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Deciding what information is necessary: do patients with advanced cancer want to know all the details?
Communicating effectively with patients who have advanced cancer is one of the greatest challenges facing physicians today. Whilst guiding the patient through complex diagnostic and staging techniques, treatment regimens and trials, the physician must translate often imprecise or conflicting data in...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139480/ https://www.ncbi.nlm.nih.gov/pubmed/21792328 http://dx.doi.org/10.2147/CMR.S12998 |
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author | Russell, Bethany J Ward, Alicia M |
author_facet | Russell, Bethany J Ward, Alicia M |
author_sort | Russell, Bethany J |
collection | PubMed |
description | Communicating effectively with patients who have advanced cancer is one of the greatest challenges facing physicians today. Whilst guiding the patient through complex diagnostic and staging techniques, treatment regimens and trials, the physician must translate often imprecise or conflicting data into meaningful personalized information that empowers the patient to make decisions about their life and body. This requires understanding, compassion, patience, and skill. This narrative literature review explores current communication practices, information preferences of oncology patients and their families, and communication strategies that may assist in these delicate interactions. Overwhelmingly, the literature suggests that whilst the majority of patients with advanced cancer do want to know their diagnosis and receive detailed prognostic information, this varies not only between individuals but also for a given individual over time. Barriers to the delivery and understanding of information exist on both sides of the physician–patient relationship, and family dynamics are also influential. Despite identifiable trends, the information preferences of a particular patient cannot be reliably predicted by demographic, cultural, or cancer-specific factors. Therefore, our primary recommendation is that the physician regularly asks the patient what information they would like to know, who else should be given the information and be involved in decision making, and how that information should be presented. |
format | Online Article Text |
id | pubmed-3139480 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-31394802011-07-26 Deciding what information is necessary: do patients with advanced cancer want to know all the details? Russell, Bethany J Ward, Alicia M Cancer Manag Res Review Communicating effectively with patients who have advanced cancer is one of the greatest challenges facing physicians today. Whilst guiding the patient through complex diagnostic and staging techniques, treatment regimens and trials, the physician must translate often imprecise or conflicting data into meaningful personalized information that empowers the patient to make decisions about their life and body. This requires understanding, compassion, patience, and skill. This narrative literature review explores current communication practices, information preferences of oncology patients and their families, and communication strategies that may assist in these delicate interactions. Overwhelmingly, the literature suggests that whilst the majority of patients with advanced cancer do want to know their diagnosis and receive detailed prognostic information, this varies not only between individuals but also for a given individual over time. Barriers to the delivery and understanding of information exist on both sides of the physician–patient relationship, and family dynamics are also influential. Despite identifiable trends, the information preferences of a particular patient cannot be reliably predicted by demographic, cultural, or cancer-specific factors. Therefore, our primary recommendation is that the physician regularly asks the patient what information they would like to know, who else should be given the information and be involved in decision making, and how that information should be presented. Dove Medical Press 2011-05-24 /pmc/articles/PMC3139480/ /pubmed/21792328 http://dx.doi.org/10.2147/CMR.S12998 Text en © 2011 Russell and Ward, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Review Russell, Bethany J Ward, Alicia M Deciding what information is necessary: do patients with advanced cancer want to know all the details? |
title | Deciding what information is necessary: do patients with advanced cancer want to know all the details? |
title_full | Deciding what information is necessary: do patients with advanced cancer want to know all the details? |
title_fullStr | Deciding what information is necessary: do patients with advanced cancer want to know all the details? |
title_full_unstemmed | Deciding what information is necessary: do patients with advanced cancer want to know all the details? |
title_short | Deciding what information is necessary: do patients with advanced cancer want to know all the details? |
title_sort | deciding what information is necessary: do patients with advanced cancer want to know all the details? |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139480/ https://www.ncbi.nlm.nih.gov/pubmed/21792328 http://dx.doi.org/10.2147/CMR.S12998 |
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