Promise and Perils of Large Language Models for Cancer Survivorship and Supportive Care

Bitterman, Danielle S.; Downing, Andrea; Maués, Julia; Lustberg, Maryam

doi:10.1200/jco.23.02439

JCO

2024

DOI: 10.1200/jco.23.02439

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Promise and Perils of Large Language Models for Cancer Survivorship and Supportive Care

Danielle S. Bitterman,

Andrea Downing,

Julia Maués

et al.

Abstract: A call to action to bring stakeholders together to plan for the future of LLM-enhanced cancer survivorship.

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When Bad News Comes Through the Portal: Strengthening Trust and Guiding Patients When They Receive Bad Results Before Their Clinicians

Salmi,

Hubbard,

McFarland

2024

Am Soc Clin Oncol Educ Book

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Communication in oncology was challenging long before the emergence of the US 21st Century Cures Act. Before 2021, a growing body of evidence had demonstrated the benefits of patients' access to and review of the clinical notes in their charts (open notes); however, studies examining the benefits of immediate access to test results were scarce until the implementation of the Cures Act's Information Blocking Rule. Individuals grappling with cancer today now possess immediate access to their laboratory results, imaging scans, diagnostic tests, and progress notes as mandated by law. To many clinicians, the implementation of the Cures Act felt sudden and presented new challenges and concerns for oncologists surrounding patients' potential emotional reactions to medical notes or lack of control over the careful delivery of potentially life-changing information. Despite data that show most patients want immediate access to information in their records before it is communicated directly by a health care professional, surveys of oncologists showed trepidation. In this chapter, perspectives from a patient with cancer, an oncologist, and a cancer psychiatrist (in that order) are shared to illuminate the adjustments made in clinician-patient communication amid the era of nearly instantaneous results within the electronic health record.

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When Bad News Comes Through the Portal: Strengthening Trust and Guiding Patients When They Receive Bad Results Before Their Clinicians

Salmi,

Hubbard,

McFarland

2024

Am Soc Clin Oncol Educ Book

View full text Add to dashboard Cite

show abstract

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Promise and Perils of Large Language Models for Cancer Survivorship and Supportive Care

Abstract: A call to action to bring stakeholders together to plan for the future of LLM-enhanced cancer survivorship.

Cited by 1 publication

References 41 publications

When Bad News Comes Through the Portal: Strengthening Trust and Guiding Patients When They Receive Bad Results Before Their Clinicians

When Bad News Comes Through the Portal: Strengthening Trust and Guiding Patients When They Receive Bad Results Before Their Clinicians

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