title: Effect of advanced cancer patients' awareness of disease status on treatment decisional conflicts and satisfaction during palliative chemotherapy: a Korean prospective cohort study.
abstract: OBJECTIVE
  Our purpose was to evaluate the effect of cancer patients' awareness of their incurable disease status on decisional conflict and satisfaction with treatment choice.
  
  
  METHODS
  In this prospective cohort study, advanced cancer patients who were offered palliative chemotherapy completed questionnaires on their knowledge of their condition, their treatment decision conflicts, and their satisfaction with their treatment decisions.
  
  
  RESULTS
  We enrolled 98 patients; 94 reported that they were aware of their advanced status and 50 were not. Decisional conflicts for all patients showed a significant decrease after treatment, but aware patients were significantly more satisfied with their decision (P = 0.02).
  
  
  CONCLUSIONS
  Patients' awareness of their incurable status was associated with greater satisfaction with their decision to receive palliative chemotherapy.
authors: Department of Internal Medicine, Kyung Hee University Medical Center, 1 Hoegi dong, Dongdaemun-Gu, Seoul, 130-702, South Korea.
authors: Sun Kyung
authors: SK
authors: Baek
authors: Si-young
authors: SY
authors: Kim
authors: Dae Seog
authors: DS
authors: Heo
authors: Young Ho
authors: YH
authors: Yun
authors: Myung Kyung
authors: MK
authors: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001364:Awareness; D015331:Cohort Studies; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000523:psychology; D010166:Palliative Care / Q000379:methods*; D017060:Patient Satisfaction; D011446:Prospective Studies; D056910:Republic of Korea; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000970:Antineoplastic Agents