Communicating the diagnosis of lung cancer

Sell, Lea; Devlin, Bernie; Bourke, S.; Munro, N.C.; Corris, Paul A.; Gibson, G J

doi:10.1016/s0954-6111(05)80315-4

Cited by 58 publications

(38 citation statements)

References 10 publications

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“…Usually, patients want information on their illness (Centano-Cortes, NunezOlarte, 1994; Faulkner, Peace, O'Keeffee, 1993; Meredith et al, 1996;Sell et al, 1993;Simpson et al, 1991), but, in many parts of the world, information with ominous portent is withheld from patients. While this practice is based on compassion and family concern, a 'conspiracy of silence' and a 'conspiracy of words' may add to a patient's suffering.…”

Section: Psychological Supportmentioning

confidence: 99%

Cancer survival in Kampala, Uganda

Gondos¹,

Brenner²,

et al. 2005

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Policies and managerial guidelines 2nd Edition regional national legislation policy treatment palliative care diagnosis people community patients family caregivers health professionals resources evidence-based researchers prevention management early detection regional national legislation policy treatment palliative care diagnosis people community patients family caregivers health professionals resources evidencebased researchers prevention management early detection regional national legislation policy regional national legislation policy treatment palliative care diagnosis people community patients family caregivers health professionals resources evidence-based researchers prevention management early detection regional national legislation policy treatment palliative care diagnosis people community patients family caregivers health professionals resources evidencebased researchers prevention management early detection regional national legislation policy World Health Organization POLICIES AND MANAGERIAL GUIDELINES W O R L D H E A L T H O R G A N I Z A T I O N G E N E V A WHO Library Cataloguing-in-Publication DataNational cancer control programmes : policies and managerial guidelines. -2 nd ed.1. Neoplasms -prevention and control 2. National health programs -organization and administration 3. Health policy 4. Guidelines The World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. Applications and enquiries should be addressed to the Office of Publications, World Health Organization, Geneva, Switzerland, which will be glad to provide the latest information on any changes made to the text, plans for new editions, and reprints and translations already available. © World Health Organization 2002Publications of the World Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. 1 Biological and Social Aspects of Cancer 3Biological aspects of cancer 3Social aspects of cancer 52 Causes of Cancer 9Biological and genetic factors 9External agents 11Relative importance of various causes of cancer 14 Burden of Cancer 17Cancer as a world health problem 17Cancer of various sites 18Cancer trends over time 20Psychosocial and economic impacts of cancer 21 CANCER. The word still conjures...

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Section: Psychological Supportmentioning

confidence: 99%

Cancer survival in Kampala, Uganda

Gondos¹,

Brenner²,

et al. 2005

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“…This task is a frequent one for those involved in cancer care. How bad news is broken is important to cancer patients (Sell et al, 1993;Butow et al, 1996;Loge et al, 1997). There is a wealth of published advice on how to break bad news with several areas of agreement on how to do it effectively (see Ptacek and Eberhardt (1996) for a detailed review of published opinion).…”

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confidence: 99%

The development of a structured rating schedule (the BAS) to assess skills in breaking bad news

1999

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Summary There has been considerable interest in how doctors break bad news, with calls from within the profession and from patients for doctors to improve their communication skills. In order to aid clinical training and assessment of the skills used in breaking bad news there is a need for a reliable, practical and valid, structured rating schedule. Such a rating schedule was compiled from agreed criteria in the literature. Video-taped recordings of simulated consultations breaking bad news were independently assessed by three raters using the schedule and compared to three experts who gave global ratings. The primary outcome measures were internal consistency of the schedule and level of agreement between raters. The internal consistency was high with a Cronbach's alpha of 0.93. Agreement between raters using the schedule was moderate to good. The majority of the variation in scores was due to the differences in skills demonstrated in the interviews. The agreement between raters not using the schedule was poor. The BAS provides a simple to use, reliable, and consistent rating schedule for assessing skills used in breaking bad news. It could be a valuable aid to teaching this difficult task.

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“…At odds are the practitioner's duty to truth telling and the patient's cognitive and emotional appraisal of bad news. Techniques for delivery of bad news are well documented in oncology (Sell et al, 1993;Girgis and Sanson-Fisher, 1995), but studies also recognise that information can be misunderstood or forgotten (Ptacek and Eberhardt, 1996;McConnell et al, 1999;Schofield et al, 2001). The use of audiotapes in medical consultations is a logical antidote to misunderstanding (Hogbin and Fallowfield, 1989;Damian and Tattersall, 1991;Deutsch, 1992;Dunn et al, 1993;McHugh et al, 1995) but, for patients with a poor prognosis, bad news can increase psychological distress (McHugh et al, 1995) and the potential for maladaptive responses.…”

Section: Discussionmentioning

confidence: 99%

“…Recent research has placed a considerable emphasis on effective communication of bad news (Fallowfield, 1993;Sell et al, 1993;Ptacek and Eberhardt, 1996) and numerous approaches have been recommended to evaluate and improve communication (Fallowfield, 1993;McConnell et al, 1999;Schofield et al, 2001). Yet relatively little attention has been paid as to what patients believe about what they are told and how they respond to bad news.…”

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confidence: 99%

Beliefs and practices of patients with advanced cancer: implications for communication

et al. 2004

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The aim of this study was to investigate the beliefs that patients with advanced cancer held about the curability of their cancer, their use of alternatives to conventional medical treatment, and their need to have control over decisions about treatment. Of 149 patients who fulfilled the criteria for participation and completed a self-administered questionnaire, 45 patients (31%) believed their cancer was incurable, 61 (42%) were uncertain and 39 (27%) believed their cancer was curable. The index of need for control over treatment decisions was low in 53 patients (35.6%) and high in only 17 patients (11.4%). Committed users of alternatives to conventional medical treatments were more likely to believe that their cancer was curable (Po0.001) and to have a higher need for control over decisions about treatment (Po0.004). The mean need for control scores were highest in patients who believed that their cancer was curable, or who were uncertain about the curability of their cancer, but who acknowledged that their oncologist had reported that the cancer was incurable. The diverse beliefs, attitudes and actions of these patients were consistent with a range of psychological adaptions to a life-threatening illness, some realistic and others illusory. Illusory responses influence what communication can achieve in daily oncology practice.

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Communicating the diagnosis of lung cancer

Cited by 58 publications

References 10 publications

Cancer survival in Kampala, Uganda

Cancer survival in Kampala, Uganda

The development of a structured rating schedule (the BAS) to assess skills in breaking bad news

Beliefs and practices of patients with advanced cancer: implications for communication

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