Relationship between cancer patients' predictions of prognosis and their treatment preferences
Article Abstract:
Many cancer patients may choose aggressive treatment because they erroneously believe they have a good chance of surviving longer if they do. Researchers analyzed patient and physician beliefs about prognosis and the treatment choices of 917 cancer patients. Patients who thought they had a 90% chance of living 6 months even though their physician believed they had only a 10% chance were much more likely to choose aggressive treatment rather than palliative care. Most of these patients overestimated their prognosis because their 6-month survival rates were no better than those who chose palliative treatment.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
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Patient preferences for communication with physicians about end-of-life decisions
Article Abstract:
Hospitalized, seriously ill patients may not be expressing their wishes regarding resuscitation or prolonged mechanical ventilation, which may lead to unwanted intervention. Researchers interviewed 2,162 patients. Less than one-quarter had discussed whether they wanted resuscitation or prolonged mechanical ventilation. About 40% of those who had not discussed the subject wanted to but had not. Younger patients and black patients were more likely to fall into this group. Nearly 60% of those who had not discussed the issue did not wish to, although nearly one-quarter of them did not want resuscitation.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1997
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Factors Associated With Use of Cardiopulmonary Resuscitation in Seriously Ill Hospitalized Adults
Article Abstract:
Doctors are more likely to give CPR to a hospital patient when the patient has stated a preference for CPR, when the patient is young and is not expected to die soon. This was the conclusion of a study of 2,505 seriously ill hospital patients who had a cardiac arrest while in the hospital. The use of CPR varied by region of the country and the patient's underlying illness. Those with congestive heart failure were three times more likely to receive CPR than those with respiratory failure or multi-organ failure.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1999
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