Patients’ understanding of treatment goals and disease course and their relationship with optimism, hope, and quality of life: a preliminary study among advanced breast cancer outpatients before receiving palliative treatment

Soylu, Cem; Babacan, Taner; Sever, Ali; Altundağ, Kadri̇

doi:10.1007/s00520-016-3182-6

Cited by 40 publications

(36 citation statements)

References 42 publications

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“…Accurate PA is associated with positive feelings like inner peace, positive reflections of life 35 and less uncertainty 7 . However, two studies found that accurate PA is associated with lack of optimism 33,56 . For the level of hope we also found mixed results, 38,53,56 showing both positive and negative associations with PA.…”

Section: Resultsmentioning

confidence: 56%

“…Three studies asked the patients to estimate their chance of curability by using either analogue scale, percentages, or Likert scale with options such as very likely, unlikely, 19,33,34,54 or dichotomous option yes/no 69 . In five studies participants were asked about the goal of treatment, but the options of answers differ across studies 17,50,56,62 . Three studies used questionnaires—Support Team Assessment Scale, 28 and Prognosis, Treatment Perception Scale 50 and Patients Illness Understanding Survey 70 .…”

Section: Resultsmentioning

confidence: 99%

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Factors associated with prognostic awareness in patients with cancer: A systematic review

Vlčková

Tučková

Poláková³

et al. 2020

Psycho-Oncology

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Objectives Prognostic awareness relates to patients' capacity to understand their prognosis and the likely illness trajectory. Based on the current evidence, accurate PA is associated with decrease in uncertainty, depresivity, and anxiety and with increase in quality of life. However, other studies found also negative associations of PA and quality of life and mental health. This systematic review synthesizes the available literature on factors associated with accurate prognostic awareness in patients with cancer. Methods Four databases were systematically searched for studies assessing prognostic awareness in patients with cancer. In these studies, we looked for factors positively or negatively associated with prognostic awareness. Included studies were critically appraised for methodological quality. Results We screened 28 078 studies and included 70. In these studies, 102 factors were found to be related to prognostic awareness positively or negatively. Identified factors were divided into seven groups: demographic factors, factors related to coping, health condition factors, psychological factors, factors associated with end‐of‐life care, factors related to communication, and factors related to relatives. Prognostic awareness differs according to age, personality, communication with doctor, disease stage, or being outpatient. For some factors such as depression, anxiety, or quality of life, higher level of these factors was found to be associated with accurate and inaccurate prognostic awareness. Conclusions Prognostic awareness is a complex phenomenon associated with various positive and negative associations for patients with cancer. Clinicians must consider individual preferences and values of patients and their families when discussing prognosis and must be prepared for potential adverse outcomes.

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Section: Resultsmentioning

confidence: 56%

Section: Resultsmentioning

confidence: 99%

Factors associated with prognostic awareness in patients with cancer: A systematic review

Vlčková

Tučková

Poláková³

et al. 2020

Psycho-Oncology

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“…20,23 Theme two: Individuals with advanced cancer who had inaccurate prognostic awareness 11 of the 14 papers reported the majority of individuals with advanced cancer had inaccurate prognostic awareness, that is, less than 50% reported in each study. 9, 15, 16-19, 21, 22, 24-26 Methods used to assess inaccurate prognostic awareness involved interviews with individuals with advanced cancer, 9,16,19,25 completed questionnaires 15,17,18,22,24,26 and secondary analysis of questionnaires. 21 There were variations with regards how these findings were reported.…”

Section: Primary Aim Of Literature Reviewmentioning

confidence: 99%

Prognostic awareness in advanced cancer: an integrative literature review

Mone

Kerr

2020

BMJ Support Palliat Care

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Individuals with advanced cancer who have accurate prognostic awareness are reported to make more informed decisions about their plan of care. Despite this, it is reported that individuals do not always have accurate prognostic awareness with the rationale for this discordance unclear. The primary aim of the integrative literature review was to identify if there is concordance between actual prognosis and accurate prognostic awareness in individuals with advanced cancer. The secondary aim was to identify the rationale for any discordance between actual prognosis and prognostic awareness in individuals with advanced cancer. This is an integrative literature review using a systematic approach. Literature searches were undertaken in March 2018 in four databases; CINAHL, MEDLINE, PsycINFO and Cochrane Library. Searches were limited to between 2008 and 2018 and those written in the English language. Database searches were supplemented with papers from reference lists of included papers and grey literature. Two reviewers independently completed the literature search and independently reviewed the papers. Fourteen eligible research papers were identified. The majority of individuals with advanced cancer in the included studies did not have accurate prognostic awareness. When identified, the rationale for discordance relates to the individual not being communicated accurate prognostic information, not being able to recall prognostic conversations or prognosis being discussed in vague terms. As individuals with advanced cancer with accurate prognostic awareness make more informed decisions at a crucial time in their life trajectory, it is imperative that healthcare professionals are equipped to effectively deliver accurate prognostic information, ensuring understanding is assessed.

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“…[ 6 ] Unfortunately, patients do not always understand the goal of the treatment. Soylu et al .,[ 7 ] when investigating breast cancer patients’ understanding of the goals of palliative chemotherapy, found 58% of patients included in their study believed palliative chemotherapy would cure them. Similarly, Weis and Boehncke[ 8 ] found that 69% of patients with lung cancer and 81% with colorectal cancer did not understand the goal of the treatment.…”

Section: Introductionmentioning

confidence: 99%

Palliative chemotherapy: The perspectives and experiences of south african nurses

Maree

Potgieter

2018

Asia-Pacific Journal of Oncology Nursing

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Objective:The objective of this study was to describe the perspectives and experiences of South African nurses caring for patients receiving palliative chemotherapy.Methods:A qualitative descriptive design was used and purposive sampling allowed us to select 11 nurses practising in a private ambulatory cancer care center in Port Elizabeth. In-depth interviews, guided by three broad themes were conducted and analyzed using qualitative content analyses. Data saturation determined the sample size.Results:Two themes emerged from the data – the patients cling to hope and the positive influence of palliative chemotherapy. The participants believed that patients consenting to palliative chemotherapy were clinging to false hope. They were also of the opinion that family members pressurize patients to consent to treatment. The participants experienced palliative chemotherapy positively, especially when an improvement in the patients’ quality of life or pain relief was evident. Fatigue was highlighted as the major side effect, but it did not temper the participants’ positive attitudes toward the treatment.Conclusions:Although the participants believed that patients cling to hope and consent to palliative chemotherapy because they hope to be cured, they experienced the treatment as positive. For them, the improvement in pain and quality of life outweighed the side effects the patients experienced. The positive attitude patients upheld while receiving this treatment encouraged them. Nurses should gain more knowledge about the meaning, people living with advanced cancer, attach to hope to prevent them from interpreting patients’ hope as denial and false.

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Patients’ understanding of treatment goals and disease course and their relationship with optimism, hope, and quality of life: a preliminary study among advanced breast cancer outpatients before receiving palliative treatment

Cited by 40 publications

References 42 publications

Factors associated with prognostic awareness in patients with cancer: A systematic review

Factors associated with prognostic awareness in patients with cancer: A systematic review

Prognostic awareness in advanced cancer: an integrative literature review

Palliative chemotherapy: The perspectives and experiences of south african nurses

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