Breaking Bad News About Cancer: Patients’ Preferences for Communication

Parker, Patricia A.; Baile, Walter F.; Moor, Carl de; Lenzi, Renato; Kudelka, Andrzej P.; Cohen, Lorenzo

doi:10.1200/jco.2001.19.7.2049

Cited by 342 publications

(327 citation statements)

References 25 publications

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“…This implies explaining individual, prognostic factors [256,257], which, in the case of melanoma, include depth of penetration and other prognostic parameters of the primary tumor as well as possible lymph node involvement or presence of metastatic disease [17].…”

Section: Stage and Prognosismentioning

confidence: 99%

Malignant Melanoma S3‐Guideline “Diagnosis, Therapy and Follow‐up of Melanoma”

Pflugfelder

Kochs

Blum

et al. 2013

J Deutsche Derma Gesell

180

148

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Section: Stage and Prognosismentioning

confidence: 99%

Malignant Melanoma S3‐Guideline “Diagnosis, Therapy and Follow‐up of Melanoma”

Pflugfelder

Kochs

Blum

et al. 2013

J Deutsche Derma Gesell

180

148

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“…The limited existing research applying a patient's perspective has almost exclusively focused on what kind of information patients want to receive [12] rather than on how patients want this information to be conveyed. Moreover, research addressing how patients want to receive the bad news is either nonempirical [13,14] or focuses on one aspect of patient outcome only (e.g., patient satisfaction) [15]. Some studies have assessed how patients perceive their physician's communication style of breaking bad news and how it affects them in terms of satisfaction, quality of life, and well-being, to mention a few.…”

Section: Introductionmentioning

confidence: 99%

Recipients’ perspective on breaking bad news: How you put it really makes a difference

Mast

Kindlimann

Langewitz³

2005

Patient Education and Counseling

149

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Objective: The goal of this study was to show that physician communication style of breaking bad news affects how the physician is perceived, how satisfied recipients of bad news are with the consultation, and how they feel after the consultation. Method: Female participants (students, N = 159) were asked to put themselves in the shoes of a patient receiving the bad news of a breast cancer diagnosis. Participants were randomly assigned to watch one of three prototypical physician communication styles of breaking bad news on videotape: patient-, disease-, or emotion-centered communication.Results: Results showed that these three prototypical communication styles were perceived very differently and they determined how satisfied participants were with the consultation and how they felt after the consultation. Participants exposed to the patient-centered communication perceived the physician as most emotional, least dominant, most appropriate when it comes to conveying information, most available and most expressive of hope. Also, they reported to be most satisfied with the visit and they showed the least increase in negative emotions. Conclusion: A patient-centered communication style has the most positive outcome for recipients of bad news on a cognitive, evaluative, and emotional level. Practice implications: Results of this study provide guidelines to physicians on how to convey bad news. #

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“…13 Moreover, research regarding how patients want to receive the bad news is either non-empirical or focus on only one outcome of the patient (e.g., patient satisfaction). [14][15][16] Studies suggest that a number of factors, apart from a lack of knowledge, can affect a doctor's ability to convey bad news sensitively. Some of the factors that can affect a doctor's ability to convey bad news are long working hours, fatigue, personal difficulties, reaction of the patient, subjective attitude such as personal fear of death.…”

Section: Discussionmentioning

confidence: 99%

Breaking bad news of cancer diagnosis - the patient’s perspective

Dhage

Wilkinson

2017

Int J Res Med Sci

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Background: Communication between physicians and patients is a fundamental aspect of cancer care. Bad news could be defined as "any information, which adversely affects an individual's view of his or her future”. The aim of the research study was to explore the patient’s perspective on receiving cancer news and their expectations regarding the same.Methods: A cross-sectional study was performed in our tertiary care teaching hospital. 50 consenting cancer patients from 18 to 60 years of age were interviewed on the basis of a structured, validated questionnaire.Results: On analysis of the 50 patients ‘answers, it was found that 37 were females and 13 were males, the average age being 50.07 years. The common diagnosis in females was breast cancer (20 patients) and in males it was lung cancer (5 patients). All the patients wanted relatives present with them when the bad news was broken to them. In 66.6% patients, the news was broken by a junior resident, 15% of the doctors didn't greet the patients, 10% of the patients were told the news suddenly, while 99% of the doctors didn’t explain any positive aspects of the disease related to the treatment outcome.Conclusions: This study provides an insight into the expectations of patients from their physicians with regard to the process of breaking bad news.

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Breaking Bad News About Cancer: Patients’ Preferences for Communication

Cited by 342 publications

References 25 publications

Malignant Melanoma S3‐Guideline “Diagnosis, Therapy and Follow‐up of Melanoma”

Malignant Melanoma S3‐Guideline “Diagnosis, Therapy and Follow‐up of Melanoma”

Recipients’ perspective on breaking bad news: How you put it really makes a difference

Breaking bad news of cancer diagnosis - the patient’s perspective

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