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Complexities in Prognostication in Advanced Cancer: "To Help Them Live Their Lives the Way They Want to"
Open accessAbstract
Predicting survival and disclosing the prediction to patients with advanced disease, particularly cancer, is among the most difficult tasks that physicians face. With the de-emphasis of prognosis in favor of diagnosis and therapeutics in the medical literature, physicians may have difficulty finding the survival information they need to make appropriate estimates of survival for patients who develop cancer. Quite separate from the challenge of estimating survival accurately, physicians may also find the process of disclosing the prognosis to their patients difficult. Using the vignette of a real patient with advanced cancer who far outlived her physician's prognostic estimate, we discuss clinical issues related to the science of prognosis in advanced cancer and the art of its disclosure.
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Cited by
Maltoni, M., Caraceni, A., Brunelli, C., Broeckaert, B., Christakis, N., Eychmueller, S., Glare, P., Nabal, M., Viganò, A., Larkin, P., et al. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.06.866 · Cited by 664
Self-citationEnd-of-Life Care Discussions Among Patients With Advanced Cancer: A Cohort Study
Mack, J. W., Cronin, A., Taback, N., Huskamp, H. A., Keating, N. L., Malin, J. L., Earle, C. C., & Weeks, J. C. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-156-3-201202070-00008 · Cited by 420
“Early discussions about EOL care may also help patients with the psychological work of the EOL period, including acceptance of one’s life situation, grief over the losses inherent in death, and growth in relationships (24, 25).”
BackgroundInfluentialThe Nocebo Effect and Its Relevance for Clinical Practice
Colloca, L., & Miller, F. G. (2011) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3182294a50 · Cited by 419
Boyd, E. A., Lo, B., Evans, L. R., Malvar, G., Apatira, L., Luce, J. M., & White, D. B. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181d8a217 · Cited by 190
Mack, J. W., Nilsson, M., Balboni, T., Friedlander, R. J., Block, S. D., Trice, E., & Prigerson, H. G. (2008) · Cancer · doi:10.1002/cncr.23476 · Cited by 155
Metadata
- Authors
- Lamont, E. B., & Christakis, N. A.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2003-07-02
- Volume
- 290
- Issue
- 1
- Pages
- 98
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1976662437
- Cited by
- 220
- References
- 0
- FWCI
- 17.47
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Lamont, E. B., & Christakis, N. A. (2003). Complexities in Prognostication in Advanced Cancer: "To Help Them Live Their Lives the Way They Want to". JAMA. https://doi.org/10.1001/jama.290.1.98
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
