Journal
JOURNAL OF HEALTH PSYCHOLOGY
Volume 19, Issue 9, Pages 1103-1119Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1359105313484782
Keywords
advanced cancer; awareness of diagnosis; peaceful awareness; prognosis; prognostic awareness
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This systematic review synthesizes the complex literature on prognostic awareness in cancer. A total of 37 studies examining cancer patients' understanding of their prognosis were included. Prognostic awareness definitions and assessment methods were inconsistent across studies. A surprisingly high percentage of patients (up to 75%) were unaware of their poor prognosis, and in several studies, even their cancer diagnosis (up to 96%), particularly in studies conducted outside of North America. This review highlights surprisingly low rates of prognostic awareness in patients with advanced cancer as well as discrepancies in prognostic awareness assessment, suggesting the need for empirically validated measures of prognostic awareness.
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