Facing haematopoietic stem-cell transplantation: do patients and their physicians agree regarding the prognosis?

Abstract:

OBJECTIVE:To evaluate the correlation and concordance between patients' and physicians' estimations of prognoses before initiation of the conditioning regimen for allogeneic haematopoietic stem-cell transplantation. METHODS:A total of 123 patients and their attending physicians were asked to estimate a prognosis on a six-point scale. The patients were also asked to fill out questionnaires addressing their psychological state and coping. RESULTS:The mean prognostic estimations differed by 1.17 points (p<0.001), with the patients being more optimistic than the physicians. With respect to concordance: Pearson correlation r=0.024 (ns); unweighted kappa and kappa with linear weighting are 0.115 and 0.068, respectively. The prognostic estimates of the patients correlated with their psychological state, but not with the objective disease- or treatment-related variables, whereas the physicians' estimates were partially based on such objective factors. CONCLUSIONS:A clear significant association between actual survival and the physicians' estimates, but not the patients' estimates, was observed. If agreement regarding the prognosis exists, the relationship between physicians' and patients' estimates is probably non-linear. Assessing one's chances of being cured is a highly emotional task, and psychological processes such as denial or repression most likely play a decisive role. Moreover, collusion between the patient and physician may be inevitable in this situation. Whether it is desirable to gain concordance and who will benefit from such efforts must be discussed and empirically studied.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Grulke N,Bailer H

doi

10.1002/pon.1671

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

1035-43

issue

10

eissn

1057-9249

issn

1099-1611

journal_volume

19

pub_type

杂志文章
  • A three-year study of chaplains' professional activities at Memorial Sloan-Kettering Cancer Center in New York city.

    abstract::The pastoral-care interventions of chaplains at Memorial Sloan-Kettering Cancer Center were documented during two-week periods in each of three years. The study describes the pattern of referrals to and from chaplains and the kinds of interventions performed during the chaplains' contacts with patients and their famil...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.700

    authors: Flannelly KJ,Weaver AJ,Handzo GF

    更新日期:2003-12-01 00:00:00

  • Men's perspectives on cancer prevention behaviors associated with HPV.

    abstract:BACKGROUND:The human papillomavirus (HPV) is associated with the diagnosis of anal, penile, and oropharyngeal cancers in men. Evidence indicates that correct condom use in addition to obtaining the HPV vaccine provides the greatest protection from HPV infections. OBJECTIVE:To explore young men's beliefs and behavioral...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4515

    authors: FitzGerald S,Cornally N,Hegarty J

    更新日期:2018-02-01 00:00:00

  • Factors affecting patient and clinician satisfaction with the clinical consultation: can communication skills training for clinicians improve satisfaction?

    abstract::The provision of adequate information in a clear and sensitive manner can improve cancer patients' experience of care. Satisfaction with the cancer consultation may impact on satisfaction with care in general and adjustment to the disease. This study aims to identify factors that influence patient and clinician satisf...

    journal_title:Psycho-oncology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/pon.731

    authors: Shilling V,Jenkins V,Fallowfield L

    更新日期:2003-09-01 00:00:00

  • Then and now: quality of life of young breast cancer survivors.

    abstract:BACKGROUND:Women under age 50, a quarter of all cases of breast cancer, are especially vulnerable to physical and psychosocial late effects of their treatment due to having more aggressive treatment and their relative youth. METHODS:In person interviews were conducted with the population-based sample: 185 women who we...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.794

    authors: Bloom JR,Stewart SL,Chang S,Banks PJ

    更新日期:2004-03-01 00:00:00

  • Information needs of the Chinese community affected by cancer: A systematic review.

    abstract:OBJECTIVE:The information needs of patients and carers from culturally and linguistically diverse backgrounds, including from the Chinese community, are not well understood, and there has been no previous synthesis of the literature. We conducted a systematic review of the information needs of the Chinese community aff...

    journal_title:Psycho-oncology

    pub_type: 杂志文章,评审

    doi:10.1002/pon.4347

    authors: Lim BT,Butow P,Mills J,Miller A,Goldstein D

    更新日期:2017-10-01 00:00:00

  • A systematic review of factors related to children's quality of life and mental health after brain tumor.

    abstract:PURPOSE:Brain tumor has been found to have a major impact on children's quality of life (QOL); yet, the subjective impact of the illness is still not well understood. This review aimed to investigate factors related to children's subjective well-being (SWB), or self-reported QOL and mental health after brain tumor. A f...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4850

    authors: Bell H,Ownsworth T,Lloyd O,Sheeran N,Chambers S

    更新日期:2018-10-01 00:00:00

  • Psychosocial concerns of Nigerian women with breast and cervical cancer.

    abstract::Cancer has the potential to provoke worries which should be assessed in order to adequately respond to patients' problems. We highlight in this paper the problems that concerned 30 women with cervical cancer (mean age 51.2) and 76 with breast cancer (mean age 44.9), how these concerns affected their emotional lives, a...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/(SICI)1099-1611(199811/12)7:6<494::AID-PON

    authors: Ohaeri JU,Campbell OB,Ilesanmil AO,Ohaeri BM

    更新日期:1998-11-01 00:00:00

  • A systematic review of the effectiveness of physical activity interventions in adults with breast cancer by physical activity type and mode of participation.

    abstract:OBJECTIVES:Engaging in physical activity following a diagnosis in breast cancer patients improves both survival rates and psychosocial health outcomes. The factors influencing the effectiveness of physical activity interventions for breast cancer patients remain unclear. This systematic review focuses on two questions:...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.5101

    authors: Abdin S,Lavallée JF,Faulkner J,Husted M

    更新日期:2019-07-01 00:00:00

  • To rest or not to rest-Health care professionals' attitude toward recommending physical activity to their cancer patients.

    abstract:OBJECTIVE:While in the past cancer patients were advised to rest, recent research revealed various beneficial effects of physical activity, including increased treatment tolerability during cancer treatment and prolonged survival, which has led to a paradigm shift in relevant guidelines. This study examined if this par...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.5020

    authors: Ungar N,Tsiouris A,Haussmann A,Herbolsheimer F,Wiskemann J,Steindorf K,Sieverding M

    更新日期:2019-04-01 00:00:00

  • How do patients with uveal melanoma experience and manage uncertainty? A qualitative study.

    abstract:OBJECTIVES:Cancer survivors experience uncertainty about the future, which can be distressing. A prognostication tool is available for uveal melanoma survivors, which can provide accurate estimates of life expectancy - a key source of uncertainty. Accurate prognostic information has not previously been available for he...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.3813

    authors: Hope-Stone L,Brown SL,Heimann H,Damato B,Salmon P

    更新日期:2015-11-01 00:00:00

  • Psychophysical well-being profiles in patients before hematopoietic stem cell transplantation.

    abstract:OBJECTIVES:The literature offers very few in-depth reports on the time directly before hematopoietic stem cell transplantation (HSCT). Also, researchers have focused on selected aspects of psychophysical well-being and treated the sample as homogeneous. Thus, we chose to investigate distinct multidimensional well-being...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4619

    authors: Kroemeke A,Kwissa-Gajewska Z,Sobczyk-Kruszelnicka M

    更新日期:2018-03-01 00:00:00

  • Psychosocial benefits of a novel mindfulness intervention versus standard support in distressed women with breast cancer.

    abstract:OBJECTIVE:It is well documented that stress is associated with negative health outcomes in cancer patients. The purpose of this study was to assess the effects of a novel mindfulness intervention called mindfulness-based art therapy (MBAT) versus standard educational support, on indices of stress and quality of life in...

    journal_title:Psycho-oncology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/pon.3320

    authors: Monti DA,Kash KM,Kunkel EJ,Moss A,Mathews M,Brainard G,Anne R,Leiby BE,Pequinot E,Newberg AB

    更新日期:2013-11-01 00:00:00

  • A qualitative meta-synthesis examining the role of women in African American men's prostate cancer screening and treatment decision making.

    abstract:OBJECTIVE:Being an African American man is a risk factor for prostate cancer, and there is little consensus about the use of screening, early detection, and the efficacy of treatment for the disease. In this context, this systematic review examines the roles women, particularly wives, play in African American men's pro...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4572

    authors: Bergner EM,Cornish EK,Horne K,Griffith DM

    更新日期:2018-03-01 00:00:00

  • Cognitive effects of chemotherapy in post-menopausal breast cancer patients 1 year after treatment.

    abstract:OBJECTIVE:Studies in breast cancer patients indicate that chemotherapy may cause subtle cognitive disturbances in some women, but the course is unclear. The current study evaluated the cognitive effects of adjuvant chemotherapy in post-menopausal breast cancer patients 1 year following completion of treatment. PATIENT...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.1379

    authors: Collins B,Mackenzie J,Stewart A,Bielajew C,Verma S

    更新日期:2009-02-01 00:00:00

  • Factors predicting emotional cue-responding behaviors of nurses in Taiwan: An observational study.

    abstract:OBJECTIVE:Responding to emotional cues is an essential element of therapeutic communication. The purpose of this study is to examine nurses' competence of responding to emotional cues (CRE) and related factors while interacting with standardized patients with cancer. METHODS:This is an exploratory and predictive corre...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4330

    authors: Lin MF,Lee AY,Chou CC,Liu TY,Tang CC

    更新日期:2017-10-01 00:00:00

  • Relationships between dispositional mindfulness, self-acceptance, perceived stress, and psychological symptoms in advanced gastrointestinal cancer patients.

    abstract:OBJECTIVE:Previous studies have shown that dispositional mindfulness is associated with less psychological symptoms in cancer patients. The present study investigated how dispositional mindfulness is related to psychological symptoms in advanced gastrointestinal cancer patients by considering the roles of self-acceptan...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4437

    authors: Xu W,Zhou Y,Fu Z,Rodriguez M

    更新日期:2017-12-01 00:00:00

  • Experiences of patients with colorectal cancer from diagnosis until completion of treatment: A meta-ethnography approach.

    abstract:OBJECTIVE:The purpose of this meta-synthesis was to explore the experience of living with symptoms caused by colorectal cancer (CRC) and its treatment from the perspectives of those affected. METHODS:In a systematic search of qualitative studies published up to September 2017, 21 relevant papers were identified. The m...

    journal_title:Psycho-oncology

    pub_type: 杂志文章,meta分析

    doi:10.1002/pon.4946

    authors: Hildebrandt C,Mayer H,Koller A

    更新日期:2019-02-01 00:00:00

  • Social constraints and spousal communication in lung cancer.

    abstract::The Social Cognitive Processing Model suggests that talking with others facilitates cognitive and emotional processing of experiences such as cancer if the social context in which these discussions take place is supportive and positive. Despite this, patients and spouses may inadvertently constrain each other's attemp...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.996

    authors: Badr H,Taylor CL

    更新日期:2006-08-01 00:00:00

  • Fear of recurrence and psychological distress in head and neck cancer patients and their carers.

    abstract:BACKGROUND:Fear of recurrence (FOR) has been increasingly recognised as an issue of significant burden for most cancer patients, and has been associated with psychological morbidity and reduced quality of life. More recently, the impact of recurrence fears has been indicated in the families of cancer patients. However,...

    journal_title:Psycho-oncology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/pon.1346

    authors: Hodges LJ,Humphris GM

    更新日期:2009-08-01 00:00:00

  • A systematic review of the unmet supportive care needs of men on active surveillance for prostate cancer.

    abstract:OBJECTIVE:Understanding the unmet supportive care needs of men on active surveillance for prostate cancer may enable researchers and health professionals to better support men and prevent discontinuation when there is no evidence of disease progression. This review aimed to identify the specific unmet supportive care n...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.5262

    authors: McIntosh M,Opozda MJ,Evans H,Finlay A,Galvão DA,Chambers SK,Short CE

    更新日期:2019-12-01 00:00:00

  • Relationship between antidepressant prescription and breast cancer: a population based study in Taiwan.

    abstract:OBJECTIVE:To investigate the association between antidepressant prescription and breast cancer. METHODS:The National Health Research Institute in Taiwan provided a database of 1 000 000 random subjects for this study. We identified 14 737 new antidepressant female users who were more than 15 years old during 1999-2005...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.3929

    authors: Chen VC,Liao YT,Yeh DC,Tseng HC,Stewart R,Lee CT

    更新日期:2016-07-01 00:00:00

  • Knowledge, attitudes and beliefs of Arabic-Australians concerning cancer.

    abstract:OBJECTIVES:To explore with Arabic-Australian patients and their communities, the cultural context of cancer, both sporadic and inherited, by examining their beliefs about its causes and the modes of communication about cancer with family, friends and the community. METHOD:The design is an ethnographic and qualitative ...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.1884

    authors: Saleh M,Barlow-Stewart K,Meiser B,Tucker K,Eisenbruch M,Kirk J

    更新日期:2012-02-01 00:00:00

  • Healthcare professionals' views on discussing fertility preservation with young cancer patients: a mixed method systematic review of the literature.

    abstract:OBJECTIVE:In spite of efforts to guarantee patients are adequately informed about their risk of fertility loss and offered treatment for fertility preservation (FP), previous studies have reported that this topic is not routinely discussed with patients, especially with younger patient populations. A mixed method syste...

    journal_title:Psycho-oncology

    pub_type: 杂志文章,评审

    doi:10.1002/pon.4092

    authors: Vindrola-Padros C,Dyer KE,Cyrus J,Lubker IM

    更新日期:2017-01-01 00:00:00

  • Trajectories of total depression and depressive symptoms in prostate cancer patients receiving six months of hormone therapy.

    abstract:OBJECTIVE:The aim of this study was to investigate the effects of hormone therapy (HT) on depression and depressive symptoms in prostate cancer patients undergoing 6 months of HT. METHODS:One hundred two prostate cancer patients who had been prescribed HT completed the Zung Self-rating Depression Scale (SDS) and two q...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4100

    authors: Sharpley CF,Christie DR,Bitsika V,Miller BJ

    更新日期:2017-01-01 00:00:00

  • Breaking bad news to cancer patients: survey and analysis.

    abstract:PURPOSE:To find out how patients perceived the disclosure of news about their cancer as regards the physician counselling and how they perceived the flow of information between hospital-based and family physicians. METHODS:272 cancer patients were polled with a 16-item questionnaire. RESULTS:252 cancer patients, 92.6...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.1383

    authors: Spiegel W,Zidek T,Maier M,Vutuc C,Isak K,Karlic H,Micksche M

    更新日期:2009-02-01 00:00:00

  • Measurement of distress in Chinese inpatients with lymphoma.

    abstract:PURPOSE:The aim of this study was to assess the levels and sources of distress in patients with lymphoma. This study also focused on the influence of factors of the level of distress and the cutoff score using the Distress Thermometer (DT) relative to the Hospital Anxiety and Depression Scale (HADS). METHOD:DT and HAD...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.3170

    authors: Wang Y,Zou L,Jiang M,Wei Y,Jiang Y

    更新日期:2013-07-01 00:00:00

  • Sensory and affective dimensions of advanced cancer pain.

    abstract::The present study was designed to explore the extent to which advanced cancer pain is explicable in terms of both physical pain intensity and affect. Most notably, it expanded on previous findings by more clearly elucidating the relationship between several discrete emotional states and the total experience of cancer ...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.551

    authors: Sela RA,Bruera E,Conner-spady B,Cumming C,Walker C

    更新日期:2002-01-01 00:00:00

  • Assessing unmet supportive care needs in partners of cancer survivors: the development and evaluation of the Cancer Survivors' Partners Unmet Needs measure (CaSPUN).

    abstract:BACKGROUND:Partners of cancer patients typically provide the majority of patients' emotional and physical care. Partners may be profoundly affected by the cancer and may experience ongoing supportive care needs across the survivorship continuum. Research has been restricted by a lack of psychometrically evaluated measu...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.1138

    authors: Hodgkinson K,Butow P,Hobbs KM,Hunt GE,Lo SK,Wain G

    更新日期:2007-09-01 00:00:00

  • Does a symptom management intervention affect depression among cancer patients: results from a clinical trial.

    abstract::Cancer patients diagnosed with solid tumors and undergoing a first course of chemotherapy were randomized to either conventional care or a 10 contact 20 week cognitive behavioral intervention designed to reduce emotional distress. Three hypotheses were tested. First, a test for a group effect found that patients in th...

    journal_title:Psycho-oncology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/pon.807

    authors: Given C,Given B,Rahbar M,Jeon S,McCorkle R,Cimprich B,Galecki A,Kozachik S,Devoss D,Brady A,Fisher-Malloy MJ,Courtney K,Bowie E

    更新日期:2004-11-01 00:00:00

  • Psychosocial oncology care resources in Europe: a study under the European Partnership for Action Against Cancer (EPAAC).

    abstract:BACKGROUND:Cancer is a complex health problem requiring multidisciplinary care. There are clinical guidelines available in order to improve the process and outcomes of cancer care within Europe. However, strategic action is still needed in many European Union (EU) Member States to develop or improve national cancer con...

    journal_title:Psycho-oncology

    pub_type: 杂志文章

    doi:10.1002/pon.4044

    authors: Travado L,Reis JC,Watson M,Borràs J

    更新日期:2017-04-01 00:00:00