Yuya Hagiwara MD

Geriatrics&Palliative Care Physician, HPM Fellowship Program Director, Associate Professor@UIOWA; USC MACM (Master in Academic Medicine) graduate

[Yuya Hagiwara MD @MDYuya]

We are excited to welcome our newest trainees @HPM_Univ_Iowa @IntMedatIowa

[Yuya Hagiwara MD @MDYuya]

@lorinfisher Should consider seeing where our patients stand with their prognostic awareness.

[Yuya Hagiwara MD @MDYuya]

A2T2: Results-Table1 has the sample characteristics
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

@Abi46077983 @jrpferrermd Patients may do better if the info was delivered by someone better trained to deliver these news with empathy. #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T3: Last question. How will you use this study result in your clinical practice or education?
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

@Abi46077983 I’d hope so but would depend if our oncologists would allow us to have these discussions. Currently patients are primarily referred for sx control only. #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

@empressoftheair True. Not surprised but still horrible numbers. #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2TopicThree: DISCUSSION
Q1 Do you agree with the results?Is this what you are seeing in your practice?
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

@empressoftheair I agree. Patients and caregivers may have difficulty receiving the information but we have to consider how the difficult news was given. #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T0: Previous studies have shown poor prognostic awareness for patients with incurable cancer. https://t.co/ShJlK0mvZH
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T2: In 11.6% of dyads, patients reported the cancer as incurable while caregivers reported it as curable.
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T2: In 19.9% of dyads, patients reported their cancer as curable, while their caregivers reported it as incurable.
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T2: Among 42.5%, both patients and their caregivers were wrong in their perception of the cancer as curable.
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T2: Majority of the caregivers (53.7%, 167/311) reported that the patients’ cancer was curable and 44.1% (139/315) reported the patients’ cancer was ‘‘not terminal’’ .
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

@HPM_Univ_Iowa True. More work is needed to explore the perspectives of ethnic minority groups. #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T1: Methods-The Prognosis and Treatment Perceptions Questionnaire was used to assess prognostic awareness and Hospital Anxiety and Depression Scale to assess psychological distress.
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2T1: Methods-a cross-sectional secondary analysis of 390 caregivers of adults with incurable lung, gastrointestinal, and brain cancers who were previously enrolled in supportive care studies at MGH
#JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

Visual Abstract #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

@empressoftheair Seems usually the discussions are about ‘what tests or tx can we do next’ #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

A2TopicZero: Still freq have pts and caregivers being surprised about their cancer being terminal when told no further chemo options. Similar experience? #JCHPMIowa

[Yuya Hagiwara MD @MDYuya]

I usually talk about this article in my communication workshops with medical students.