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

Cancer Medicine
Simon M CohenHolly G Prigerson

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 cancers (metastatic cancers that progressed after at least one chemotherapy regimen) were interviewed before and after clinic visits in which scan results were discussed. Patients reported pre- and postvisit if their cancer was at a late stage. Postvisit, patients reported if they discussed scan results with an oncologist or another oncology provider (i.e., oncology fellow, oncology resident, nurse practitioner, nurse, physician's assistant, or other). Logistic regression analysis was used to determine if the presence of an oncologist during scan results discussions differentially predicted the patients' likelihood of postvisit late-stage illness understanding (LSIU). Propensity weighting was used to correct for sociodemographi...Continue Reading

References

Jun 12, 1998·JAMA : the Journal of the American Medical Association·J C WeeksR S Phillips
Oct 1, 1963·Journal of Abnormal Psychology·S MILGRAM
Dec 9, 2004·JAMA : the Journal of the American Medical Association·Peter B BachColin B Begg
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Alexi A WrightHolly G Prigerson
Feb 13, 2009·The American Psychologist·Jerry M Burger
Feb 4, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer W MackHolly G Prigerson
Sep 28, 2010·Statistical Science : a Review Journal of the Institute of Mathematical Statistics·Elizabeth A Stuart
Oct 26, 2012·The New England Journal of Medicine·Jane C WeeksDeborah Schrag
Nov 15, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer W MackJane C Weeks
Nov 30, 2014·Journal of the National Cancer Institute·Elizabeth B LamontUNKNOWN Alliance for Clinical Trials in Oncology
Jun 23, 2015·Journal of Palliative Medicine·Roby A ThomasAlvin H Moss
Jul 17, 2015·JAMA Oncology·Ilona FridmanE Tory Higgins
Oct 7, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Andrea C EnzingerHolly G Prigerson
Nov 20, 2015·Clinical Journal of Oncology Nursing·Nessa CoyleCarma L Bylund
May 25, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Andrew S EpsteinPaul K Maciejewski

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