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Association of Prognostic Understanding With Health Care Use Among Older Adults With Advanced Cancer

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Key Points Question What is the association of poor prognostic understanding and patient-oncologist prognostic discordance with health care use among older adult patients with advanced incurable cancer? Findings In this… Click to show full abstract

Key Points Question What is the association of poor prognostic understanding and patient-oncologist prognostic discordance with health care use among older adult patients with advanced incurable cancer? Findings In this post hoc secondary analysis of a cluster randomized clinical trial with 541 participants, a poor prognostic understanding regarding life expectancy estimates was associated with lower odds of hospice use. Patient-oncologist discordance regarding life expectancy estimates was associated with greater odds of hospitalization. Meaning This study highlighted different constructs of prognostic understanding and the need to better understand the associations between prognostic understanding and health care use among older adult patients with advanced incurable cancer.

Keywords: among older; use among; prognostic understanding; care use; health care; use

Journal Title: JAMA Network Open
Year Published: 2022

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