Discussing Adjuvant Cancer Therapy

作者: Natasha Leighl , Melina Gattellari , Phyllis Butow , Richard Brown , Martin H.N. Tattersall

DOI: 10.1200/JCO.2001.19.6.1768

关键词:

摘要: PURPOSE: To document the adequacy of patient information in oncology consultations concerning adjuvant therapy and explore predictors physician communication patterns, treatment decisions, recall, satisfaction. PATIENTS AND METHODS: Retrospective analysis audiotapes verbatim transcripts 101 initial with medical radiation oncologists was undertaken. Content analysis, data on anxiety, satisfaction, recall were collected. Predictors communication, satisfaction consultation identified. RESULTS: The majority patients well informed their prognosis, benefits risks therapy, alternative management options. Only half asked about preferences for or decision-making involvement. detail given include sex, age, occupation, education. Radiation and...

参考文章(48)
Elizabeth A Lobb, Phyllis N Butow, Dianna T Kenny, Martin H N Tattersall, Communicating prognosis in early breast cancer: do women understand the language used? The Medical Journal of Australia. ,vol. 171, pp. 290- 294 ,(1999) , 10.5694/J.1326-5377.1999.TB123656.X
Charles D. Spielberger, Richard L. Gorsuch, R. E. Lushene, Manual for the State-Trait Anxiety Inventory Consulting Psychologist. ,(1970)
Vida Francis, Barbara M. Korsch, Ethel K. Gozzi, Gaps in doctor-patient communication. 1. Doctor-patient interaction and patient satisfaction. Pediatrics. ,vol. 42, pp. 855- 871 ,(1968)
S Rajagopal, P J Goodman, I F Tannock, Adjuvant chemotherapy for breast cancer: discordance between physicians' perception of benefit and the results of clinical trials. Journal of Clinical Oncology. ,vol. 12, pp. 1296- 1304 ,(1994) , 10.1200/JCO.1994.12.6.1296
R P McQuellon, H B Muss, S L Hoffman, G Russell, B Craven, S B Yellen, Patient preferences for treatment of metastatic breast cancer: a study of women with early-stage breast cancer. Journal of Clinical Oncology. ,vol. 13, pp. 858- 868 ,(1995) , 10.1200/JCO.1995.13.4.858
H J Sutherland, H A Llewellyn-Thomas, G A Lockwood, D L Tritchler, J E Till, Cancer patients: their desire for information and participation in treatment decisions. Journal of the Royal Society of Medicine. ,vol. 82, pp. 260- 263 ,(1989) , 10.1177/014107688908200506
L A Siminoff, J H Fetting, M D Abeloff, Doctor-patient communication about breast cancer adjuvant therapy Journal of Clinical Oncology. ,vol. 7, pp. 1192- 1200 ,(1989) , 10.1200/JCO.1989.7.9.1192
Sheldon Greenfield, Sherrie H. Kaplan, John E. Ware, Elizabeth Martin Yano, Harrison J. L. Frank, Patients' participation in medical care: effects on blood sugar control and quality of life in diabetes. Journal of General Internal Medicine. ,vol. 3, pp. 448- 457 ,(1988) , 10.1007/BF02595921