Prevalence and Predictors of Physician-Patient Discordance in Prognostic Perceptions in Advanced Cancer.

ABSTRACT:

Background

Discordance between physicians' and patients' prognostic perceptions in advanced cancer care threatens informed medical decision-making and end-of-life preparation, yet this phenomenon is poorly understood. We sought to: (1) describe the extent and direction of prognostic discordance, patients' prognostic information preferences in cases of prognostic discordance, and physicians' awareness of prognostic discordance; and (2) examine which patient, physician, and caregiver factors predict prognostic discordance.

Materials and methods

Oncologists and advanced cancer patients (median survival ≤12 months; n = 515) from 7 Dutch hospitals completed structured surveys in a cross-sectional study. Prognostic discordance was operationalized by comparing physicians' and patie

SUBMITTER: van der Velden NCA 

PROVIDER: S-EPMC10400164 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature