Accuracy of physician prognosis in heart failure and lung cancer: Comparison between physician estimates and model predicted survival
| Autor: | Larry A. Allen, Amy N. Ship, Haider J. Warraich, Kenneth J. Mukamal, Robb D. Kociol |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Lung Neoplasms Cross-sectional study Adverse outcomes 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Life Expectancy Physicians medicine Humans 030212 general & internal medicine Intensive care medicine Lung cancer Survival analysis Aged Probability Heart Failure business.industry General Medicine Middle Aged medicine.disease Prognosis Survival Analysis United States Data Accuracy Anesthesiology and Pain Medicine Cross-Sectional Studies Heart failure Life expectancy Female business End-of-life care |
| Zdroj: | Palliative medicine. 30(7) |
| ISSN: | 1477-030X |
| Popis: | Background: Anticipating adverse outcomes guides decisions but can be particularly challenging in heart failure. Aim: We sought to assess the accuracy and comfort of physicians in predicting prognosis in heart failure. Design: Cross-sectional survey Participants/setting: Faculty and trainees in internal medicine, cardiology, and oncology estimated survival for three standardized patients: (1) 59-year-old patient with stage IV lung cancer; (2) 79-year-old woman with New York Heart Association class 4 heart failure symptoms and preserved ejection fraction; and (3) 40-year-old man with New York Heart Association class 3 heart failure symptoms and reduced ejection fraction of 20%. Survival predictions were derived from surveillance, epidemiology, and end results-Medicare database and the Seattle Heart Failure Model. Accuracy was defined as Results: Totally, 79% (338/427) of participants responded. Physicians were more accurate in survival estimates for lung cancer than heart failure (74% vs 48%, respectively; p Conclusions: Less than half of physicians accurately estimate survival in heart failure. Cardiologists were more accurate than other specialties for heart failure symptoms and reduced ejection fraction but no different for heart failure symptoms and preserved ejection fraction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|