perception towards clinical care coordinators compared to patients on chemotherapy. In addition, coordinators are expected to observe a more negative attitude towards seeking their services among male cancer patients.

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“…65,66 Patients, surrogates, and clinicians filter prognostic information with optimism, limiting effective information sharing. [67][68][69][70] Research is needed to examine new and effective methods to share prognostic information with patients and their families. 4.…”

Section: -31mentioning

confidence: 99%

Research Priorities for Geriatric Palliative Care: Goals, Values, and Preferences

Hanson¹,

Winzelberg²

2013

Journal of Palliative Medicine

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Older patients and their families desire control over health decisions in serious illness. Experts recommend discussion of prognosis and goals of care prior to decisions about treatment. Having achieved longevity, older persons often prioritize other goals such as function, comfort, or family support-and skilled communication is critical to shift treatment to match these goals. Shared decision making is the ideal approach in serious illness. Older patients desire greater family involvement; higher rates of cognitive impairment mean greater dependency on surrogates to make decisions. Despite the importance of communication, fewer than half of older patients or families recall treatment discussions with clinicians, and poor quality communication adversely affects family satisfaction and patient outcomes. Direct audiorecording of clinical encounters and longitudinal studies of communication and treatment decisions have yielded important insights into the quality of clinical communication. Current clinical practice rarely meets standards for shared decision making. Innovative methods to record and use patient preferences show promise to overcome the limitations of traditional advance directives. Decision aids, intensive clinician training, and structured interpersonal communication interventions have all been shown to be effective to improve the quality of communication and decision making. Priorities for geriatric palliative care research, building on these insights, now include empirical testing of communication approaches for surrogates and for diverse populations, exploration of meaningful ways to communicate prognosis, and expansion of intervention research.What Defines Quality in Health Care Communication?

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Patient–oncologist communication in advanced cancer: predictors of patient perception of prognosis

Cited by 124 publications

References 33 publications

Can Oncologists Predict Survival for Patients with Progressive Disease After Standard Chemotherapies?

Can Oncologists Predict Survival for Patients with Progressive Disease After Standard Chemotherapies?

Self-reported awareness and attitude of cancer patients towards clinical nurse coordinators

Research Priorities for Geriatric Palliative Care: Goals, Values, and Preferences

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