Bogda Koczwara on Addressing Discordance Between Cancer Patients’ Preferences and Treatment Goals
Bogda Koczwara, Director, Australian Research Centre for Cancer Survivorship at UNSW, shared on LinkedIn about a recent paper by Manan P. Shah et al. published on ACS Journals:
” ‘Patients with advanced cancer were almost twice as likely to report discordance between their goals and the treatment they were receiving; this discordance was driven by a significant portion of patients who preferred prioritizing comfort but described the treatment received as prioritizing longevity’
The findings of this study are concerning as they highlight that we, the cancer care professionals, do not accurately understand patients preferences. Link to paper.
While these are findings from USA, I suspect they are likely to be replicated elsewhere and a similar global study would be incredibly valuable.
But more importantly, what can we do about it?
Perhaps PROMs and PREMs would be of value prior to the treatment commencement to determine preferences in the more valid way where patients’ voice reaches those who plan care?
And of course, the culture that accepts that living longer is not everyone’s priority and the meaning of life is much broader than that.”
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