Mismatch of the opinion that the doctor the cancer (the cancer) raises the death risk of the patient

Mismatch of the opinion that the doctor the cancer (the cancer) raises the death risk of the patient


　When it has the opinion which differs from charge medicine the advance cancer (the cancer) the patient concerning itself body state and nutrition state, it was shown in the research death risk becoming high by Ian Schnadig doctors of the American Oregon Health Sciences University cancer laboratory, the American cancer remedy academic society which is held in Chicago (ASCO) it was announced with annual meeting.

　In the latest research, PS of patient (performance status; When the index which shows the systemic health state of the patient and the ability to operate every day) appraisal does not match the doctor, death risk increased 11%, when appraisal of nutrition state does not agree, you say that 38% increasing was ascertained. If appraisal agrees, is not something where, lifetime extends, but when it is thought that lack of communication has brought the deterioration of convalescence, the specialist points out.

　At the time of this research, the team of the same university the advance colon (the colon) obtaining the cooperation of rectum cancer and 1,636 lung cancer patients, executed the pursuit of 7 years. The doctor and the patient were recognized respectively, PS appraisal of 2 types and nutrition state appraisal of 1 types the result of doing, respectively 56.6%, 67.1% and 58%, in each case doing the appraisal where the patient above the half differs from the doctor.

　As a whole, the doctor there was a tendency which acquires the appraisal which is higher than the patient. In addition, with the patient whom it becomes impossible to work before the especially retirement age, the mismatch with the doctor is easy occurring concerning the appraisal regarding work it was recognized. Educational background as for the person under high soldier/finishing besides the fact that you could see the mismatch with the doctor more than the person who has the educational background above the university, frequently the [u] the person who appeals state mismatch ratio was high.

　Schnadig has expressed that it is important to keep agreeing the appraisal that the doctor and the patient, concerning PS and nutrition state. As a method for that, when periodically vital sign of the blood pressure and heart rate etc (life sign) it measures, in the same way, in every fixed period you take the data from the patient and you can think that among other things the appraisal value which is used with thing and the clinical test where makes submit to the doctor is adopted. But, when the doctor should hear the story of the patient better, as simpler solution than that, there is also opinion. “The patient has wished to know his own state”, that the specialist points out.