Breast cancer patients' expectations in respect of the physician–patient relationship and treatment management results of a survey of 617 patients

Oskay-Özcelik, Gülten; Lehmacher, Walter; Könsgen, Dominique; Christ, Hildegard; Kaufmann, M.; Lichtenegger, W.; Bamberg, M.; Wallwiener, D.; Overkamp, Friedrich; Diedrich, K.; Minckwitz, G von; Höffken, K.; Seeber, S.; Mirz, R.; Sehouli, Jalid

doi:10.1093/annonc/mdl456

Cited by 78 publications

(84 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The demand for such active involvement in medical decisions progressively increased over the years [42,64]. Several studies suggest that about 68% of patients seek a second opinion, so that would get another diagnosis or prognosis, and 65% would assurance regarding the diagnosis or treatment options [44,47,[65][66][67]. Furthermore, the patients might seek another opinion to discuss their diagnosis and/or treatment, especially when they are dissatisfied with the first physician [45,47,63,65,68].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The “Second Opinion Medical Network”

Palmieri¹

2017

Int J Pathol Clin Res

View full text Add to dashboard Cite

The "Second Opinion Medical Network" is a consultation referral web and medical office system recruiting a wide panel of real-time available specialists, to whom any patient affected by any disease or syndrome and not satisfied with the diagnosis or therapy can apply for an individual clinical audit. Due to the physician-patient communication gap, most of the patients usually wander around the medical websites looking for proper answers to their health problems. However, this search often becomes compulsive and obsessive and frequently ambiguous and frustrating. Palmieri, et al. defines this borderline or even pathological behavior as the "Web Babel Syndrome"-psychological imbalance affecting young and elderly patients, often with multiple synchronous diseases receiving by their care givers heterogeneous and misleading informations or advices, as well as, confused, contradictory statements and prescriptions. To deal with this problem, the "Second Opinion Medical Network" aims to be a useful "problem-solving" support revisiting each conflictual diagnostic and therapeutic step and properly re-addressing tailored treatments and prognoses, preventing unnecessary investigations and unhelpful and expensive medical and surgical interventions.The aim of this editorial is to describe the role and benefits of such a medical network in our web connected health care system. KeywordsSecond opinion, Network, Surgery, Cancer, EconomyIn 2002, a survey of 4,530 people in Europe and USA showed that 32% of Europeans and 43% of Americans preferred to use health web sites, sponsored by BBC and Yahoo, for health information [3]. However, the internet sites are often lacking of adequate information concerning disease complications and aftercare [4]. This web-searching behaviour is often continuous, compulsory, somehow obsessive, leading to the "Web Babel Syndrome", defined as a physician-patient communication gap frequently occurring when the patient affected by multiple synchronous pathologies, feeds back heterogeneous and misleading informations and prescriptions with the risk to drop in a confusionary state [5][6][7][8].In 1999, the Institute of Medicine report cited fatal medical errors in some 40,000-98,000 Americans PER year [8] supporting once more the concept that a further consultation or specialistic second opinion may be useful antidote to lethal misdiagnosis [9].The term "second opinion" has been widely reported also in histology [10,11] and pathology (e.g. thyroid pathology) [12][13][14][15][16][17][18][19][20] where the diagnosis is often difficult, misunderstood and strongly based on the healthcare professionals' experience. It has been defined as a qualified, interdisciplinary medical opinion, based on medical evidence, of an experienced medical specialist or a team [21]. An effective and helpful second opinion strategy in various pathologies (e.g. oral pathology) is the use of smartphones and software applications, such as WhatsApp Messenger, a crossplatform mobile messaging application that allows the exchang...

show abstract

Section: Discussionmentioning

confidence: 99%

“…Indeed, a survey on 617 breast cancer patients underlined that 94% of these patients want an independent opinion from another expert about treatment options [44].…”

Section: Second Medical Opinion Network In Oncologymentioning

confidence: 99%

The “Second Opinion Medical Network”

Palmieri¹

2017

Int J Pathol Clin Res

View full text Add to dashboard Cite

show abstract

“…Cancer patients report that they want to be able to confer with their conventional health professionals, particularly their oncologists, about their CAM use [6][7][8] ; therefore, health professionals who elect to act as integrative care guides are likely offering patients muchwelcomed support. In addition, directing patients to safe and reputable CAM information resources will not only reduce the burden felt by patients who are often overwhelmed by the plethora of material on CAM, but will also ensure that patients are making their decisions using evidence-based information.…”

Section: Discussionmentioning

confidence: 99%

Integrative Oncology: A Canadian and International Perspective

Brazier

Balneaves²,

Seely³

et al. 2008

Current Oncology

View full text Add to dashboard Cite

ObjectiveCancer patients are increasingly known to use complementary medicine (CAM) during conventional treatment, but data are limited on how Canadian oncology health professionals attempt to assist patients with their use of CAM in the context of conventional cancer care. As part of a larger qualitative study assessing the perceptions of Canadian oncology health professionals regarding integrated breast cancer care, we undertook an exploration of current integrative practices of oncology health professionals. DesignUsing an interpretive description research design and purposive sampling, we conducted a series of in-depth qualitative interviews with various oncology health professionals recruited from provincial cancer agencies, hospitals, integrative clinics, and private practice settings in four Canadian cities: Vancouver, Winnipeg, Montreal, and Halifax. A total of 16 oncology health professionals participated, including medical and radiation oncologists, nurses, and pharmacists. ResultsFindings highlighted two main strategies used by oncology health professionals to create a more integrative approach for cancer patients:• acting as an integrative care guide, and • collaborating with other health professionals. ConclusionsAlthough few clear standards of practice or guidance material were in place within their organizational settings, health professionals discussed some integrative

show abstract

“…In a recent study involving 617 breast cancer patients, only 29% of women wanted to know their exact life expectancy [28]. Almost half of the patients (44%) thought that "nobody can know my probable life expectancy" and instead 81% wanted to know when and how their condition would likely deteriorate.…”

Section: Ethics: Honesty and Hopementioning

confidence: 99%

“…However, patients need open communication and highly value caregivers acknowledging their feelings [14,28,34]. How high is the cost of eloquent emotional intelligence?…”

Section: Burning Out Hopementioning

confidence: 99%

Hope

Penson

Harris

et al. 2007

The Oncologist

View full text Add to dashboard Cite

After completing this course, the reader will be able to:1. Describe the powerful dynamic of hope for patients with cancer.2. Discuss the importance of addressing how issues of life and death affect patients, families, and caregivers.3. List the advantages and limitations of realistic hopefulness.4. Better care for and communicate with patients and families who face life-threatening illness.Access and take the CME test online and receive 1 AMA PRA Category 1 Credit ™ at CME.TheOncologist.com CME CME ABSTRACT PRESENTATIONFacilitator: Nat, a long-term survivor from recurrent ovarian cancer, has come to Schwartz Rounds to help us reflect on hope. It is a fairly true clinical adage that if you have a recurrence of ovarian cancer, you cannot be cured. Her surgeon is also here, and a great example of someone who embodies hope in his work, and his personal life. The title of today's Schwartz Rounds comes

show abstract

Breast cancer patients' expectations in respect of the physician–patient relationship and treatment management results of a survey of 617 patients

Cited by 78 publications

References 12 publications

The “Second Opinion Medical Network”

The “Second Opinion Medical Network”

Integrative Oncology: A Canadian and International Perspective

Hope

Contact Info

Product

Resources

About