Evidence map›Paper›PMID 32258782›Full record

ArticlePorto biomedical journal

Family physicians' opinions on and difficulties with breaking bad news.

José António Ferraz Gonçalves, Carla Almeida, Joana Amorim, Rita Baltasar, Joana Batista, Yusianmar Borrero, João Pedro Fallé, Igor Faria, Manuel Henriques, Helena Maia and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Porto biomedical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 18% of its field
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

3 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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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

21 authors at 4 institutions in 1 country.

José António Ferraz GonçalvesPortuguese Institute of Oncology, Palliative Care, Porto, Portugal.
Carla AlmeidaUnidade de Saúde Familiar Famílias, Santa Maria da Feira, Portugal.
Joana AmorimUnidade de Saúde Familiar Santa Clara, Póvoa de Varzim/Vila do Conde, Portugal.
Rita BaltasarUnidade de Saúde Familiar Santa Maria, Bragança, Portugal.
Joana BatistaUnidade de Saúde Familiar Terras de Ferreira, Paços de Ferreira, Portugal.
Yusianmar BorreroUnidade de Saúde Familiar Lethes, Ponte de Lima, Portugal.
João Pedro FalléUnidade de Saúde Familiar Lagoa - Senhora da Hora, Matosinhos, Portugal.
Igor FariaUnidade de Saúde Familiar Gil Eanes, Viana do Castelo, Portugal.
Manuel HenriquesUnidade de Saúde Familiar Ramalde, Aldoar, Porto, Portugal.
Helena MaiaUnidade de Saúde Familiar Porta do Sol, Matosinhos, Portugal.
Teresa FernandesUnidade de Saúde Familiar Infesta, Matosinhos, Portugal.
Mariana MoreiraUnidade de Saúde Familiar Mar, Póvoa de Varzim/Vila do Conde, Portugal.
Susana MoreiraUnidade de Saúde Familiar Arco do Prado, Gaia, Portugal.
Camila NevesUnidade de Saúde Familiar São Mamede Infesta, Matosinhos, Portugal.
Ana RibeiroUnidade de Saúde Familiar Oceanos, Matosinhos, Portugal.
Ana SantosUnidade de Saúde Familiar São João, Porto, Portugal.
Filipa SilvaUnidade de Saúde USF Nova Lousada, Lousada, Portugal.
Susana SoaresUnidade de Saúde Familiar São Martinho, Penafiel, Portugal.
Cristina SousaUnidade de Saúde Familiar Renascer, Gondomar, Portugal.
Joana VicenteUnidade de Saúde Familiar Macedo de Cavaleiros, Macedo de Cavaleiros, Portugal.
Rita XavierUnidade de Saúde Familiar Aldoar, Porto, Portugal.
Administração Regional de Saúde de Lisboa e Vale do Tejo · PTNanium (Portugal) · PTInstituto Português de Oncologia Francisco Gentil · PTUnidade Hospitalar de Bragança · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

highlightsBreaking bad news is still deemed a difficult task by family physicians.Family physicians feel they need training in breaking bad news.The family physicians' attitude to this issue is different from what they would wish if they themselves had a life-threatening disease.

backgroundFamily practice is the specialty with the highest number of doctors and covers all of Portugal. Therefore, the attitude of these doctors may have a high impact on patients.

objectiveTo explore the opinion and difficulties of Portuguese family doctors on dealing with communication with patients with life threatening diseases.

methodsA questionnaire was sent to about 10% of family doctors of Northern Portugal. The questionnaire included questions about the disclosure of information, if they feel they need training courses and what they would want if they had a life-threatening disease.

resultsA questionnaire was given to 196 doctors and 159 (81%) participated in this study. The median age was 43 years (26-64) and 108 (68%) were females. One hundred thirty-five (85%) consider that breaking bad news is a difficult task. One hundred twenty-four (78%) feel they need training in breaking bad news. For many doctors, the disclosure of diagnoses and prognoses has a detrimental psychological effect and affects patients' hope, but gives patients' control of the situation. Given a situation where the doctors themselves had a life-threatening disease, the vast majority would want to know the diagnosis and the prognosis and to participate in treatment decisions.

conclusionsBreaking bad news is still a difficult task. Their attitude to this duty is different from what they would wish if they themselves had a life-threatening disease. One important conclusion is the need of specific training in communication for family physicians that should begin in the training phase of their specialty.

Indexed as

Breaking bad newsDiagnosis disclosureFamily physiciansPrognosis disclosure

Identifiers

PMID32258782
PMCPMC6806755
OpenAlexW2618787788

What OpenQuestion holds

Textmetadata
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.