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. 2016 Aug 25;11(8):e0161407. doi: 10.1371/journal.pone.0161407

Table 4. Summary of studies investigating differences in prognostic accuracy between clinical groups.

First Author Estimate Professional groups Description of clinician-level factors Main findings
Addington-Hall (1990) Categorical Doctors; Nurses Job title No difference
Bruera (1992) Categorical Doctors 2 Doctors “highly experienced and dedicated to full time management of patients with advanced cancer” No difference
Chow (2005) Continuous Radiation Oncologists Years of experience No difference; inaccurate and tended to be overly optimistic.
Christakis (2000) Continuous Doctors Job title; Self-rated optimism; years of experience; gender; board certified; length of time known patient; contact time with patient; number of referrals to hospice Overall, not very accurate. Experience decreases risk of optimistic and pessimistic errors.
Fairchild (2014) Both Doctors; Radiation therapist; Nurses; Allied health professionals Job title Radiation therapists more accurate than allied health professionals.
Forster (1988) Continuous Consulting oncologist; General Internist; Hospice social worker; Community oncologist; Nurse Job title Registered nurse and consulting university oncologist were more accurate but still overly optimistic
Gripp (2007) Categorical Doctors; Experienced Physician; Tumour Board Years of experience No difference.
Gwilliam (2013) Categorical Doctors; Nurses; MDTs Age; Gender; Length of time qualified; Length of time working in palliative care; Time known patient; Time since last assessed patient No difference between doctors’ and nurses’ accuracy. MDTs more accurate than a nurse alone. Nurses’ accuracy better when patient reviewed within previous 24 hours
Heyse-Moore (1987) Continuous Hospital Doctors; GPs Job title No inferences made about groups in paper, but data shows GP slightly better
Holmebakk (2011) Categorical Surgeons Years of experience No difference.
Hui (2011) Both Doctors; Nurses Age; Gender; Ethnicity; Religion; Years of experience; Years of palliative experience With probabilistic prediction, nurses more accurate with 24 hour and 48 hour time points.
Llobera (2000) Categorical Oncologists; Nurses; GP Job title Oncologists and nurses are more accurate than GP
Maltoni (1994) Continuous Oncologists Years of Experience The more experienced oncologists were more accurate
Oxenham (1998) Continuous Doctor; Sister; Staff Nurse; Chaplain; Auxiliary Job title Auxiliary most accurate with imminent death
Parkes (1972) Categorical Referring Doctor; Referring GP; Doctors; Nurses. Job title No difference.
Twomey (2008) Categorical Consulting university oncologist; General Internist Hospice social worker; Community oncologist; Registered Nurse Job title No group accurately predicted the length of patient survival more than 50% of the time. Nursing and junior medical staff were most accurate while care assistants were least accurate. When in error, senior clinical staff tended to under estimate survival.
Vigano (1999) Categorical Oncologists Job title No difference