Prognostic Disclosure: Near End of Life

ABSTRACT: Prognostic Disclosure to Patients with Cancer near the End of Life

[07/18/2001; Annals of Internal Medicine]

Background: Patients' understanding of their prognosis informs numerous medical and nonmedical decisions, but patients with cancer and their physicians often have disparate prognostic expectations.

Objective: To determine whether physician behavior might contribute to the disparity between patients' and physicians' prognostic expectations.

Conclusions: Physicians reported that even if patients with cancer requested survival estimates, they would provide a frank estimate only 37% of the time and would provide no estimate, a conscious overestimate, or a conscious underestimate most of the time (63%).

This pattern may contribute to the observed disparities between physicians' and patients' estimates of survival.


Older Adults Receive Intensive Chemo at End of Life

www.plwc.org

Chemo at End of Life: When is Enough, Enough?

JAMA, June 11, 2008

End of Life Guidance from JAMA expanded

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