Clear communication between a doctor and patient is essential, especially when patients with advanced cancer wish to participate in decision-making about their medical treatment options, and trade-offs between quality and quantity of life emerge. A new study in JAMA Oncology finds that most of these patients report far more optimistic expectations for survival prognosis than their oncologists, due to patients' misunderstanding of their oncologists' clinical judgment.
"Previous research shows that patients, families and clinicians tend to either avoid prognosis-related conversations altogether or discuss prognosis in unbalanced ways," says first author Robert Gramling, M.D., M.Sc., Holly and Bob Miller Chair in Palliative Medicine at the University of Vermont.