2015
DOI: 10.1200/jco.2014.59.6759
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Breaking Bad News in Oncology: A Metasynthesis

Abstract: Breaking bad news is a balancing act that requires oncologists to adapt continually to different factors: their individual relationships with the patient, the patient's family, the institutional and systemic environment, and the cultural milieu. Extending the development of the ability to personalize and adapt therapeutic treatment to this realm of communications would be a major step forward from the stereotyped way that oncologists are currently trained in communication skills.

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Cited by 138 publications
(138 citation statements)
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“…One viable educational intervention, for instance, could be the implementation of discussion groups (such as Balint groups, designed to improve clinicians’ skills by discussing personal cases focusing on patient-doctor interaction) [42]. The effectiveness of these groups has already been shown in several areas, including improving communication skills, dealing more effectively with patient needs, and managing physicians’ involvement in their patient-physician relationships; it also increases physicians’ well-being [4345]. …”
Section: Discussionmentioning
confidence: 99%
“…One viable educational intervention, for instance, could be the implementation of discussion groups (such as Balint groups, designed to improve clinicians’ skills by discussing personal cases focusing on patient-doctor interaction) [42]. The effectiveness of these groups has already been shown in several areas, including improving communication skills, dealing more effectively with patient needs, and managing physicians’ involvement in their patient-physician relationships; it also increases physicians’ well-being [4345]. …”
Section: Discussionmentioning
confidence: 99%
“…Crossing the perspectives of patients, families, and healthcare providers enables a better understanding of their shared representations of the disease and its treatment. In recent years we have conducted several qualitative studies exploring the intersecting viewpoints around the issues of obesity [21] and attempted suicide [22] in pediatric populations as well as on the topics of cancer [23] and AN [24] in adults.…”
Section: Introductionmentioning
confidence: 99%
“…Clinically, the discussion of a new breast cancer diagnosis is stressful for both patients and clinicians, especially if a patient has received prior information about risk of developing breast cancer and used this information to decide about participating in screening and preventive interventions [29]. Our analysis clarifies the relationship of risk estimates of developing breast cancer and the pathologic features and prognosis of cancers diagnosed.…”
Section: Discussionmentioning
confidence: 99%