Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F21%3AN0000066" target="_blank" >RIV/00064190:_____/21:N0000066 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11120/21:43921386 RIV/00216208:11110/21:10426505 RIV/00216208:11230/21:10426505 RIV/00064165:_____/21:10426505

Výsledek na webu

<a href="http://dx.doi.org/10.1002/pon.5704" target="_blank" >http://dx.doi.org/10.1002/pon.5704</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/pon.5704" target="_blank" >10.1002/pon.5704</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

Popis výsledku v původním jazyce

Objective The aim of this study was to analyse longitudinal development of prognostic awareness in advanced cancer patients and their families. Methods This was a longitudinal cohort study, involving 134 adult cancer patients, 91 primary family caregivers and 21 treating oncologists. Key eligibility criterion for patients was life expectancy less than 1 year (estimated by their oncologists using the 12-month surprised question). Structured interviews, including tools to measure prognostic awareness, health information needs, and demographics were conducted face to face or via phone three times over 9 months. Forty-four patients completed all three phases of data collection. Results Only 16% of patients reported accurate prognostic awareness, 58% being partially aware. Prognostic awareness of both patients and family caregivers remained stable over the course of the study, with only small non-significant changes. Gender, education, type of cancer, spirituality or health information needs were not associated with the level of prognostic awareness. Family caregivers reported more accurate prognostic awareness, which was not associated with patients' own prognostic awareness (agreement rate 59%, weighted kappa 0.348, CI = 0.185-0.510). Conclusions Prognostic awareness appears to be a stable concept over the course of the illness. Clinicians must focus on the initial patients' understanding of the disease and be able to communicate the prognostic information effectively from the early stages of patients' trajectory.

Název v anglickém jazyce

Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study

Popis výsledku anglicky

Objective The aim of this study was to analyse longitudinal development of prognostic awareness in advanced cancer patients and their families. Methods This was a longitudinal cohort study, involving 134 adult cancer patients, 91 primary family caregivers and 21 treating oncologists. Key eligibility criterion for patients was life expectancy less than 1 year (estimated by their oncologists using the 12-month surprised question). Structured interviews, including tools to measure prognostic awareness, health information needs, and demographics were conducted face to face or via phone three times over 9 months. Forty-four patients completed all three phases of data collection. Results Only 16% of patients reported accurate prognostic awareness, 58% being partially aware. Prognostic awareness of both patients and family caregivers remained stable over the course of the study, with only small non-significant changes. Gender, education, type of cancer, spirituality or health information needs were not associated with the level of prognostic awareness. Family caregivers reported more accurate prognostic awareness, which was not associated with patients' own prognostic awareness (agreement rate 59%, weighted kappa 0.348, CI = 0.185-0.510). Conclusions Prognostic awareness appears to be a stable concept over the course of the illness. Clinicians must focus on the initial patients' understanding of the disease and be able to communicate the prognostic information effectively from the early stages of patients' trajectory.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30204 - Oncology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

PSYCHO-ONCOLOGY

ISSN

1057-9249

e-ISSN

1099-1611

Svazek periodika

30

Číslo periodika v rámci svazku

9

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

8

Strana od-do

1449-1456

Kód UT WoS článku

000643413700001

EID výsledku v databázi Scopus

2-s2.0-85104822287