Abstract
This chapter reviews the Weeks et al. secondary analysis of data from the Cancer Care Outcomes Research and Surveillance (CanCORS) prospective cohort, evaluating the expectations of patients who receive chemotherapy for incurable metastatic lung or colorectal cancer. Patients’ understanding of the effectiveness of chemotherapy for providing cure, life extension, and symptom relief were measured. The researchers also investigated the clinical, sociodemographic, and health system factors that were associated with inaccurate expectations on the curative potential of chemotherapy. The study demonstrated that most patients with metastatic lung or colorectal cancer believed that chemotherapy was likely to cure their disease. Colorectal cancer, non-white race, nonintegrated health care networks, and high physician communication scores were independently associated with inaccurate expectations. These findings highlight that understanding the goals of chemotherapy is both important and necessary for patients with incurable cancers to make informed treatment decisions.
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