Inga T. Lennes|Jennifer S. Temel|Christen Hoedt|Ashley Meilleur|Elizabeth B. Lamont
Predictors of newly diagnosed cancer patients' understanding of the goals of their care at initiation of chemotherapy
Harvard University|Massachusetts General Hospital|Harvard University|Massachusetts General Hospital|Eastern Virginia Medical School|Harvard University|Harvard University|Massachusetts General Hospital
american society clinical oncology quality oncology practice initiative endorses core measures providers discuss goals care goc time chemotherapy consent goc refers chemotherapy treatment intent cure versus noncure study authors sought determine whether attributes patients initial patientphysician encounters associated patients understanding gocin total authors surveyed 125 consecutive newly diagnosed patients receiving chemotherapy solid malignancies single academic cancer center performed medical record review additional data patient understanding oncologists goc oncologists reported goc compared primary outcome concordance patientphysician dyads regarding goc cure vs noncureone hundred twentyfive 137 eligible patients 91 completed survey 95 125 patientphysician pairs 75 patientphysician pairs concordant regarding goc multivariable logistic regression older patients odds ratio 021 95 confidence interval 008057 nonnative english speakers almost 80 lower odds odds ratio 023 95 confidence interval 005093 goc concordance compared younger patients native english speakers patients received printed chemotherapy information patientphysician consent process almost 3 times greater odds odds ratio 288 95 confidence interval 124668 goc concordance physician compared receive materialspatient misunderstanding goc substantial 25 cancer patients misunderstanding goal chemotherapy treatment key predictors goc misunderstanding included factors potentially amenable interventions time chemotherapy consent