Ethical Aspects of Patient Information in Radiation Oncology

Schäfer, C.; Herbst, M.

doi:10.1007/s00066-003-1054-8

Cited by 32 publications

(42 citation statements)

References 66 publications

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“…However RT is difficult for patients to comprehend because it is not visible. 19 The provision of information to patients receiving RT and their relatives using a 2D imaging system such as CT Scans could be improved using VR. It is well recognised that spatial relationships are easier to understand when visualized stereoscopically in 3D environments, and VR systems have therefore the potential to improve the RT planning process 17 and even provide images of the room where RT is given and the machine delivering it.…”

Section: Discussionmentioning

confidence: 99%

Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

et al. 2015

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a b s t r a c tIt is widely accepted that health professionals might sometimes underestimate cancer patients' needs for information on the complex process of radiotherapy (RT) planning and delivery. Furthermore, relatives might also feel excluded from the treatment of their loved ones. This pilot study was carried out in order to assess whether both patients and their relatives would welcome further information on RT planning and delivery using the virtual reality (VR) system VERT. One hundred and fifty patients with different types of cancer receiving radical RT were included in the study. Patients and relatives were shown using VERT on a one-to-one basis with an oncologist or a radiographer, a standard room where RT is given, a linear accelerator, and how RT is planned and delivered using their own planning CT Scans. Patients welcomed this information as it helped them to reduce their fears about RT. Relatives felt also more involved in the treatment of their loved one. The results obtained in this pilot study show that VR aids could become an important tool for delivering information on RT to both patients and relatives.© 2015 The College of Radiographers. Published by Elsevier Ltd. All rights reserved. IntroductionThere is clear evidence suggesting there is often a gap between the information provided to patients regarding their disease and management, and the amount of information patients wish to receive.1 Furthermore, it is not uncommon for clinicians to underestimate cancer patients' needs for information, 2 especially when the vast majority of cancer patients want to be thoroughly informed about their illness. 3 Despite this, there are still problems with respect to the provision of information which could satisfy most patients. 4 The importance of the provision of information to patients has been stressed by the Department of Health 5 stating that is a key requirement in current cancer services standards in the UK. However, it cannot be assumed that all patients want substantial information regarding their treatment as some might prefer to fully trust their doctor rather than being involved in taking any decisions that could affect their management. While several studies have addressed these issues, 6,7 further work is still required to improve the understanding of patients' needs. Furthermore, relatives might feel sometimes disengaged in the management of their loved ones and might consider themselves being excluded from several areas within the management process. The negative psychological impact upon partners and other relatives of cancer patients is well documented, 8 and such negative effect is (amongst many other factors) widely associated with lack of medical information given to them. It has long been argued that providing tailored information to relatives as well as patients in general cancer care is a positive aspect of the treatment process 9 and there is little doubt that such inclusionary practice should be encouraged in cancer care.A clear example where provision of information to patien...

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Section: Discussionmentioning

confidence: 99%

Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

et al. 2015

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“…All patients were treated postoperatively with tangential fields, after written informed consent [20,21]. Radiation was delivered using megavoltage equipment to the chest wall with either 4-or 6-MV photons.…”

Section: Methodsmentioning

confidence: 99%

Phyllodes Tumor: an Unexpected Tumor of the Breast

Stranzl

Peintinger²,

Hackl

2004

Strahlenther Onkol

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“…Ob ein gesetzlich versicherter Patient über eine Behandlungsalternative aufzuklären ist, die ihm nur als Selbstzahler zur Verfügung steht, weil die gesetzliche Krankenversicherung sie aus ihrem Leistungskatalog ausklammert, hat der Bundesgerichtshof bisher nicht entschieden [14].…”

Section: Die Aufklärung Des Patientenunclassified

“…Der Patient muss also zunächst aufgeklärt werden, um anschließend in den ärztlich empfohlenen Eingriff einzuwilligen. Erst danach erfolgt der Eingriff im Rahmen des mit dem Patienten besprochenen Umfangs [10,14].…”

Section: Introductionunclassified

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Rechtsfragen in der Radioonkologie

Hesselmann

Strauss²,

Micke

et al. 2004

Strahlenther Onkol

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Every attending physician should feel obliged to pay attention to legal questions concerning medical subjects, though judgments on the contents and the extent of the information that must be given to patients are complex and difficult to understand for anybody not experienced in law. Only so the ever-increasing tendency of people to try to make financial profit on information that they consider mistaken or incomplete can be opposed and a lawsuit can be won, if it cannot be avoided.

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Ethical Aspects of Patient Information in Radiation Oncology

Abstract: Considerations regarding the ethical aspects of patient information can provide an impulse to clinical improvement. Therefore, research in this field should be intensified in the future, especially in the area of palliative radiotherapy.

Cited by 32 publications

References 66 publications

Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

Phyllodes Tumor: an Unexpected Tumor of the Breast

Rechtsfragen in der Radioonkologie

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