ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
Impact of family caregivers' awareness of the prognosis on their quality of life/depression and those of patients with advanced cancer: a prospective cohort study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review and Meta-Analysis of Prevalence of Depression Among Caregivers of Cancer Patients.Frontiers in psychiatry · 2022Pooled it
- Designing a need-based program for relieving psychological distress of family caregivers of leukemia patients: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Trial
- Suicidal ideation in family caregivers of patients with dementia, cancer, stroke, and ischemic heart disease.Annals of general psychiatry · 2026Article
- The Implementation of Decision Aids During Medical Consultations for Lung Cancer Patients: A Focus Group Within I3LUNG Project.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Cancer Prognostic Awareness: Relations to Patient and Caregiver Quality of Life and Care Preferences.Journal of pain and symptom management · 2025Article
- Prognostic awareness in family caregivers of patients with terminal illness: a scoping review.BMJ open · 2025Article
- Impact of Spousal Mental Illness on Healthcare Utilization Among Patients With Gastrointestinal Cancer.Journal of surgical oncology · 2025Article
- Depression, performance status, and discontinued treatment mediate an association of curability belief with prognosis in advanced cancer patients.Scientific reports · 2024Article
- Caregiver coping mediates the relationship between caregivers' understanding of dementia as terminal and their distress.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Review
- Association between accompanying duration and anxiety/depression among family caregivers: a prospective cohort study in China during the COVID-19 pandemic.Frontiers in psychiatry · 2024Article
- Elderly Caregivers' Awareness of Caregiving Health Risks.Healthcare (Basel, Switzerland) · 2022Article
- Association Between Caregiver-Oncologist Discordance in Patient's Life Expectancy Estimates and Caregiver Perceived Autonomy Support by the Oncologist.The oncologist · 2021Article
- Dealing with Family Conflicts in Decision-making in End-of-Life Care of Advanced Cancer Patients.Current oncology reports · 2021Review
- Prognostic Awareness in Caregivers of Patients with Incurable Cancer.Journal of palliative medicine · 2021Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
purposeA caregiver's prognostic awareness can affect clinical decisions for the patient. The purpose of this study was to examine the impact of family caregivers' prognostic awareness on the quality of life (QOL) and emotional state of both patients with advanced cancer and their caregivers.
methodsThis prospective cohort study was conducted from December of 2016 to January of 2018. A total of 159 patients with advanced cancer and an equal number of caregivers participated. The investigation tools used include the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C15-Palliative, the McGill Quality of Life Questionnaire, and the Patient Health Questionnaire-9, and evaluation was performed at baseline, 3 months, and 6 months. Covariance analysis with a general linear modeling was used to compare changes in quality of life scores according to the caregivers' awareness of the prognosis.
resultsMean patient overall QOL score increased in the group of caregivers who were aware of prognosis and decreased in the caregivers who were not aware of the prognosis (p = 0.018). The changes over time in the patients' QOL scores associated with symptoms improved with caregiver awareness (pain, p = 0.017; dyspnea, p = 0.048; appetite loss, p = 0.045). The percentage of depressed patients was smaller after 3 months in the group with caregivers aware of the prognosis (baseline to 3 months p = 0.028). Caregivers who did not understand their patients' prognosis exhibited better existential well-being (p = 0.036), and the incidence of depression was lower in this group at 3 months (p = 0.024).
conclusionCaregivers' prognostic awareness may improve the quality of life and mood in patients with advanced cancer; however, this awareness may harm the quality of life and mood of the caregivers. These results may aid in developing in-depth interventions regarding prognosis for both patients and their caregivers.
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