Prognostic awareness and prognostic information preferences among advanced cancer patients in Kenya
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Prognostic awareness and prognostic information preferences among advanced cancer patients in Kenya | |
| Creator | Elias, Hussein Ozdemir, Semra Bairavi, Joann Achieng, Emmah Finkelstein, Eric A. | |
| Description | Background: Cancer is the third leading cause of death in Kenya. Yet, little is known about prognostic awareness and preferences for prognostic information.Aim: To assess the prevalence of prognostic awareness and preference for prognostic information among advanced cancer patients in Kenya.Setting: Outpatient medical oncology and palliative care clinics and inpatient medical and surgical wards of Moi Teaching and Referral Hospital (MTRH) in Eldoret, Kenya.Methods: The authors surveyed 207 adults with advanced solid cancers. The survey comprised validated measures developed for a multi-site study of end-of-life care in advanced cancer patients. Outcome variables included prognostic awareness and preference for prognostic information.Results: More than one-third of participants (36%) were unaware of their prognosis and most (67%) preferred not to receive prognostic information. Increased age (OR = 1.04, 95% CI: 1.02, 1.07) and education level (OR: 1.18, CI: 1.08, 1.30) were associated with a higher likelihood of preference to receive prognostic information, while increased symptom burden (OR= 0.94, CI: 0.90, 0.99) and higher perceived household income levels (lower-middle vs low: OR= 0.19; CI: 0.09, 0.44; and upper middle- or high vs low: OR= 0.22, CI: 0.09, 0.56) were associated with lower odds of preferring prognostic information.Conclusion: Results reveal low levels of prognostic awareness and little interest in receiving prognostic information among advanced cancer patients in Kenya.Contribution: Given the important role of prognostic awareness in providing patient-centred care, efforts to educate patients in Kenya on the value of this information should be a priority, especially among younger patients. | |
| Publisher | AOSIS | |
| Date | 2024-04-11 | |
| Identifier | 10.4102/phcfm.v16i1.4288 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 16, No 1 (2024); 6 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/4288/7033
https://phcfm.org/index.php/phcfm/article/view/4288/7034
https://phcfm.org/index.php/phcfm/article/view/4288/7035
https://phcfm.org/index.php/phcfm/article/view/4288/7037
https://phcfm.org/index.php/phcfm/article/view/4288/7036
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