ArticlePsycho-oncology2018
The interactive effect of advanced cancer patient and caregiver prognostic understanding on patients' completion of Do Not Resuscitate orders.
Article in Psycho-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Giving Information Systematically and Transparently in Lung and GI Cancer
Giving Information Systematically and Transparently in Lung and GI Cancer Phase 2
Prognostic Understanding in Patients Receiving Enhanced Supportive Care (ProgESC Study)
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What outcomes do studies use to measure the impact of prognostication on people with advanced cancer? Findings from a systematic review of quantitative and qualitative studies.Palliative medicine · 2023Pooled it
- Relationships Between Advanced Cancer Patients' Worry About Dying and Illness Understanding, Treatment Preferences, and Advance Care Planning.Journal of pain and symptom management · 2021Trial
- Dyadic-concordance death-preparedness states and end-of-life care received by cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Patient-caregiver concordance on death preparedness over Taiwanese cancer patients' last 6 months.The oncologist · 2025Article
- Prognostic understanding among patients with advanced cancer recently referred to an enhanced supportive care service: results from the cross-sectional ProgESC study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- A communication intervention to improve prognostic understanding and engagement in advance care planning among diverse advanced cancer patient-caregiver dyads: A pilot study.Palliative & supportive care · 2024Article
- Physicians' knowledge, attitudes and practices on advance care planning for patients with advanced cancer in a National University Hospital in the Philippines.Ecancermedicalscience · 2024Article
- Advance care planning in an interracial dyad: Case illustration of an intervention to improve engagement in end-of-life care planning.Psycho-oncology · 2023Article
- Patient-Caregiver Dyads' Prognostic Information Preferences and Perceptions in Advanced Cancer.Journal of pain and symptom management · 2023Article
- Awareness of Disease Status Among Patients With Cancer: An Integrative Review.Cancer nursing · 2023Article
- Coping with glioblastoma: prognostic communication and prognostic understanding among patients with recurrent glioblastoma, caregivers, and oncologists.Journal of neuro-oncology · 2022Article
- Longitudinal Assessment of Prognostic Understanding in Patients with Advanced Lung Cancer and Its Association with Their Psychological Distress.The oncologist · 2021Article
- Ethics consultations in neuro-oncology.Neuro-oncology practice · 2021Article
- Timing of do-not-resuscitate orders and health care utilization near the end of life in cancer patients: a retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Discussing Prognosis with Empathy to Cancer Patients.Current oncology reports · 2021Review
- The Importance of Prognostication: Impact of Prognostic Predictions, Disclosures, Awareness, and Acceptance on Patient Outcomes.Current treatment options in oncology · 2021Review
- Prognostic Awareness in Advanced Disease: A Review Update and Concept Analysis.Frontiers in psychology · 2021Review
- Patient and caregiver agreement on prognosis estimates for older adults with advanced cancer.Cancer · 2021Article
- Perceptions of prognosis and goal of treatment in patients with malignant gliomas and their caregivers.Neuro-oncology practice · 2020Article
- Advanced Cancer Patients' Changes in Accurate Prognostic Understanding and Their Psychological Well-Being.Journal of pain and symptom management · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveAdvanced cancer patients' prognostic understanding is associated with completion of Do Not Resuscitate (DNR) orders, which often represent engagement in advance care planning (ACP). Given caregivers' critical roles in patient decision-making about ACP and end-of-life care, caregivers' prognostic understanding may have a large additive effect. The present study examined the association between the main and interactive effects of advanced cancer patient and caregiver prognostic understanding on DNR order completion.
methodsData were analyzed from a combined dataset of 2 sequential multi-institutional, longitudinal cohort studies of patients with advanced cancer and their informal caregivers (n = 279 dyads) from 2002 to 2008 (Coping with Cancer 1) and 2010 to 2015 (Coping with Cancer 2). Patients' and caregivers' prognostic understanding regarding life-expectancy (≤ 12 months [prognostic understanding], >12 months [lack of prognostic understanding]) was assessed. DNR order completion was assessed through self-report and confirmed through cross-checking with medical records.
resultsMultivariable modeling of the main and interactive effects revealed the interactive effect, but not the individual effects, of patients' and caregivers' prognostic understanding was significantly associated with higher odds of patients' DNR order completion, adjusting for potential confounds (AOR = 5.89, P = 0.04). For dyads in which both the patient and caregiver had prognostic understanding regarding life expectancy of ≤12 months, 70.7% of patients had completed DNR orders compared with 31.6% to 38.9% in which 1 or both lacked prognostic understanding.
conclusionsFindings highlight the need for ensuring accurate patient and caregiver prognostic understanding in increasing DNR order completion, which may provide a framework for improving engagement in ACP more broadly.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.