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How doctors record breaking bad news in ovarian cancer

Revealing the diagnosis of cancer to patients is a key event in their cancer journey. At present, there are no minimal legal recommendations for documenting such consultations. We reviewed the Hospital records of 359 patients with epithelial ovarian cancer in the Mersey Area between 1992 and 1994. W...

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Autores principales: Kirwan, J M, Tincello, D G, Lavender, T, Kingston, R E
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2003
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2377092/
https://www.ncbi.nlm.nih.gov/pubmed/12644819
http://dx.doi.org/10.1038/sj.bjc.6600816
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author Kirwan, J M
Tincello, D G
Lavender, T
Kingston, R E
author_facet Kirwan, J M
Tincello, D G
Lavender, T
Kingston, R E
author_sort Kirwan, J M
collection PubMed
description Revealing the diagnosis of cancer to patients is a key event in their cancer journey. At present, there are no minimal legal recommendations for documenting such consultations. We reviewed the Hospital records of 359 patients with epithelial ovarian cancer in the Mersey Area between 1992 and 1994. We identified the following factors: age, hospital, postcode, surgeon, stage of disease and survival. These were compared to information recorded at the time of the interview such as person present, descriptive words used, prognosis, further treatment and emotional response. In 11.6%, there was no information recorded in the notes. The diagnosis was recorded in 304 (94.7%), prognosis in 66 (20.6%) and collusion with relatives in 33 (10.3%). A total of 42 separate words/phrases were identified relating to diagnosis; cancer was recorded in 60 (19.6%). Collusion was three times as common in the patients over 65 years (17.9 vs 5.7%, P=0.001). There was a reduction in the number of diagnostic words recorded in the patients over 65 years (90.3 vs 98.3%, P=0.002) and by type of surgeon (P=0.001). Information was often poorly recorded in the notes. We have shown that the quality of information varies according to patient age, surgeon and specialty.
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spelling pubmed-23770922009-09-10 How doctors record breaking bad news in ovarian cancer Kirwan, J M Tincello, D G Lavender, T Kingston, R E Br J Cancer Clinical Revealing the diagnosis of cancer to patients is a key event in their cancer journey. At present, there are no minimal legal recommendations for documenting such consultations. We reviewed the Hospital records of 359 patients with epithelial ovarian cancer in the Mersey Area between 1992 and 1994. We identified the following factors: age, hospital, postcode, surgeon, stage of disease and survival. These were compared to information recorded at the time of the interview such as person present, descriptive words used, prognosis, further treatment and emotional response. In 11.6%, there was no information recorded in the notes. The diagnosis was recorded in 304 (94.7%), prognosis in 66 (20.6%) and collusion with relatives in 33 (10.3%). A total of 42 separate words/phrases were identified relating to diagnosis; cancer was recorded in 60 (19.6%). Collusion was three times as common in the patients over 65 years (17.9 vs 5.7%, P=0.001). There was a reduction in the number of diagnostic words recorded in the patients over 65 years (90.3 vs 98.3%, P=0.002) and by type of surgeon (P=0.001). Information was often poorly recorded in the notes. We have shown that the quality of information varies according to patient age, surgeon and specialty. Nature Publishing Group 2003-03-24 2003-03-18 /pmc/articles/PMC2377092/ /pubmed/12644819 http://dx.doi.org/10.1038/sj.bjc.6600816 Text en Copyright © 2003 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Clinical
Kirwan, J M
Tincello, D G
Lavender, T
Kingston, R E
How doctors record breaking bad news in ovarian cancer
title How doctors record breaking bad news in ovarian cancer
title_full How doctors record breaking bad news in ovarian cancer
title_fullStr How doctors record breaking bad news in ovarian cancer
title_full_unstemmed How doctors record breaking bad news in ovarian cancer
title_short How doctors record breaking bad news in ovarian cancer
title_sort how doctors record breaking bad news in ovarian cancer
topic Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2377092/
https://www.ncbi.nlm.nih.gov/pubmed/12644819
http://dx.doi.org/10.1038/sj.bjc.6600816
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