Accuracy of physician prognosis in heart failure and lung cancer: Comparison between physician estimates and model predicted survival

Palliative Medicine
Haider Javed WarraichRobb D Kociol

Abstract

Anticipating adverse outcomes guides decisions but can be particularly challenging in heart failure. We sought to assess the accuracy and comfort of physicians in predicting prognosis in heart failure. Cross-sectional survey Faculty and trainees in internal medicine, cardiology, and oncology estimated survival for three standardized patients: (1) 59-year-old patient with stage IV lung cancer; (2) 79-year-old woman with New York Heart Association class 4 heart failure symptoms and preserved ejection fraction; and (3) 40-year-old man with New York Heart Association class 3 heart failure symptoms and reduced ejection fraction of 20%. Survival predictions were derived from surveillance, epidemiology, and end results-Medicare database and the Seattle Heart Failure Model. Accuracy was defined as <2-fold difference between the clinician and model estimate. Totally, 79% (338/427) of participants responded. Physicians were more accurate in survival estimates for lung cancer than heart failure (74% vs 48%, respectively; p < 0.001). Cardiologists were more accurate in predicting survival in heart failure symptoms and reduced ejection fraction compared to generalists (67% vs 45%; p = 0.005) and oncologists (39%; p = 0.041) but no different...Continue Reading

References

Apr 1, 1972·British Medical Journal·C M Parkes
Feb 7, 2001·BMJ : British Medical Journal·C M Parkes
Aug 14, 2002·Cancer·Elizabeth B Lamont, Nicholas A Christakis
Jan 22, 2003·Journal of the American College of Cardiology·Frederick A MasoudiHarlan M Krumholz
Jun 19, 2010·The Oncologist·Christelle Clément-DuchêneYves Martinet
Jul 28, 2013·Circulation. Heart Failure·Ana C AlbaHeather J Ross

❮ Previous
Next ❯

Citations

Mar 13, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Takashi KuragaichiYukihito Sato
Mar 21, 2018·Circulation·Haider J WarraichAdrian F Hernandez
Oct 13, 2018·Journal of Palliative Medicine·Haider Javed WarraichRobert J Mentz
Jun 11, 2019·Cardiac Failure Review·Sarah H CrossHaider J Warraich
Dec 6, 2017·Current Opinion in Supportive and Palliative Care·Daisy J A JanssenMartijn A Spruit
Apr 10, 2020·The American Journal of Hospice & Palliative Care·Shelley L ThompsonMargaret Bowers
Oct 31, 2019·Medical Teacher·Jason A FreedDaniel N Ricotta
Jul 22, 2019·Current Diabetes Reports·Scott J PillaElbert S Huang
Jun 30, 2019·Current Heart Failure Reports·Thomas M CascinoGarrick C Stewart
Dec 29, 2018·European Journal of Heart Failure·Ravi B PatelMuthiah Vaduganathan
Jul 1, 2019·Annual Review of Sociology·Deborah Carr, Elizabeth A Luth
Feb 21, 2021·BMJ Supportive & Palliative Care·Jake TobinStephen Barclay
May 9, 2021·Journal of Cardiac Failure·Joseph M KimHaider J Warraich
Jun 6, 2021·Journal of Cardiac Failure·Laura P GelfmanNathan E Goldstein
Nov 16, 2021·JAMA : the Journal of the American Medical Association·Stephen J GreeneGregg C Fonarow

❮ Previous
Next ❯

Software Mentioned

MAGGIC
SHFM
Research Electronic Data Capture ( REDCap
Stata IC

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Cardiology
Wayne C Levy
Zhonghua xin xue guan bing za zhi
Xing-Jiu CaiLin Wang
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Christopher G SlatoreColin R Cooke
© 2022 Meta ULC. All rights reserved