Conceptualizing prognostic awareness in advanced cancer: A systematic review

Allison J. Applebaum; Elissa A. Kolva; Julia R. Kulikowski; Jordana D. Jacobs; Antonio Derosa; Wendy G. Lichtenthal; Megan E. Olden; Barry Rosenfeld; William Breitbart

doi:10.1177/1359105313484782

Conceptualizing prognostic awareness in advanced cancer: A systematic review

Allison J. Applebaum
, Elissa A. Kolva
, Julia R. Kulikowski
, Jordana D. Jacobs
, Antonio Derosa
, Wendy G. Lichtenthal
, Megan E. Olden
, Barry Rosenfeld
, William Breitbart

Research output: Contribution to journal › Review article › peer-review

131 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	1103-1119
Number of pages	17
Journal	Journal of Health Psychology
Volume	19
Issue number	9
DOIs	https://doi.org/10.1177/1359105313484782
State	Published - Sep 2014
Externally published	Yes

Keywords

advanced cancer
awareness of diagnosis
peaceful awareness
prognosis
prognostic awareness

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10.1177/1359105313484782

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title = "Conceptualizing prognostic awareness in advanced cancer: A systematic review",

abstract = "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.",

keywords = "advanced cancer, awareness of diagnosis, peaceful awareness, prognosis, prognostic awareness",

author = "Applebaum, \{Allison J.\} and Kolva, \{Elissa A.\} and Kulikowski, \{Julia R.\} and Jacobs, \{Jordana D.\} and Antonio Derosa and Lichtenthal, \{Wendy G.\} and Olden, \{Megan E.\} and Barry Rosenfeld and William Breitbart",

year = "2014",

month = sep,

doi = "10.1177/1359105313484782",

language = "English",

volume = "19",

pages = "1103--1119",

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T1 - Conceptualizing prognostic awareness in advanced cancer

T2 - A systematic review

AU - Applebaum, Allison J.

AU - Kolva, Elissa A.

AU - Kulikowski, Julia R.

AU - Jacobs, Jordana D.

AU - Derosa, Antonio

AU - Lichtenthal, Wendy G.

AU - Olden, Megan E.

AU - Rosenfeld, Barry

AU - Breitbart, William

PY - 2014/9

Y1 - 2014/9

N2 - 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.

AB - 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.

KW - advanced cancer

KW - awareness of diagnosis

KW - peaceful awareness

KW - prognosis

KW - prognostic awareness

UR - https://www.scopus.com/pages/publications/84906726285

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M3 - Review article

C2 - 24157936

AN - SCOPUS:84906726285

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VL - 19

SP - 1103

EP - 1119

JO - Journal of Health Psychology

JF - Journal of Health Psychology

IS - 9

ER -

Conceptualizing prognostic awareness in advanced cancer: A systematic review

Abstract

Keywords

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