What do gastroenterologists in Europe tell cancer patients?

Thomsen, Ole Østergaard; Wulff, Henrik R.; Martín, Arturo Farfán; Singer, P. Alonso

doi:10.1016/0140-6736(93)90218-6

Cited by 243 publications

(87 citation statements)

References 1 publication

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“…A cross-European study concluded, in 1993, that doctors from northern Europe disclosed diagnoses to patients and families almost without exception, whereas southern and eastern European doctors preferred not to disclose any information [5]. Researchers in Norway showed that the great majority of physicians fully informed their cancer patients of their diagnosis [6].…”

Section: Introductionmentioning

confidence: 99%

Truth-Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar

Pozo¹,

Fins

Helmy

et al. 2012

The Oncologist

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After completing this course, the reader will be able to:1. Compare physician-stated and actual disclosure practices with respect to cancer diagnoses.2. Identify variables that influence physician truth-telling practices with respect to cancer diagnoses. This article is available for continuing medical education credit at CME.TheOncologist.com. CME CME ABSTRACTThere is limited information regarding physicians' attitudes toward revealing cancer diagnoses to patients in the Arab world. Using a questionnaire informed by a seminal study carried out by Oken in 1961, our research sought to determine present-day disclosure practices in Qatar, identify physician sociodemographic variables associated with truth-telling, and outline trends related to future practice.A sample of 131 physicians was polled. Although nearly 90% of doctors said they would inform cancer patients of their diagnosis, ϳ66% of respondents stated that they made exceptions to their policy, depending on patient characteristics. These data suggest that clinical practices are somewhat discordant on professed beliefs about the ethical propriety of disclosure.

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Section: Introductionmentioning

confidence: 99%

Truth-Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar

Pozo¹,

Fins

Helmy

et al. 2012

The Oncologist

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“…Thomsen studied the variation in attitudes among European physicians toward truth telling in case of cancer. Unlike their colleagues in Northern Europe, physicians in Southern and Eastern Europe are more likely to reveal the diagnosis of cancer to the patient's spouse rather than the patient (12). This discrepancy in belief of truth telling reflects not only the difference of doctor's creed but also that of the population's expectation between the Western and Eastern World.…”

Section: Discussionmentioning

confidence: 83%

Psychological impact of revealing a diagnosis of lung cancer to patients in China

Huimin

Hou

2016

J. Thorac. Dis.

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“…Despite the advances in information available to patients, many doctors still unwittingly hurt their patients while trying to protect them by withholding information (Thomsen et al, 1993). However, few would state that they actively withhold the diagnosis of cancer from their patients.…”

Section: Discussionmentioning

confidence: 99%

“…The revealing of the diagnosis of cancer to patients is a key event in their cancer journey. The word cancer is often avoided in these consultations (Thomsen et al, 1993). Over recent years, communication and information have increasingly been considered important in helping people with cancer (Fallowfield et al, 1994;Coulter, 1998).…”

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confidence: 99%

How doctors record breaking bad news in ovarian cancer

et al. 2003

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Revealing the diagnosis of cancer to patients is a key event in their cancer journey. At present, there are no minimal legal recommendations for documenting such consultations. We reviewed the Hospital records of 359 patients with epithelial ovarian cancer in the Mersey Area between 1992 and 1994. We identified the following factors: age, hospital, postcode, surgeon, stage of disease and survival. These were compared to information recorded at the time of the interview such as person present, descriptive words used, prognosis, further treatment and emotional response. In 11.6%, there was no information recorded in the notes. The diagnosis was recorded in 304 (94.7%), prognosis in 66 (20.6%) and collusion with relatives in 33 (10.3%). A total of 42 separate words/phrases were identified relating to diagnosis; cancer was recorded in 60 (19.6%). Collusion was three times as common in the patients over 65 years (17.9 vs 5.7%, P ¼ 0.001). There was a reduction in the number of diagnostic words recorded in the patients over 65 years (90.3 vs 98.3%, P ¼ 0.002) and by type of surgeon (P ¼ 0.001). Information was often poorly recorded in the notes. We have shown that the quality of information varies according to patient age, surgeon and specialty.

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What do gastroenterologists in Europe tell cancer patients?

Cited by 243 publications

References 1 publication

Truth-Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar

Truth-Telling and Cancer Diagnoses: Physician Attitudes and Practices in Qatar

Psychological impact of revealing a diagnosis of lung cancer to patients in China

How doctors record breaking bad news in ovarian cancer

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