Conceptualizing prognostic awareness in advanced cancer: a systematic review.
Conceptualizing prognostic awareness in advanced cancer: a systematic review.
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DOI：
10.1177/1359105313484782
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发表时间：
2014-09
影响因子：
3.2
通讯作者：
Breitbart W
中科院分区：
文献类型：
--
作者：
Applebaum AJ;Kolva EA;Kulikowski JR;Jacobs JD;DeRosa A;Lichtenthal WG;Olden ME;Rosenfeld B;Breitbart W
这篇系统的综述综合了关于癌症预后意识的复杂文献。共有37项研究考察了癌症患者对其预后的了解。预后意识的定义和评估方法在所有研究中都是不一致的。令人惊讶的是，高达75%的患者没有意识到自己的不良预后，在几项研究中，甚至他们的癌症诊断(高达96%)，特别是在北美以外进行的研究中。这篇综述强调了晚期癌症患者的预后知晓率令人惊讶地低，以及预后知晓评估中的差异，表明有必要对预后知晓进行经验性验证的测量。
This systematic review synthesizes the complex literature on prognostic awareness in cancer. A total of 37 studies examining cancer patients’ understanding of their prognosis were included. Prognostic awareness definitions and assessment methods were inconsistent across studies. A surprisingly high percentage of patients (up to 75%) were unaware of their poor prognosis, and in several studies, even their cancer diagnosis (up to 96%), particularly in studies conducted outside of North America. This review highlights surprisingly low rates of prognostic awareness in patients with advanced cancer as well as discrepancies in prognostic awareness assessment, suggesting the need for empirically validated measures of prognostic awareness.