Conceptualizing prognostic awareness in advanced cancer: A systematic review Journal Article


Authors: Applebaum, A. J.; Kolva, E. A.; Kulikowski, J. R.; Jacobs, J. D.; DeRosa, A.; Lichtenthal, W. G.; Olden, M. E.; Rosenfeld, B.; Breitbart, W.
Article 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. © The Author(s) 2013.
Keywords: advanced cancer; prognosis; awareness of diagnosis; peaceful awareness; prognostic awareness
Journal Title: Journal of Health Psychology
Volume: 19
Issue: 9
ISSN: 1359-1053
Publisher: Sage Publications Ltd.  
Date Published: 2014-09-01
Start Page: 1103
End Page: 1119
Language: English
DOI: 10.1177/1359105313484782
PROVIDER: scopus
PUBMED: 24157936
PMCID: PMC4665620
DOI/URL:
Notes: Export Date: 1 October 2014 -- Source: Scopus
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  1. William S Breitbart
    505 Breitbart
  2. Allison Joyce Applebaum
    191 Applebaum
  3. Jordana D Jacobs
    2 Jacobs
  4. Antonio P DeRosa
    35 DeRosa