Dataset Information

Patient-hematologist discordance in perceived chance of cure in hematologic malignancies: A multicenter study.

ABSTRACT:

Background

Ensuring that patients with hematologic malignancies have an accurate understanding of their likelihood of cure is important for informed decision making. In a multicenter, longitudinal study, the authors examined discordance in patients' perception of their chance of cure versus that of their hematologists, whether patient-hematologist discordance changed after a consultation with a hematologist, and factors associated with persistent discordance.

Methods

Before and after consultation with a hematologist, patients were asked about their perceived chance of cure (options were <10%, 10%-19%, and up to 90%-100% in 10% increments, and "do not wish to answer"). Hematologists were asked the same question after consultation. Discordance was defined as a difference in response by 2 levels. The McNemar test was used to compare changes in patient-hematologist prognostic discordance from before to after consultation. A generalized linear mixed model was used to examine associations between factors and postconsultation discordance, adjusting for clustering at the hematologist level.

Results

A total of 209 patients and 46 hematologists from 4 sites were included in the current study. Before consultation, approximately 61% of dyads were discordant, which improved to 50% after consultation (P < .01). On multivariate analysis, lower educational level (ConclusionsPatient-hematologist concordance in prognostic understanding appears to improve after a hematology consultation, but approximately one-half of patients' views of their prognoses were found to remain discordant with those of their hematologists. Interventions are needed to improve prognostic understanding among patients with hematologic malignancies.

SUBMITTER: Loh KP

PROVIDER: S-EPMC7050385 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Publications

Patient-hematologist discordance in perceived chance of cure in hematologic malignancies: A multicenter study.

Loh Kah Poh KP Xu Huiwen H Back Anthony A Duberstein Paul R PR Gupta Mohile Supriya S Epstein Ronald R McHugh Colin C Klepin Heidi D HD Abel Gregory G Lee Stephanie J SJ El-Jawahri Areej A LeBlanc Thomas W TW

Cancer 20191206 6

<h4>Background</h4>Ensuring that patients with hematologic malignancies have an accurate understanding of their likelihood of cure is important for informed decision making. In a multicenter, longitudinal study, the authors examined discordance in patients' perception of their chance of cure versus that of their hematologists, whether patient-hematologist discordance changed after a consultation with a hematologist, and factors associated with persistent discordance.<h4>Methods</h4>Before and af ...[more]

PMID: 31809566

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Dataset Information

Patient-hematologist discordance in perceived chance of cure in hematologic malignancies: A multicenter study.

Background

Methods

Results

Publications

Patient-hematologist discordance in perceived chance of cure in hematologic malignancies: A multicenter study.

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