Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients

Libert, Yves; Peternelj, Livia; Bragard, Isabelle; Liénard, Aurore; Merckaert, Isabelle; Reynaert, Christine; Razavi, Darius

doi:10.1186/s12885-017-3437-8

Cited by 20 publications

(12 citation statements)

References 54 publications

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“…The support of a psycho-oncologist is fundamental to help clinicians recognize patients' emotions and psychological mechanisms, and therefore be able to comfort patients with the right words (18). Investing more time in talking with patients may be counterintuitive during a time of crisis, when resources are already stretched, but it may ultimately save time: fewer adverse events would occur because patients understand how to take medications, and there would be less need for treatment adjustments and unscheduled appointments.…”

Section: Discussionmentioning

confidence: 99%

Seven Shades of Black Thoughts: COVID-19 and Its Psychological Consequences on Cancer Patients

2020

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An outbreak of novel coronavirus disease (COVID-19) that started in China at the end of 2019 has rapidly spread all over the world. COVID-19 is plaguing people not only physically but also psychologically, and cancer patients are particularly exposed to this emotional threat. Herein, we describe the psychological threats posed by COVID-19 to cancer patients. Our analysis is based on the concerns of our patients during our daily clinical interactions in both outpatient and inpatient settings. We have summarized the patients' psychological issues: logistic overload, loneliness, fear, oxymoronic thoughts, helplessness, frustration, and emotional siege. We describe these psychological threats, provide clinical context for them, and offer practical suggestions for managing them, for the benefit of patients, their caregivers, and clinicians. Our hope is that, by sharing our clinical experience, we can help other oncologists increase their awareness of the psychological impact of the pandemic on cancer patients and implement solutions. Managing these challenges now should translate into improved standards of care when this infective storm is over. Paradoxically, COVID-19 could be an opportunity to learn how to better manage cancer care.

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Section: Discussionmentioning

confidence: 99%

Seven Shades of Black Thoughts: COVID-19 and Its Psychological Consequences on Cancer Patients

2020

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“…In Korea, there is no organised stress‐management programme for dentists but, in Belgium, communications and stress‐management programmes have been created for physicians treating patients with cancer. In Australia, where cognitive‐behavioural stress‐management programmes have been implemented in private clinics, it has been reported that physicians have seen an increase in quality of life, and a decrease in job‐related stress and sociopsychological stress levels.…”

Section: Discussionmentioning

confidence: 99%

“…In Korea, there is no organised stress-management programme for dentists but, in Belgium, communications and stress-management programmes have been created for physicians treating patients with cancer 45 .…”

Section: Dentists' Job-related Stress According To Sociodemographic Amentioning

confidence: 99%

Job stress and its related factors among Korean dentists: An online survey study

Song¹,

Kim

2019

International Dental Journal

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Objectives The aims of this study were to investigate the dentists' job‐related stress using the newly developed Dentist Job Stress (DJS) questionnaire, and to explore the relationships among sociodemographic factors, job stress and mental health indicators, including psychosocial stress, depression, anxiety and sleep among Korean dentists. Materials and methods An online survey including 1,520 dentists was conducted using the Brief Encounter Psychological Instrument‐Korean version (BEPSI‐K), the Center for Epidemiologic Studies Depression Scale (CES‐D), the State‐Trait Anxiety Index (STAI) and the Pittsburgh Sleep Quality Index (PSQI). Results The response rate was 15.2% (n = 231). The DJS questionnaire consisted of environmental and vocational factors, and Cronbach's α coefficient was 0.69. Dentists' job stress was significantly associated with income (P = 0.0230), work time (P = 0.0009) and job satisfaction (P < 0.0001). A bivariate correlation study revealed that the BEPSI‐K, CES‐D, STAI‐S and PSQI exhibited a significant correlation with the DJS scale. Multiple regression analysis found that depression, job satisfaction and sleep quality were associated with dentists' job stress, and this model accounted for 37.9% of the variation in the DJS scale (P < 0.0001). Conclusions The findings of this study revealed that the DJS questionnaire showed acceptable validity and reliability, and dentists' job stress was associated with depression, job satisfaction and sleep quality. The major implication of this study is that a stress‐management programme focusing on practical ways to improve the mental health status and job satisfaction of dentists is critical to the reduction of occupational stress among Korean dentists.

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“…For patients with ABC, more than 90% of patient regarded the expected survival as the most valuable information for informed decision-making. Therefore (13,14), accurate and personalized details of OS can help patients to be mentally prepared (15). Moreover, a reliable prediction of the OS in ABC patients is a vital basis for optimal therapy selection.…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a nomogram in survival prediction among advanced breast cancer patients

Zhao¹,

Yang²,

Pang³

et al. 2020

Ann Transl Med

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Background: The overall survival (OS) among patients with advanced breast cancer (ABC) varies greatly.Although molecular subtype is known as the most important factor in OS differentiation, significant differences in OS among patients with the same molecular subtype still occur, leading to the need for a more accurate prognostic prediction model. This study aimed to develop a prediction model (nomogram) based on current diagnosis and treatment to predict the OS of newly diagnosed ABC patients in China.Methods: From the institution's database, we collected data of 368 ABC patients from Sun Yat-sen Memorial Hospital (national hospital) as a training set to establish a nomogram with prognostic risk factors that calculated the predicted probability of survival. Nomograms were independently validated with 278 patients with ABC from two other institutions using the concordance index (C-index), calibration plots and risk group stratifications. Results:The initial primary tumor stage, molecular subtype, disease-free survival (DFS), presence of brain metastasis, and the tumor burden of metastasis disease (local recurrence, oligo-metastatic disease, or multiple-metastatic disease) were included in the prognostic nomogram. The nomogram had a C-index of 0.77 and 0.71 in the training and the validation sets, respectively. The nomogram was able to stratify patients into different risk groups, respectively (HR 6.81, 95% CI: 4.69 to 9.89, P<0.001). In the lower risk score group (risk score <11), there was no significant difference between the OS with chemotherapy and hormone therapy (HR 0.81, 95% CI: 0.44 to 1.47, P=0.48). Conclusions:We have constructed a novel prediction nomogram that can guide the physicians to select personalized treatment options. Furthermore, our study is the first to add oligo-metastatic disease and primary endocrine/trastuzumab resistance into the prognostic models.

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Communication about uncertainty and hope: A randomized controlled trial assessing the efficacy of a communication skills training program for physicians caring for cancer patients

Cited by 20 publications

References 54 publications

Seven Shades of Black Thoughts: COVID-19 and Its Psychological Consequences on Cancer Patients

Seven Shades of Black Thoughts: COVID-19 and Its Psychological Consequences on Cancer Patients

Job stress and its related factors among Korean dentists: An online survey study

Development and validation of a nomogram in survival prediction among advanced breast cancer patients

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