ArticleJCO global oncology2021
Breaking Bad News in Cancer Care: Ethiopian Patients Want More Information Than What Family and the Public Want Them to Have.
Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Setting the stage for communication skills training in Rwandan cancer care: a qualitative study of local priorities and key contextual factors.BMC palliative care · 2025Article
- Article
- Coordinating under constraint: a qualitative study of communication and teamwork along Ethiopia's cervical cancer care continuum.BMC health services research · 2025Article
- A scoping review of clinical communication in cancer care in Africa.The oncologist · 2025Article
- Barriers and facilitators of psychosocial service provision for patients with cancer across six hospitals in Ethiopia: a qualitative study.Frontiers in psychiatry · 2025Article
- "I Do Not Believe We Should Disclose Everything to an Older Patient": Challenges and Ethical Concerns in Clinical Decision-Making in Old-Age Care in Ethiopia.Health care analysis : HCA : journal of health philosophy and policy · 2024Article
- Article
- Patients' preferences for delivering bad news in palliative care in Ethiopia: a qualitative study.BMC palliative care · 2023Article
- Comparing the Performance of Emergency Department Personnel and Patients' Preferences in Breaking Bad News.Bulletin of emergency and trauma · 2023Article
- Kusankha Pamodzi: Health Care Decision-Making Preferences Among Patients with Cancer in Malawi.Palliative medicine reports · 2023Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThis study explores the preferences of patients with cancer, family caregivers, and the general public regarding breaking bad news in an Ethiopian oncology setting.
methodsThe study was conducted at Tikur Anbessa (Black Lion) Specialized Hospital. The sample consists of patients with a confirmed cancer diagnosis, their family caregivers, and representatives from the general public with 150 subjects per cohort. The study used a comparative cross-sectional design and multivariable data analysis.
resultsThe patients would like to be informed, which contradicts the preferences of family caregivers. This creates an ethical dilemma for staff in terms of how much they involve their patients in clinical decision making. The patients also indicate that information should not be withheld from them. By contrast, the general public prefers information about poor life expectancy to be communicated to family only, which may reflect a widespread public perception of cancer as a deadly disease.
conclusionThe findings indicate the complexity of communication-related preferences concerning breaking bad news in oncology care in Ethiopia. It requires oncologists to probe patient attitudes before information disclosure to find a balance between involving patients in communication at the same time as keeping a constructive alliance with family caregivers.
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