Communication and Prognostic Uncertainty

Benefits

Risks & contraindications

Highlighted claims

• Patients often entered the MUUTO pathway with major uncertainty about prognosis. — Malignant upper urinary tract obstruction resulting in hospital admission: a qualitative study of patient, carer and clinician experiences and information received
• Multiple clinical teams and inconsistent messages contributed to patient confusion. — Malignant upper urinary tract obstruction resulting in hospital admission: a qualitative study of patient, carer and clinician experiences and information received
• Diagnostic investigations often showed cancer progression or metastases, but patients did not always understand what this meant for life expectancy. — Malignant upper urinary tract obstruction resulting in hospital admission: a qualitative study of patient, carer and clinician experiences and information received
• Clinicians recognised that emergency situations left little time to establish what patients knew and discuss prognosis sensitively before urgent decisions. — Malignant upper urinary tract obstruction resulting in hospital admission: a qualitative study of patient, carer and clinician experiences and information received
• The study concludes that patients and carers need earlier, clearer, and more compassionate information before crisis admission. — Malignant upper urinary tract obstruction resulting in hospital admission: a qualitative study of patient, carer and clinician experiences and information received