2022-RA-854-ESGO Giving prognostic information by using scenarios – attitudes of women with gynecological cancer

Introduction/Background Providing prognostic information is considered challenging, and as a consequence, such often not discussed. Communication of 3 scenarios to explain survival times has been shown provide an accurate view prognosis that leaves room for realistic hope. However, little known about the preferences among women with gynecological cancer. Methodology This cross-sectional survey recruited cancers at 5 sites in Norway. The described 2 formats explaining life expectancy hypothetical patient advanced cancer—providing either (best case, worst typical scenario) or just median time. Results A total 252 were recruited. 122 (48%) on current anti-cancer treatment. Participants had primary cancer ovaries 110 (44%), corpus 61 (24%), cervix 52 (21%). Only 35% responders recalled have received information, out those did not, 51% would liked receive information. More participants agreed (vs. survival) make sense (81% vs. 74%), help plan future (71% 65%), convey hope (58% 38%), while fewer respondents upset people (29% 39%). Even if presentation worst-case scenario was upsetting (51%), vast majority felt it improved their understanding (72%). 41% prefer both be discussed when given. Conclusion third We recommend included giving but seems important sure wishes