What keeps oncologists from addressing palliative care early on with incurable cancer patients? An active stance seems key

Oncologist

Volumn 20, Issue 1, 2015, Pages 56-61

  Pfeil, Timo A ^a   Laryionava, Katsiaryna ^b   Reiter Jheil, Stella ^c   Hiddemann, Wolfgang ^a   Winkler, Eva C ^b  

^a LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

^b UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

^c UNIVERSITY HOSPITAL BASEL   (Switzerland)

Author keywords

Communication; End of life decisions; Medical ethics; Medical oncology; Palliative care

Indexed keywords

ADULT; ADVANCED CANCER; AGED; ARTICLE; CANCER CENTER; CANCER PATIENT; COMMUNICATION SKILL; EVIDENCE BASED MEDICINE; EXPECTATION; FEMALE; HEALTH CARE PLANNING; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MEDICAL DECISION MAKING; MEDICAL ETHICS; NURSE; ONCOLOGIST; ONCOLOGY; PALLIATIVE THERAPY; PATIENT CARE; PRIORITY JOURNAL; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; TERMINAL CARE; DOCTOR PATIENT RELATION; ETHICS; GERMANY; NEOPLASMS; PHYSICIAN; PSYCHOLOGY;

ATTITUDE OF HEALTH PERSONNEL; ETHICS, MEDICAL; GERMANY; HUMANS; NEOPLASMS; PALLIATIVE CARE; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; TERMINAL CARE;

EID: 84921318092     PISSN: 10837159     EISSN: 1549490X     Source Type: Journal    
DOI: 10.1634/theoncologist.2014-0031     Document Type: Article

References (33)

1. Reiter-Theil S. What does empirical research contribute to medical ethics? A methodological discussion using exemplary studies. CambQHealthc Ethics 2012;21:425–435.
2. Hancock K, Clayton JM, Parker SM et al. Truthtelling in discussing prognosis in advanced lifelimiting illnesses: A systematic review. Palliat Med 2007;21:507–517.
3. Fallowfield LJ, Jenkins VA, Beveridge HA. Truth may hurt but deceit hurts more: Communication in palliative care. Palliat Med 2002;16:297–303.
4. Wright AA, Zhang B, Ray A et al. Associations betweenend-of-lifediscussions, patientmentalhealth, medical care near death, and caregiver bereavement adjustment. JAMA 2008;300:1665–1673.
5. Bakitas M, Lyons KD, Hegel MT et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: The Project ENABLE II randomized controlled trial. JAMA 2009;302:741–749.
6. Temel JS, Greer JA, Muzikansky A et al. Early palliative care for patientswithmetastatic non-smallcell lung cancer. N Engl JMed 2010;363:733–742.
7. Temel JS, Greer JA, Admane S et al. Longitudinal perceptions of prognosis and goals of therapy in patients with metastatic non-small-cell lung cancer: Results of a randomized study of early palliative care. J Clin Oncol 2011;29:2319–2326.
8. Gade G, Venohr I, Conner D et al. Impact of an inpatient palliative care team:Arandomized control trial. J Palliat Med 2008;11:180–190.
9. Rogg L, Aasland OG, Graugaard PK et al. Direct communication, the unquestionable ideal? Oncologists’ accounts of communication of bleak prognoses. Psychooncology 2010;19:1221–1228.
10. Hagerty RG, Butow PN, Ellis PM et al. Communicating with realism and hope: Incurable cancer patients’ views on the disclosure of prognosis. J Clin Oncol 2005;23:1278–1288.
11. Morrison RS, Morrison EW, Glickman DF. Physician reluctance to discuss advance directives. An empiric investigation of potential barriers. Arch Intern Med 1994;154:2311–2318.
12. Clayton JM, Butow PN, Tattersall MH. When and how to initiate discussion about prognosis and end-of-life issues with terminally ill patients. J Pain Symptom Manage 2005;30:132–144.
13. Gordon EJ, Daugherty CK. ‘Hitting you over the head’: Oncologists’ disclosure of prognosis to advanced cancer patients. Bioethics 2003;17:142–168.
14. Winkler EC, Reiter-Theil S, Lange-Riess D et al. Patient involvement in decisions to limit treatment: The crucial role of agreement between physician and patient. J Clin Oncol 2009;27:2225–2230.
15. Strauss AL, Corbin JM. Grounded Theory in Practice. Thousand Oaks, CA: Sage, 1997.
16. Lenherr G, Meyer-Zehnder B, Kressig RW et al. To speak, or not to speak—doclinicians speak about dying and death with geriatric patients at the end of life? Swiss Med Wkly 2012;142:w13563.
17. von Hufeland CW. Die Verh¨altnisse des Arztes. Journal der practischen Arzneykunde undWundarzneykunst 1806;5–36.
18. Fallowfield L, Jenkins V, Farewell V et al. Efficacy of a Cancer Research UK communication skills training model for oncologists: A randomised controlled trial. Lancet 2002;359:650–656.
19. Balaban RB. A physician’s guide to talking about end-of-life care. J Gen Intern Med 2000;15: 195–200.
20. Gattellari M, Butow PN, Tattersall MH et al. Misunderstandingin cancer patients:Whyshootthe messenger? Ann Oncol 1999;10:39–46.
21. Weeks JC, Cook EF, O’Day SJ et al. Relationship between cancer patients’ predictions of prognosis and their treatment preferences. JAMA 1998;279: 1709–1714.
22. Steinhauser KE, Christakis NA, Clipp EC et al. Preparing for the end of life: Preferences of patients, families, physicians, and other care providers. J Pain Symptom Manage 2001;22:727–737.
23. Parikh RB, Kirch RA, Smith TJ et al. Early specialty palliative care—translating data in oncology into practice. N Engl JMed 2013;369:2347–2351.
24. Lundquist G, Rasmussen BH, Axelsson B. Information of imminent death or not: Does itmake a difference? J Clin Oncol 2011;29:3927–3931.
25. Lamont EB, Christakis NA. Prognostic disclosure to patients with cancer near the end of life. Ann Intern Med 2001;134:1096–1105.
26. Keating NL, Landrum MB, Rogers SO Jr. et al. Physician factors associated with discussions about end-of-life care. Cancer 2010;116:998–1006.
27. Jones WHS, Withington ET. Hippocrates.Vol 2. London, U.K.: Heinemann, 1981.
28. Baszanger I. Onemore chemo orone toomany? Defining the limits of treatment and innovation in medical oncology. Soc Sci Med 2012;75:864–872.
29. Gaertner J, Wolf J, Voltz R. Early palliative care for patients with metastatic cancer. Curr Opin Oncol 2012;24:357–362.
30. Schneiderman LJ, Gilmer T, Teetzel HD et al. Effect of ethics consultations on nonbeneficial lifesustaining treatments in the intensive care setting:A randomized controlled trial. JAMA 2003;290:1166–1172.
31. Coulehan JL. Tenderness and steadiness: Emotions in medical practice. Lit Med 1995;14:222–236.
32. Blumgart HL. Caring for the patient. N Engl J Med 1964;270:449–456.
33. De Freitas J, Haque OS, Gopal AA et al. Response: Clinical wisdom and evidence-based medicine are complementary. J Clin Ethics 2012; 23:28–36.