Patient-hematologist discordance in perceived chance of cure in hematologic malignancies: A multicenter study.

Published online

Journal Article

BACKGROUND: Ensuring that patients with hematologic malignancies have an accurate understanding of their likelihood of cure is important for informed decision making. In a multicenter, longitudinal study, the authors examined discordance in patients' perception of their chance of cure versus that of their hematologists, whether patient-hematologist discordance changed after a consultation with a hematologist, and factors associated with persistent discordance. METHODS: Before and after consultation with a hematologist, patients were asked about their perceived chance of cure (options were <10%, 10%-19%, and up to 90%-100% in 10% increments, and "do not wish to answer"). Hematologists were asked the same question after consultation. Discordance was defined as a difference in response by 2 levels. The McNemar test was used to compare changes in patient-hematologist prognostic discordance from before to after consultation. A generalized linear mixed model was used to examine associations between factors and postconsultation discordance, adjusting for clustering at the hematologist level. RESULTS: A total of 209 patients and 46 hematologists from 4 sites were included in the current study. Before consultation, approximately 61% of dyads were discordant, which improved to 50% after consultation (P < .01). On multivariate analysis, lower educational level (

Full Text

Duke Authors

Cited Authors

  • Loh, KP; Xu, H; Back, A; Duberstein, PR; Gupta Mohile, S; Epstein, R; McHugh, C; Klepin, HD; Abel, G; Lee, SJ; El-Jawahri, A; LeBlanc, TW

Published Date

  • December 6, 2019

Published In

PubMed ID

  • 31809566

Pubmed Central ID

  • 31809566

Electronic International Standard Serial Number (EISSN)

  • 1097-0142

Digital Object Identifier (DOI)

  • 10.1002/cncr.32656

Language

  • eng

Conference Location

  • United States