Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status.

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Abstract Text:

Carolyn T Oates,Richard Sloane,Sally S Ingram,Pearl H Seo,Harvey J Cohen,Elizabeth C Clipp,

This study examines extent of agreement between oncologists' and cancer patients' reports of current cancer status. Participants with history of cancer were given a comprehensive geriatric assessment in which they were asked whether they had cancer at the present time. This was compared to cancer status concurrently recorded by their physicians in the chart. 75.5% of patients whose physicians reported 'no evidence of disease' (NED) reported that they currently had cancer. 30% of them were anxious and 27% were depressed. Among patients for whom both the patient and physician reported no cancer, only 12.5% were anxious and 7% depressed. Compared to patients with concordant responses, those who discrepantly reported they had cancer had significantly more comorbid illnesses, medications, and pain, and lower levels of social, emotional, and physical functioning. Moreover, equal levels of distress and dysfunction were found between those who reported cancer but had NED and those who reported cancer and did have active disease by physician notation. Although conclusions about cause and effect are limited due to study design, findings suggest that some patients might suffer unnecessarily from lack of understanding about current disease status. These findings also suggest the need for improved physician-patient communication and symptom recognition/management.

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Publishing Authors By Initials

CT Oates,R Sloane,SS Ingram,PH Seo,HJ Cohen,EC Clipp,

For similar persons: veterans research abstracts see: persons: veterans research

PUBMED ID PMID:

MEDLINE DATE:

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Psycho-oncology

VOLUME: 16

Page Numbers: 668-75

Journal Abbreviation:

ISSN: 1057-9249

DAY: 3

MONTH: Jul

YEAR: 2007

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9214524

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Keywords Mesh Terms:

KEYWORDS: Veterans

MESH TERMS: psychology

Chemical & Substance for Abstract: Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status.

AFFILIATION: Department of Psychiatry, Durham Veterans Affairs Medical Center, Durham, NC 27705, USA. oates006@mc.duke.edu

Country: England

AGENCY: United States NIA

GRANT: 5P60 AG11268

ACRONYM: AG

MEDLINETA: Psychooncology

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Evaluation of agreement between physicians' notation of 'no evidence of disease' NED and patients' report of cancer status Related Publications

• A personal tribute to Dr. George W. Comstock.
• African-American and white caregivers of older adults with dementia: differences in depressive symptomatology and psychotropic drug use.
• Congregational health ministries: a national study of pastors' views.
• Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status.
• Identifying trajectories of depressive symptoms for women caring for their husbands with dementia.
• Post-traumatic stress outcomes in non-Hodgkin's lymphoma survivors.
• The effect of spousal caregiving and bereavement on depressive symptoms.