How long do I have? Observational study on communication about life expectancy with advanced cancer patients

Patient Education and Counseling
I HenselmansH W M van Laarhoven

Abstract

To examine how communication about life expectancy is initiated in consultations about palliative chemotherapy, and what prognostic information is presented. Patients with advanced cancer (n=41) with a median life expectancy <1year and oncologists (n=6) and oncologists-in-training (n=7) meeting with them in consultations (n=62) to discuss palliative chemotherapy were included. Verbatim transcripts of audio-recorded consultations were analyzed using MAXqda10. Life expectancy was addressed in 19 of 62 of the consultations. In all cases, patients took the initiative, most often through direct questions. Estimates were provided in 12 consultations in various formats: the likelihood of experiencing a significant event, point estimates or general time scales of "months to years", often with an emphasis on the "years". The indeterminacy of estimates was consistently stressed. Also their potential inadequacy was regularly addressed, often by describing beneficial prognostic predictors for the specific patient. Oncologists did not address the reliability or precision of estimates. Oncologists did not initiate talk about life expectancy, they used different formats, emphasized the positive and stressed unpredictability, yet not ambiguity...Continue Reading

Citations

Oct 5, 2018·Death Studies·Daniel LowrieMatthew Yau
Jan 10, 2019·Pediatric Blood & Cancer·Bryan A SiskLiza-Marie Johnson
Nov 18, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joshua J FentonRonald M Epstein
Jan 23, 2020·Pediatric Blood & Cancer·Bryan A SiskJennifer W Mack
Feb 6, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Phyllis N ButowRonald M Epstein
Aug 11, 2020·The American Journal of Hospice & Palliative Care·Jennifer M TaberDenice K Sheehan
Jan 18, 2020·Current Treatment Options in Oncology·Christina ChuPatrick Stone
May 10, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Amy WallerRob Sanson-Fisher
Jul 9, 2020·International Journal of Cancer. Journal International Du Cancer·Patricia A H HamersGeraldine R Vink
Apr 25, 2020·Current Treatment Options in Oncology·Naomi C A van der VeldenInge Henselmans
Oct 29, 2020·The American Journal of Hospice & Palliative Care·Lee Ann Johnson, Charles Ellis
Jun 3, 2021·International Journal of Environmental Research and Public Health·N C A van der VeldenM A Hillen
Jun 26, 2021·Translational Behavioral Medicine·Sravannthi MayaMahati Chittem
Aug 28, 2021·Journal of Medical Internet Research·Loïs F van de WaterHanneke W M van Laarhoven
Nov 25, 2021·Praxis·Camilla Janett-Pellegri, And Steffen Eychmüller

❮ Previous
Next ❯

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

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Josephine M ClaytonMartin H N Tattersall
Social Science & Medicine. Medical Psychology & Medical Sociology
D A Pendleton, S Bochner
© 2022 Meta ULC. All rights reserved