Research suggests that physicians who manage patients with advanced cancer often struggle with whether and how best to convey sensitive information about prognoses to these individuals for many reasons. Some studies indicate that physicians do not share information with patients about a terminal cancer prognosis despite the fact that end-of-life care discussions are often wanted by patients. Improving doctor-patient communication at the end of life may enhance the delivery of patient-centered care. Physicians often believe that patients who have an accurate prognostic understanding tend to experience higher levels of anxiety and a worse quality of life. To the contrary, research has shown that patients who are engaged in end-of-life discussions do not appear to be more depressed or worrisome.