Prognostic awareness and communication of prognostic information in malignant glioma: A systematic review Journal Article

Authors: Diamond, E. L.; Corner, G. W.; DeRosa, A.; Breitbart, W.; Applebaum, A. J.
Article Title: Prognostic awareness and communication of prognostic information in malignant glioma: A systematic review
Abstract: Malignant glioma (MG) is a devastating neurological disease with a uniformly poor prognosis and a clinical course characterized by progressive functional and cognitive impairment. A small body of literature addresses patients' and caregivers' prognostic awareness (PA), or understanding of prognosis in patients with cancer. Studies that examine PA and desire for prognostic information among patients with MG are limited. We sought to review the existing literature on PA and communication of prognostic information to patients with MG. Fourteen studies examining PA or experience and preferences regarding communication of prognostic information were included. The definition and measurement of PA across studies varied, and the prevalence of accurate PA ranged from 25 to 100 % of participants. There is likely a subset of patients who do not desire accurate prognostic information, although the patient and disease characteristics that predict this preference are currently unknown. This review suggests that patients with MG desire prognostic information communicated in a manner that preserves hope. Systematic investigation to define communication needs for prognostic information in the unique clinical setting of MG is needed.
Keywords: glioma; brain neoplasms; psychology; attitude to health; doctor patient relation; communication; physician-patient relations; interpersonal communication; awareness; humans; prognosis; human
Journal Title: Journal of Neuro-Oncology
Volume: 119
Issue: 2
ISSN: 0167-594X
Publisher: Springer  
Date Published: 2014-09-01
Start Page: 227
End Page: 234
Language: English
DOI: 10.1007/s11060-014-1487-1
PUBMED: 24874468
PROVIDER: scopus
PMCID: PMC5116439
Notes: Export Date: 3 June 2015 -- Source: Scopus
Altmetric Score
MSK Authors
  1. William S Breitbart
    344 Breitbart
  2. Geoffrey Winston Corner
    19 Corner
  3. Eli Louis Diamond
    90 Diamond
  4. Antonio P DeRosa
    32 DeRosa