Predictors of newly diagnosed cancer patients' understanding of the goals of their care at initiation of chemotherapy

摘要: BACKGROUND: The American Society of Clinical Oncology Quality Practice Initiative endorses in their core measures that providers should discuss the goals care (GOC) at time chemotherapy consent. GOC refers to treatment intent: cure versus noncure. In this study, authors sought determine whether attributes patients and initial patient-physician encounters were associated with patients' understanding GOC. METHODS: In total, surveyed 125 consecutive, newly diagnosed who receiving for solid malignancies a single academic cancer center performed medical record review additional data. Patient oncologist's reported compared. The primary outcome was concordance dyads regarding (cure vs noncure). RESULTS: One hundred twenty-five 137 eligible (91%) completed survey. Only 95 pairs (75%) concordant GOC. multivariable logistic regression, both older (odds ratio, 0.21; 95% confidence interval, 0.08-0.57) non-native English speakers had an almost 80% lower odds 0.23; 0.05-0.93) compared younger native speakers. Patients received printed information during consent process 3 times greater 2.88; 1.24-6.68) physician those did not receive materials. CONCLUSIONS: Patient misunderstanding substantial, 25% goal treatment. Key predictors included factors potentially amenable interventions Cancer 2013. © 2012 Society.