계명대학교 의학도서관 Repository

The Impacts of Prognostic Awareness on Mood and Quality of Life Among Patients With Advanced Cancer

Metadata Downloads
Author(s)
EunKyo KangJung Hun KangSu-Jin KohEun-Kee SongHyun-Jeong ShimBhumsuk KeamChi-Hoon MaengYu Jung KimHwan Jung YunKyung Hae JungJung Hye KwonSoon Nam LeeJung Lim LeeYoung Rok DoJeongHee MinJihye LeeJiyeon ChooYoung Ho Yun
Keimyung Author(s)
Do, Young Rok
Department
Dept. of Internal Medicine (내과학)
Journal Title
The American journal of hospice & palliative care
Issued Date
2020
Volume
37
Issue
11
Keyword
prognostic disclosureadvanced cancer patientsquality of lifedepressionprognostic awarenesscancer patients
Abstract
Background:
Accurate awareness of the prognosis is an important factor in the treatment decision of patients with advanced cancer; however, prognostic disclosure is still subject to debate because it can reduce patient's satisfaction and increase depression.

Aim:
The purpose of this study is to assess whether patients' prognostic awareness is associated with decreased quality of life (QoL) or increased depressive mood in patients with advanced cancer

Design and Participants:
In this cohort study, 386 patients with advanced cancer were recruited across 3 periods from December 2016 to August 2018. The outcome of this study was a change in QoL and depression according to the patients' prognostic awareness at baseline, 3 months, and 6 months.

Results:
This study found significant differences in changes of QoL based on patients' prognostic awareness. From baseline to 3 months, emotional functioning (P = .039), pain (P = .042), existential well-being (P = .025), and social support (P = .038) subscale scores improved significantly more in those with lack of prognostic awareness. Over 6 months, the group without prognostic awareness improved significantly in terms of physical functioning (P = .037), emotional functioning (P = .002), nausea/vomiting (P = .048), and constipation (P = .039) subscale scores and existential well-being scores (P = .025). No significant difference between the groups was found in terms of depression.

Conclusion:
Accurate prognostic awareness may pose harm and may provide no additional benefits in terms of QoL and mood among patients with advanced cancer for a short period of time.
Keimyung Author(s)(Kor)
도영록
Publisher
School of Medicine (의과대학)
Citation
EunKyo Kang et al. (2020). The Impacts of Prognostic Awareness on Mood and Quality of Life Among Patients With Advanced Cancer. The American journal of hospice & palliative care, 37(11), 904–912. doi: 10.1177/1049909120905789
Type
Article
ISSN
1938-2715
Source
https://journals.sagepub.com/toc/ajhb/37/11
DOI
10.1177/1049909120905789
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42946
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.