Relationship between physician and patient assessment of performance status and survival in a large cohort of patients with haematologic malignancies.

Abstract:

BACKGROUND:Few studies have investigated the relationship between physician and patient-assessed performance status (PS) in blood cancers. METHODS:Retrospective analysis among 1418 patients with haematologic malignancies seen at Dana-Farber Cancer Institute between 2007 and 2014. We analysed physician-patient agreement of Eastern Cooperative Oncology Group PS using weighted κ-statistics and survival analysis. RESULTS:Mean age was 58.6 years and average follow-up was 38 months. Agreement in PS was fair/moderate (weighted κ=0.41, 95% CI 0.37-0.44). Physicians assigned a better functional status (lower score) than patients (mean 0.60 vs 0.81), particularly when patients were young and the disease was aggressive. Both scores independently predicted survival, but physician scores were more accurate. Disagreements in score were associated with poorer survival when physicians rated PS better than patients, and were modified by age, sex and severity of disease. CONCLUSIONS:Physician-patient disagreements in PS score are common and have prognostic significance.

journal_name

Br J Cancer

authors

Liu MA,Hshieh T,Condron N,Wadleigh M,Abel GA,Driver JA

doi

10.1038/bjc.2016.260

subject

Has Abstract

pub_date

2016-09-27 00:00:00

pages

858-61

issue

7

eissn

0007-0920

issn

1532-1827

pii

bjc2016260

journal_volume

115

pub_type

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