Association between early informed diagnosis and survival time in patients with lung cancer

Su, Tong; He, Chen; Li, Xiaopan; Xiao, Lei; He, Jingwen; Bai, Yonghai; Tang, Yue

doi:10.1002/pon.5360

Cited by 16 publications

(14 citation statements)

References 33 publications

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“…On the contrary, without knowing their cancer condition results in an uncompleted understanding of their diagnosis, which would hurt the trust relationship between patients and physicians [22]. Depending on a study of a total of 127 cancer patients and their caregivers, no signi cant difference was found before and after disclosing the cancer diagnosis to patients, while the quality of life could be improved with psychological care intervention [23].We have found that knowing their cancer status would carry a better survival rate in patients with lung cancer, while there were few studies about this issue in breast cancer patients [24].…”

Section: Introductionmentioning

confidence: 91%

Knowing Cancer Diagnosis is a Protective Factor for the Survival of Patients With Breast Cancer : A Retrospective Cohort Study

Zhu

Tang

et al. 2020

Preprint

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Background: The health burden of breast cancer is rising in China. The effect of informed diagnosis on long-term survival has not been fully understood. This retrospective cohort study aims at exploring the association between early informed diagnosis and survival time in breast cancer patients.Methods: 12,327 breast cancer patients were enrolled between October 2002 and December 2016. Potential factors including knowing cancer diagnosis status, gender, age, clinical-stage, surgical history, the grade of reporting hospital and diagnostic year were registered. We followed up all participants every 6 months until June 2017.Results: By June 2017, 18.04% of the participants died of breast cancer. Both the 3-year and 5-year survival rate of whom knew cancer diagnosis were longer (P<0.001). By stratified analysis, except subgroups of male patients and patients in stage III, patients knowing diagnosis showed a better prognosis in all the other subgroups (P<0.05). By Cox regression analysis, it was showed that not knowing cancer diagnosis was an independent risk factor for survival in breast cancer patients (P<0.001).Conclusions: Being aware of their cancer diagnosis plays a protective role in extending the survival time in breast cancer patients, which suggests medical staff and patients’ families disclose cancer diagnosis to patients timely.

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Section: Introductionmentioning

confidence: 91%

Knowing Cancer Diagnosis is a Protective Factor for the Survival of Patients With Breast Cancer : A Retrospective Cohort Study

Zhu

Tang

et al. 2020

Preprint

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“…Patients' actual awareness of diagnosis and prognosis was measured in 14 studies. 19,31,32,34,35,39,[43][44][45][46][47][48][49][50]…”

Section: Patients' Actual Awarenessmentioning

confidence: 99%

Information disclosure to cancer patients in Mainland China: A meta‐analysis

et al. 2023

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Objective This study aims to systematically examine Chinese cancer patients' and families' preferences for information disclosure to the patient, patient awareness, and predictors of patient awareness. Methods The Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines were followed. Web of Science, Scopus, Proquest, Taylor & Francis Online, and China National Knowledge Infrastructure were searched in April 2022 and Chinese Biomedical Literature Database in July 2022 for quantitative studies. The Mixed Methods Appraisal Tool was used for quality assessment. Results A total of 22 studies were included, and the average quality score was 0.65/1. Meta‐analyses showed that 89.6% and 81.8% of cancer patients wanted to know their diagnosis and prognosis, respectively. Meanwhile, 50.0% and 32.4% of families prefer diagnosis disclosure and prognosis disclosure to the patient, respectively. Significantly more patients than families favored disclosure to the patient. In reality, only 59.3% of cancer patients know their diagnosis, and 19.9% know their prognosis. For predictors, while patients' gender, cancer type (breast cancer or not), treatment method (operation or other), or complications (yes or no) do not influence diagnosis awareness, being younger, being married, having higher educational attainment, having early‐stage rather than late‐stage cancer, and being in a higher‐grade hospital all predict better chances of knowing a diagnosis. No study explored predictors of patients' prognosis awareness. The findings did not vary according to publication time or sample size. Conclusions Chinese cancer patients are eager to know their diagnosis and prognosis, but families are hesitant about disclosure to the patient, and patients' awareness is low. While cultural, legal, and medical backgrounds lay the foundation for information disclosure in Mainland China, case‐by‐case practical factors also make a difference.

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“…A higher patient's score indicates stronger loneliness. DT is used to reflect the average pain experienced by the patient in the last week, with 1-3 points for mild pain, 4-6 points for moderate pain, 7-9 points for severe pain and 10 points for extreme pain [11,12] .…”

Section: Comparison Of Poms-sf University Of California Los Angeles L...mentioning

confidence: 99%

Effects of Perioperative Psychological Reinforcement Intervention on Negative Emotion and Quality of Life in Lung Cancer Patients

Lin¹,

Lin²

2021

ijps

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To study the effects of perioperative psychological reinforcement intervention on negative emotion and quality of life in lung cancer patients is the main objective. 120 lung cancer patients were selected and divided into two groups: experimental group and control group. The control group was given routine nursing and the experimental group was given psychological nursing. The difference in profile of mood states-short form scores, University of California, Los Angeles loneliness scale and distress tolerance scores, European organisation for research and treatment of cancer quality of life questionnaire C30 scores between the two groups before and after the intervention was comparatively analyzed to reveal the correlation between negative emotions and quality of life as well as the effects of psychological reinforcement interventions on negative emotions and quality of life. The difference in profile of mood states-short form scores, University of California, Los Angeles loneliness scale and distress tolerance scores between the two groups after the intervention were observed. Where, the total profile of mood states-short form score was (17.28±5.41) points in the experimental group and (37.62±11.50) points in the control group after the intervention. Correlation between negative emotions and quality of life was shown and psychological reinforcement intervention had significant impact on negative emotions and quality of life. Perioperative psychological reinforcement intervention can significantly improve negative emotions in lung cancer patients, improving patient satisfaction and prognosis.

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Association between early informed diagnosis and survival time in patients with lung cancer

Cited by 16 publications

References 33 publications

Knowing Cancer Diagnosis is a Protective Factor for the Survival of Patients With Breast Cancer : A Retrospective Cohort Study

Knowing Cancer Diagnosis is a Protective Factor for the Survival of Patients With Breast Cancer : A Retrospective Cohort Study

Information disclosure to cancer patients in Mainland China: A meta‐analysis

Effects of Perioperative Psychological Reinforcement Intervention on Negative Emotion and Quality of Life in Lung Cancer Patients

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