ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2022
Association between prognostic awareness and quality of life in patients with advanced cancer.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- Initial quality of life and influencing factors in patients with advanced cancer receiving home hospice care: A propensity score-matched analysis stratified by survival period.Asia-Pacific journal of oncology nursing · 2025Article
- Cancer Prognostic Awareness: Relations to Patient and Caregiver Quality of Life and Care Preferences.Journal of pain and symptom management · 2025Article
- Prognostic beliefs in patients with cancer receiving outpatient palliative care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Correlates of Perceived Illness Severity and Terminality in Advanced Lung and Prostate Cancer.Journal of pain and symptom management · 2025Article
- Lung cancer patients' illness perceptions: Prognostic for psychological and physical health trajectories.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- Depression, performance status, and discontinued treatment mediate an association of curability belief with prognosis in advanced cancer patients.Scientific reports · 2024Article
- Article
- Can Oncologists Prompt Patient Prognostic Awareness to Enhance Decision-Making? Data From the NEOetic Study.The oncologist · 2023Article
- Prevalence and Predictors of Physician-Patient Discordance in Prognostic Perceptions in Advanced Cancer.The oncologist · 2023Article
- Perception of prognosis and health-related quality of life in patients with advanced cancer: results of a multicentre observational study (eQuiPe).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Observational
- Illness perception profiles and psychological and physical symptoms in newly diagnosed advanced non-small cell lung cancer.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
Abstract
purposeDespite the current guidelines supporting open communication about serious news, the evidence about the impact of prognostic awareness on the quality of life in cancer patients is not clear. The aim of this study was to assess the association between quality of life and prognostic awareness in patients with advanced cancer.
methodsThis was a cross-sectional study which involved patients (n = 129) with incurable advanced cancer (estimated by oncologist using 12-month surprise question). Data were collected at oncology departments at 3 hospitals using structured interview in which patients were asked about their quality of life (using Integrated Palliative Outcome Scale-IPOS and a single-item global measure), prognostic awareness, information needs and demographics.
resultsOnly 16% of the sample was completely aware of prognosis and 57% was partially aware. Accurate prognostic awareness was significantly associated (p = 0.02) with lower level of quality of life between (when measured by both the IPOS and the single-item scale) patients with accurate prognostic awareness (M = 37.1; 10.4) and partially aware (M = 31.9; 9.1) and unaware patients (M = 30; 7.4). Detailed analysis showed that significant difference between groups was found only for physical symptoms subscales (p = 0.002), not for emotional and communication subscales.
conclusionPrognostic awareness was found to be negatively associated with physical domain of quality of life, but not with emotional and communication domains. More research is needed on personality factors that might influence the development of prognostic awareness and quality of life.
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