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

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

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)668-675
Number of pages8
JournalPsycho-Oncology
Volume16
Issue number7
DOIs
StatePublished - Jul 1 2007
Externally publishedYes

Fingerprint

cancer
physician
Disease
Physicians
evaluation
evidence
Neoplasms
geriatric assessment
Geriatric Assessment
pain
medication
illness
Communication
Pain
cause
communication
lack
present
history
management

Keywords

  • Anxiety
  • Cancer
  • Communication
  • Depression
  • Oncology

ASJC Scopus subject areas

  • Oncology
  • Psychology(all)
  • Social Sciences (miscellaneous)

Cite this

Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. / Oates, Carolyn T.; Sloane, Richard; Ingram, Sally S.; Seo, Pearl H; Cohen, Harvey J.; Clipp, Elizabeth C.

In: Psycho-Oncology, Vol. 16, No. 7, 01.07.2007, p. 668-675.

Research output: Contribution to journalArticle

Oates, Carolyn T. ; Sloane, Richard ; Ingram, Sally S. ; Seo, Pearl H ; Cohen, Harvey J. ; Clipp, Elizabeth C. / Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status. In: Psycho-Oncology. 2007 ; Vol. 16, No. 7. pp. 668-675.
@article{103c3857bc154fc4bccd8ffebc2df689,
title = "Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status",
abstract = "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.",
keywords = "Anxiety, Cancer, Communication, Depression, Oncology",
author = "Oates, {Carolyn T.} and Richard Sloane and Ingram, {Sally S.} and Seo, {Pearl H} and Cohen, {Harvey J.} and Clipp, {Elizabeth C.}",
year = "2007",
month = "7",
day = "1",
doi = "10.1002/pon.1127",
language = "English",
volume = "16",
pages = "668--675",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "7",

}

TY - JOUR

T1 - Evaluation of agreement between physicians' notation of 'no evidence of disease' (NED) and patients' report of cancer status

AU - Oates, Carolyn T.

AU - Sloane, Richard

AU - Ingram, Sally S.

AU - Seo, Pearl H

AU - Cohen, Harvey J.

AU - Clipp, Elizabeth C.

PY - 2007/7/1

Y1 - 2007/7/1

N2 - 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.

AB - 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.

KW - Anxiety

KW - Cancer

KW - Communication

KW - Depression

KW - Oncology

UR - http://www.scopus.com/inward/record.url?scp=34547526884&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34547526884&partnerID=8YFLogxK

U2 - 10.1002/pon.1127

DO - 10.1002/pon.1127

M3 - Article

VL - 16

SP - 668

EP - 675

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

IS - 7

ER -