ArticleCancer2019
Association between advanced cancer patient-caregiver agreement regarding prognosis and hospice enrollment.
Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 28 citations in OpenAlex.
- Turning Points in Prognostic Uncertainty Across the Disease Trajectory For Emerging and Young Adult Caregivers of a Parent with Advanced Cancer.SSM. Qualitative research in health · 2026Article
- Patient-caregiver concordance on death preparedness over Taiwanese cancer patients' last 6 months.The oncologist · 2025Article
- Review
- 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
- Toward a new personalized psycho-social approach for the support of prostate cancer and their caregivers dyads: a pilot study.Frontiers in medicine · 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
- Review
- Trends in hospice referral timing and location among individuals dying of ovarian cancer: persistence of missed opportunities.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023Article
- Patient-Caregiver Dyads' Prognostic Information Preferences and Perceptions in Advanced Cancer.Journal of pain and symptom management · 2023Article
- Article
- Caregiver-oncologist prognostic concordance, caregiving esteem, and caregiver outcomes.Journal of geriatric oncology · 2022Article
- Coping with glioblastoma: prognostic communication and prognostic understanding among patients with recurrent glioblastoma, caregivers, and oncologists.Journal of neuro-oncology · 2022Article
- Dealing with Family Conflicts in Decision-making in End-of-Life Care of Advanced Cancer Patients.Current oncology reports · 2021Review
- Decision Making in Older Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021Review
- Prognostic Awareness in Caregivers of Patients with Incurable Cancer.Journal of palliative medicine · 2021Article
- Discussing Prognosis with Empathy to Cancer Patients.Current oncology reports · 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
- The impact of the caregiver-oncologist relationship on caregiver experiences of end-of-life care and bereavement outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Association Between Delivery System Structure and Intensity of End-of-Life Cancer Care.JCO oncology practice · 2020Article
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundPatients with advanced, incurable cancer who understand their illness is incurable are more likely to prefer hospice care at the end of life compared with patients who believe their illness is curable. To the authors' knowledge, it is unclear whether patient-caregiver agreement regarding perceived prognosis is associated with hospice enrollment.
methodsThe current study examined the prospective relationship between patient-caregiver agreement concerning perceived prognosis and hospice enrollment in the last 30 days of life. Data were collected during a cluster randomized controlled trial examining a communication intervention for oncologists and patients with advanced cancer and their caregivers. At the time of study entry, patients and caregivers (141 dyads) were categorized as endorsing a "good" prognosis if they: 1) reported a >50% chance of surviving ≥2 years; or if they 2) predicted that the patient's quality of life 3 months into the future would be ≥7 on an 11-point scale.
resultsApproximately one-fifth of dyads agreed on a poor prognosis whereas approximately one-half disagreed regarding prognosis. In approximately one-third of dyads, patients and caregivers both believed the patient's future quality of life would be good (34%) and that the patient would live for ≥2 years (30%). Patients in these dyads were less likely to enroll in hospice compared with patients in dyads who disagreed and those who agreed on a shorter life expectancy and poor future quality of life.
conclusionsDyadic understanding of patients' projected life expectancy and future quality of life appears to be predictive of care received at the end of life. Improving rates of hospice enrollment may be best achieved with dyadic interventions.
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