ArticleJapanese journal of clinical oncology2011
Burden on oncologists when communicating the discontinuation of anticancer treatment.
Article in Japanese journal of clinical oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physicians' attitudes and experiences about withholding/withdrawing life-sustaining treatments in pediatrics: a systematic review of quantitative evidence.BMC palliative care · 2023Pooled it
- The formation of palliative treatment intentions among patients with advanced gynecological cancer in China: A grounded theory study.Asia-Pacific journal of oncology nursing · 2025Article
- A Joanna Briggs Institute Framework Approach to Shared Decision Making in End-of-Life.Health expectations : an international journal of public participation in health care and health policy · 2024Review
- Preferences of bereaved family members on communication with physicians when discontinuing anticancer treatment: referring to the concept of nudges.Japanese journal of clinical oncology · 2024Article
- The trajectory of prognostic cognition in patients with advanced cancer: is the traditional advance care planning approach desirable for patients?Japanese journal of clinical oncology · 2024Review
- How to break bad news and how to learn this skill: results from an international North-Eastern German Society for Gynecological Oncology (NOGGO) survey among physicians and medical students with 1089 participantsInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023Article
- Pharmacist perceptions of a "good death" and differences in perception between patients with cancer, oncologists, and oncology nurses: a questionnaire survey.Journal of pharmaceutical health care and sciences · 2023Article
- Impact on place of death in cancer patients: a causal exploration in southern Switzerland.BMC palliative care · 2020Article
- "Maintaining hope:" challenges in counseling latino patients with advanced cancer.Journal of psychosocial oncology research and practice · 2020Article
- Article
- Practice patterns of multidisciplinary team meetings in Korean cancer care and patient satisfaction with this approach.The Korean journal of internal medicine · 2020Article
- What determines the timing of discussions on forgoing anticancer treatment? A national survey of medical oncologists.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Japanese physicians' attitudes toward end-of-life discussion with pediatric patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- "Rather one more chemo than one less…": Oncologists and Oncology Nurses' Reasons for Aggressive Treatment of Young Adults with Advanced Cancer.The oncologist · 2018Article
- A National Survey to Systematically Identify Factors Associated With Oncologists' Attitudes Toward End-of-Life Discussions: What Determines Timing of End-of-Life Discussions?The oncologist · 2015Article
- The importance of good death components among cancer patients, the general population, oncologists, and oncology nurses in Japan: patients prefer "fighting against cancer".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015Article
- A medical oncologist's perspective on communication skills and burnout syndrome with psycho-oncological approach (to die with each patient one more time: the fate of the oncologists).Medical oncology (Northwood, London, England) · 2013Review
- Family physicians' opinions on and difficulties with breaking bad news.Porto biomedical journalArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCommunicating the discontinuation of anticancer treatment to patients is a difficult task. The primary aim of this study was to clarify the level of oncologist-reported burden when communicating about discontinuation of an anticancer treatment. The secondary aims were (i) to identify the sources of burden contributing to their levels and (ii) to explore the useful strategies to alleviate their burden.
methodsA multicenter nationwide questionnaire survey was conducted on 620 oncologists across Japan (response rate, 67%).
resultsHigh levels of perceived burden were reported by 47% of respondents, and 17% reported that they sometimes, often or always wanted to stop oncology work because of this burden. There was a significant association between high levels of burden and: a feeling that breaking bad news would deprive the patient of hope; concern that the patient's family would blame the oncologist; concern that the patient may lose self-control; and a feeling that there was not enough time to break the bad news. Strategies perceived to be useful by oncologists included training in how to effectively communicate to patients discontinuation of anticancer treatment, a reduction in total workload to allow sufficient time to break bad news, and development of a multidisciplinary model to facilitate cooperation with other professionals and facilities.
conclusionsMany oncologists reported high levels of burden relating to communication of discontinuation of anticancer treatment. A specific communication skills training program, sufficient time for communication and development of a multidisciplinary model could help alleviate the burden on oncologists.
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