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Breaking bad news to cancer patients in palliative care: A comparison of national cross-sectional surveys from 2006 and 2012
Most cancer patients experience the time when a doctor must "break the bad news" to them, a time when it is necessary for patients to call upon their self-determination to aid in the battle with cancer. The purpose of our study was to clarify the percentage of times doctors deliver bad new...
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| Published in: | Palliative & supportive care 2015-12, Vol.13 (6), p.1623-1630 |
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| cites | cdi_FETCH-LOGICAL-c513t-a1d1231d390624ab619e927cf68200748a675d78b4b2a372e44f3d25c28d419e3 |
| container_end_page | 1630 |
| container_issue | 6 |
| container_start_page | 1623 |
| container_title | Palliative & supportive care |
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| creator | Ichikura, Kanako Matsuda, Ayako Kobayashi, Mika Noguchi, Wataru Matsushita, Toshiko Matsushima, Eisuke |
| description | Most cancer patients experience the time when a doctor must "break the bad news" to them, a time when it is necessary for patients to call upon their self-determination to aid in the battle with cancer. The purpose of our study was to clarify the percentage of times doctors deliver bad news to patients at the end of life in each of four different situations, and to define the most common recipients of this bad news. We compare these results for two timepoints: 2006 and 2012.
The study had a national cross-sectional design consisting of self-completed questionnaires sent to all hospitals that provide cancer care. We mailed them to hospital directors in January and February of 2012, requesting a reply. The results of the same survey in 2006 were employed as a point for comparison.
A total of 1224 questionnaires were returned during 2012. 1499 responses collected in 2006 were employed as reference data. Some hospital characteristics had changed over that interval; however, the new data obtained were representative for patients being treated in Japanese cancer care hospitals. In hospitals with 300-499, there were significant differences between 2006 and 2012 in the providing information about ("disclosure of cancer diagnosis," "therapeutic options for treatment," and "a life-prolonging treatment"). In addition, the likelihood of doctors delivering bad news to patients and family members (as opposed to family members only) at the end of life increased from 2006 to 2012.
Our results suggest that the overall incidence of bad news being disclosed has increased, especially in hub medical institutions for cancer care. Advanced treatment options or domestic legislation may have influenced the frequency or type of bad news. |
| doi_str_mv | 10.1017/S147895151500005X |
| format | article |
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The study had a national cross-sectional design consisting of self-completed questionnaires sent to all hospitals that provide cancer care. We mailed them to hospital directors in January and February of 2012, requesting a reply. The results of the same survey in 2006 were employed as a point for comparison.
A total of 1224 questionnaires were returned during 2012. 1499 responses collected in 2006 were employed as reference data. Some hospital characteristics had changed over that interval; however, the new data obtained were representative for patients being treated in Japanese cancer care hospitals. In hospitals with 300-499, there were significant differences between 2006 and 2012 in the providing information about ("disclosure of cancer diagnosis," "therapeutic options for treatment," and "a life-prolonging treatment"). In addition, the likelihood of doctors delivering bad news to patients and family members (as opposed to family members only) at the end of life increased from 2006 to 2012.
Our results suggest that the overall incidence of bad news being disclosed has increased, especially in hub medical institutions for cancer care. Advanced treatment options or domestic legislation may have influenced the frequency or type of bad news.</description><identifier>ISSN: 1478-9515</identifier><identifier>EISSN: 1478-9523</identifier><identifier>DOI: 10.1017/S147895151500005X</identifier><identifier>PMID: 25880541</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Adult ; Aged ; Cancer therapies ; Cross-Sectional Studies ; Disclosure ; Education ; Fatalities ; Female ; Hospitals ; Humans ; Japan ; Life expectancy ; Male ; Medical diagnosis ; Middle Aged ; Neoplasms - diagnosis ; Neoplasms - epidemiology ; Neoplasms - psychology ; Original Articles ; Palliative care ; Palliative Care - methods ; Palliative Care - psychology ; Patient Satisfaction ; Physician-Patient Relations ; Physicians ; Questionnaires ; Surveys and Questionnaires ; Truth Disclosure</subject><ispartof>Palliative & supportive care, 2015-12, Vol.13 (6), p.1623-1630</ispartof><rights>Copyright © Cambridge University Press 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-a1d1231d390624ab619e927cf68200748a675d78b4b2a372e44f3d25c28d419e3</citedby><cites>FETCH-LOGICAL-c513t-a1d1231d390624ab619e927cf68200748a675d78b4b2a372e44f3d25c28d419e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S147895151500005X/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,72730</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25880541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ichikura, Kanako</creatorcontrib><creatorcontrib>Matsuda, Ayako</creatorcontrib><creatorcontrib>Kobayashi, Mika</creatorcontrib><creatorcontrib>Noguchi, Wataru</creatorcontrib><creatorcontrib>Matsushita, Toshiko</creatorcontrib><creatorcontrib>Matsushima, Eisuke</creatorcontrib><title>Breaking bad news to cancer patients in palliative care: A comparison of national cross-sectional surveys from 2006 and 2012</title><title>Palliative & supportive care</title><addtitle>Pall Supp Care</addtitle><description>Most cancer patients experience the time when a doctor must "break the bad news" to them, a time when it is necessary for patients to call upon their self-determination to aid in the battle with cancer. The purpose of our study was to clarify the percentage of times doctors deliver bad news to patients at the end of life in each of four different situations, and to define the most common recipients of this bad news. We compare these results for two timepoints: 2006 and 2012.
The study had a national cross-sectional design consisting of self-completed questionnaires sent to all hospitals that provide cancer care. We mailed them to hospital directors in January and February of 2012, requesting a reply. The results of the same survey in 2006 were employed as a point for comparison.
A total of 1224 questionnaires were returned during 2012. 1499 responses collected in 2006 were employed as reference data. Some hospital characteristics had changed over that interval; however, the new data obtained were representative for patients being treated in Japanese cancer care hospitals. In hospitals with 300-499, there were significant differences between 2006 and 2012 in the providing information about ("disclosure of cancer diagnosis," "therapeutic options for treatment," and "a life-prolonging treatment"). In addition, the likelihood of doctors delivering bad news to patients and family members (as opposed to family members only) at the end of life increased from 2006 to 2012.
Our results suggest that the overall incidence of bad news being disclosed has increased, especially in hub medical institutions for cancer care. 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The purpose of our study was to clarify the percentage of times doctors deliver bad news to patients at the end of life in each of four different situations, and to define the most common recipients of this bad news. We compare these results for two timepoints: 2006 and 2012.
The study had a national cross-sectional design consisting of self-completed questionnaires sent to all hospitals that provide cancer care. We mailed them to hospital directors in January and February of 2012, requesting a reply. The results of the same survey in 2006 were employed as a point for comparison.
A total of 1224 questionnaires were returned during 2012. 1499 responses collected in 2006 were employed as reference data. Some hospital characteristics had changed over that interval; however, the new data obtained were representative for patients being treated in Japanese cancer care hospitals. In hospitals with 300-499, there were significant differences between 2006 and 2012 in the providing information about ("disclosure of cancer diagnosis," "therapeutic options for treatment," and "a life-prolonging treatment"). In addition, the likelihood of doctors delivering bad news to patients and family members (as opposed to family members only) at the end of life increased from 2006 to 2012.
Our results suggest that the overall incidence of bad news being disclosed has increased, especially in hub medical institutions for cancer care. Advanced treatment options or domestic legislation may have influenced the frequency or type of bad news.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>25880541</pmid><doi>10.1017/S147895151500005X</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1478-9515 |
| ispartof | Palliative & supportive care, 2015-12, Vol.13 (6), p.1623-1630 |
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| language | eng |
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| source | Cambridge Journals Online |
| subjects | Adult Aged Cancer therapies Cross-Sectional Studies Disclosure Education Fatalities Female Hospitals Humans Japan Life expectancy Male Medical diagnosis Middle Aged Neoplasms - diagnosis Neoplasms - epidemiology Neoplasms - psychology Original Articles Palliative care Palliative Care - methods Palliative Care - psychology Patient Satisfaction Physician-Patient Relations Physicians Questionnaires Surveys and Questionnaires Truth Disclosure |
| title | Breaking bad news to cancer patients in palliative care: A comparison of national cross-sectional surveys from 2006 and 2012 |
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