Evidence map›Paper›PMID 28562739›Full record

Observational studySao Paulo medical journal = Revista paulista de medicina

Breaking bad news: doctors' skills in communicating with patients.

Francisco José Ferreira da Silveira, Camila Carvalho Botelho, Carolina Cirino Valadão

Full text readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Francisco José Ferreira da SilveiraMD, MSc, PhD. Assistant Professor, Department of Public Health, Faculdade de Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte (MG), Brazil.
Camila Carvalho BotelhoMD. Psychiatry Medical Residency, Santa Casa de Misericórdia de São Paulo, São Paulo (SP), Brazil.
Carolina Cirino ValadãoMD. General Clinics Medical Residency, Risoleta Neves Hospital, Belo Horizonte (MG), Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT AND

objective: Breaking bad news is one of doctors' duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors' capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. DESIGN AND

setting: Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG), Brazil.

methods: This study used a questionnaire based on the SPIKES protocol, which was answered by 121 doctors at this university hospital. This questionnaire investigated their attitudes, posture, behavior and fears relating to breaking bad news.

results: The majority of the doctors did not have problems regarding the concept of bad news. Nevertheless, their abilities diverged depending on the stage of the protocol and on their specialty and length of time since graduation. Generally, doctors who had graduated more than ten years before this survey felt more comfortable and confident, and thus transmitted the bad news in a better conducted manner.

conclusion: Much needs to be improved regarding this technique. Therefore, inclusion of this topic in undergraduate courses is necessary and proposals should be put forward and verified.

Indexed as

Physician-Patient RelationsTruth DisclosureAdultBrazilCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID28562739
PMCPMC10015999

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read64
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.