How doctors record breaking bad news in ovarian cancer
2003

How doctors communicate bad news in ovarian cancer

Sample size: 359 publication Evidence: moderate

Author Information

Author(s): Kirwan J M, Tincello D G, Lavender T, Kingston R E

Primary Institution: Liverpool Women's Hospital

Hypothesis

How well do doctors document the communication of a cancer diagnosis to patients?

Conclusion

The study found that many patients with ovarian cancer are not adequately informed about their diagnosis and prognosis.

Supporting Evidence

  • 94.7% of patients had their diagnosis recorded.
  • 20.6% had their prognosis documented.
  • 67.3% had further treatment recorded.
  • 10.3% of cases showed evidence of collusion in communication.

Takeaway

When doctors tell patients they have cancer, they often don't use the word 'cancer' and sometimes don't write down important information.

Methodology

The study reviewed hospital records of patients diagnosed with epithelial ovarian cancer and analyzed the documentation of communication regarding diagnosis and prognosis.

Potential Biases

There may be bias in how information was recorded, as some patients were not present during discussions about their diagnosis.

Limitations

The study relied on the accuracy of hospital records, which may not reflect the actual communication that took place.

Participant Demographics

Patients were primarily women diagnosed with epithelial ovarian cancer, with a mean age of 62.7 years.

Statistical Information

P-Value

0.002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600816

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