Accurate prognostic awareness is associated with increased emotional distress in Latino patients with advanced cancer

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dc.article.numbere97
dc.catalogadorcarga
dc.catalogadoraba
dc.contributor.authorPérez Cruz, Pedro
dc.contributor.authorMartín, María Jesus San
dc.contributor.authorPalacios, Josefa
dc.contributor.authorTupper Satt, Laura
dc.contributor.authorGonzález Otaiza, Marcela
dc.contributor.authorRepetto Lisboa, Paula Beatriz
dc.date.accessioned2025-05-22T15:31:06Z
dc.date.available2025-05-22T15:31:06Z
dc.date.issued2025
dc.description.abstractObjectives To describe the frequency of prognostic awareness (PA) in a population of advanced cancer patients in a Latino community and to explore the relationship between accurate PA with emotional distress and other covariates. Methods In this cross-sectional study performed in Puente Alto, Chile, advanced cancer patients in palliative care completed a survey that included a single question to assess PA (Do you believe your cancer is curable? yes/no). Patients reporting that their cancer was not curable were considered as having accurate PA. Demographics, emotional distress, quality of life, and patient perception of treatment goals were also assessed. Analyses to explore associations between PA and patient variables were adjusted. Results A total of 201 patients were included in the analysis. Mean age was 65, 50% female. One hundred and three patients (51%) reported an accurate PA. In the univariate analysis, accurate PA was associated with not having a partner (p = 0.012), increased emotional distress (p = 0.013), depression (p = 0.003), and were less likely to report that the goal of the treatment was to get rid of the cancer (p < 0.001). In the multivariate analysis, patients with accurate PA had higher emotional distress or depression, were less likely to have a partner, and to report that the goal of the treatment was to get rid of the cancer. Significance of results Half of a population of Latino advanced cancer patients reported an accurate PA. Accurate PA was associated with increased emotional distress, which is similar to what has been reported in other countries. Weaknesses in prognostic disclosure by clinicians, local cultural factors, or higher motivation to seek prognostic information among distressed cancer patients could explain this association. Strategies to emotionally support patients when discussing prognostic information should be implemented.
dc.fechaingreso.objetodigital2025-05-22
dc.format.extent10 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1017/S1478951525000252
dc.identifier.eissn1478-9523
dc.identifier.issn1478-9515
dc.identifier.scopusid2-s2.0-105003481210
dc.identifier.urihttps://doi.org/10.1017/S1478951525000252
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/104436
dc.identifier.wosidWOS:001472090200001
dc.information.autorucEscuela de Medicina; Pérez Cruz, Pedro; 0000-0001-6265-6919; 4140
dc.information.autorucEscuela de Medicina; Palacios, Josefa; S/I; 127858
dc.information.autorucEscuela de Psicología; Repetto Lisboa, Paula Beatriz; 0000-0002-0331-7375; 73877
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaPalliative and Supportive Care
dc.rightsacceso abierto
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAwareness
dc.subjectCancer
dc.subjectEmotional distress
dc.subjectLatino
dc.subjectPalliative care
dc.subjectPrognosis
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAccurate prognostic awareness is associated with increased emotional distress in Latino patients with advanced cancer
dc.typeartículo
dc.volumen23
sipa.codpersvinculados4140
sipa.codpersvinculados127858
sipa.codpersvinculados73877
sipa.trazabilidadWOS;2025-05-03
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