2018
DOI: 10.1002/cam4.1389
|View full text |Cite
|
Sign up to set email alerts
|

Being present: oncologists' role in promoting advanced cancer patients' illness understanding

Abstract: Realistic illness understanding is essential to an advanced cancer patient's ability to make informed medical decisions at the end of life. This study sought to determine whether advanced cancer patients better understood the late stage of their cancer if an oncologist, compared to other members of the care team, was present to discuss their scan results. Data were derived from a multi‐institutional, longitudinal cohort study of patients recruited between 2010 and 2015. Patients (n = 209) with late‐stage cance… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1

Citation Types

0
7
0

Year Published

2018
2018
2022
2022

Publication Types

Select...
6

Relationship

1
5

Authors

Journals

citations
Cited by 8 publications
(7 citation statements)
references
References 19 publications
0
7
0
Order By: Relevance
“…The second most often used method was asking patients about the curability of their disease and offering three options to answer: (a) the disease is curable; (b) the disease might recur in the future; (c) the disease cannot be cured and they would probably die in future 9 . Cohen et al used question about the stage of the disease with five options (no evidence, early stage, middle stage, late stage, and end of cancer) and last two options were considered to be accurate 15 . In two studies, patients were asked about the stage of their disease and this information was compared to their medical records 52 .…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The second most often used method was asking patients about the curability of their disease and offering three options to answer: (a) the disease is curable; (b) the disease might recur in the future; (c) the disease cannot be cured and they would probably die in future 9 . Cohen et al used question about the stage of the disease with five options (no evidence, early stage, middle stage, late stage, and end of cancer) and last two options were considered to be accurate 15 . In two studies, patients were asked about the stage of their disease and this information was compared to their medical records 52 .…”
Section: Resultsmentioning
confidence: 99%
“…9 Cohen et al used question about the stage of the disease with five options (no evidence, early stage, middle stage, late stage, and end of cancer) and last two options were considered to be accurate. 15 In two studies, patients were asked about the stage of their disease and this information was compared to their medical records. 52 Similarly, in one study patients were asked if their cancer is stable, better, or worse and their ratings were compared with physician.…”
Section: Pa Measurementsmentioning
confidence: 99%
“…This emerging team approach raises the question, Are there times when an oncologist is necessary? For an oncologist, that question is self evident, but in the palliative care setting, that question was recently asked by Simon et al 6 with regard to the patient’s understanding of his or her disease. In a large cohort study of 277 patients with late-stage cancer who had less than 6 months to live, patients were twice as likely to state that their disease was advanced if the oncologist was in the room when their scan was discussed compared with any other team member such as an oncology fellow, resident, or nurse practitioner.…”
mentioning
confidence: 99%
“…Recent studies indicate that 38% of patients who are a median of 4 months from death acknowledged that they were terminally ill, 7 but only 5% of terminally ill patients reported a complete understanding of their prognosis. 8 Among the study cohort in the report by Simon et al, 6 nearly 50% of the scans were reviewed by an oncologist only, whereas nearly 30% of the scans were reviewed by a nononcologist provider (eg, oncology fellow or physician extender). When an oncologist was present, patients were significantly more likely to understand that their disease was late stage.…”
mentioning
confidence: 99%
See 1 more Smart Citation