Impact of Prognostic Discussions on the Patient-Physician Relationship: Prospective Cohort Study.

ABSTRACT: Purpose Some research has suggested that discussion of prognosis can disrupt the patient-physician relationship. This study assessed whether physician discussion of prognosis is associated with detrimental changes in measures of the strength of the patient-physician relationship. Methods This was a longitudinal cohort study of 265 adult patients with advanced cancer who visited 38 oncologists within community- and hospital-based cancer clinics in Western New York and Northern California. Prognostic discussion was assessed by coding transcribed audio-recorded visits using the Prognostic and Treatment Choices (PTCC) scale and by patient survey at 3 months after the clinic visit. Changes in the strength of the patient-physician relationship were computed as differences in patient responses to

SUBMITTER: Fenton JJ 

PROVIDER: S-EPMC5773842 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature