Attitudes of Gastroenterologists Regarding Delivery of Cancer Diagnoses: a Cross-Sectional Study.
Colorectal cancer
Education
Survey
Journal
Journal of gastrointestinal cancer
ISSN: 1941-6636
Titre abrégé: J Gastrointest Cancer
Pays: United States
ID NLM: 101479627
Informations de publication
Date de publication:
14 Mar 2023
14 Mar 2023
Historique:
accepted:
08
02
2023
entrez:
14
3
2023
pubmed:
15
3
2023
medline:
15
3
2023
Statut:
aheadofprint
Résumé
To determine the attitudes and practices of gastroenterologists regarding the delivery of cancer diagnoses. Gastroenterologists frequently diagnose colorectal cancer. Receiving the news of a cancer diagnosis is difficult, and the delivery of the diagnosis can influence a patient's understanding of their disease. No study to date has reported how gastroenterologists deliver cancer diagnoses to their patients. An anonymous questionnaire was sent online to gastroenterologists of the American College of Gastroenterology to assess views regarding the delivery of cancer diagnoses. Of the 280 complete responses (response rate = 1.64%), most respondents were male (n = 205, 73.21%), in practice between 0 and 9 years (n = 133, 47.50%), and at the attending/faculty level (n = 69.53%, 194). Most responded that they would disclose a cancer diagnosis to the patient themselves if they had made the discovery on endoscopy/colonoscopy (n = 255, 94.80%), with the preferred methods being an in person discussion (n = 187, 71.65%). Most respondents were not familiar with any guidelines for delivering cancer diagnoses (n = 202, 75.94%) and would be open to receiving training on cancer diagnosis delivery (n = 207, 78.11%). Most gastroenterologists take personal responsibility in the delivery of cancer diagnoses. Many gastroenterologists receive no specific training on how to deliver this news and are unaware of any guidelines to follow that may be helpful in their practice. However, most displayed a willingness to learn these guidelines through some form of formal education. Future directions should consider the incorporation of education in cancer diagnosis delivery for gastroenterologists and gastroenterology fellows.
Sections du résumé
GOALS
OBJECTIVE
To determine the attitudes and practices of gastroenterologists regarding the delivery of cancer diagnoses.
BACKGROUND
BACKGROUND
Gastroenterologists frequently diagnose colorectal cancer. Receiving the news of a cancer diagnosis is difficult, and the delivery of the diagnosis can influence a patient's understanding of their disease. No study to date has reported how gastroenterologists deliver cancer diagnoses to their patients.
STUDY
METHODS
An anonymous questionnaire was sent online to gastroenterologists of the American College of Gastroenterology to assess views regarding the delivery of cancer diagnoses.
RESULTS
RESULTS
Of the 280 complete responses (response rate = 1.64%), most respondents were male (n = 205, 73.21%), in practice between 0 and 9 years (n = 133, 47.50%), and at the attending/faculty level (n = 69.53%, 194). Most responded that they would disclose a cancer diagnosis to the patient themselves if they had made the discovery on endoscopy/colonoscopy (n = 255, 94.80%), with the preferred methods being an in person discussion (n = 187, 71.65%). Most respondents were not familiar with any guidelines for delivering cancer diagnoses (n = 202, 75.94%) and would be open to receiving training on cancer diagnosis delivery (n = 207, 78.11%).
CONCLUSIONS
CONCLUSIONS
Most gastroenterologists take personal responsibility in the delivery of cancer diagnoses. Many gastroenterologists receive no specific training on how to deliver this news and are unaware of any guidelines to follow that may be helpful in their practice. However, most displayed a willingness to learn these guidelines through some form of formal education. Future directions should consider the incorporation of education in cancer diagnosis delivery for gastroenterologists and gastroenterology fellows.
Identifiants
pubmed: 36914843
doi: 10.1007/s12029-023-00921-8
pii: 10.1007/s12029-023-00921-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Arnold M, Abnet CC, Neale RE, et al. Global burden of 5 major types of gastrointestinal cancer. Gastroenterology. 2020;159(1):335–349 e15. https://doi.org/10.1053/j.gastro.2020.02.068 .
Key Statistics for Colorectal Cancer. Accessed 30 Oct 2021. https://www.cancer.org/cancer/colon-rectal-cancer/about/key-statistics.html .
von Blanckenburg P, Hofmann M, Rief W, Seifart U, Seifart C. Assessing patients preferences for breaking bad news according to the SPIKES-Protocol: the MABBAN scale. Patient Educ Couns. 2020;103(8):1623–9. https://doi.org/10.1016/j.pec.2020.02.036 .
doi: 10.1016/j.pec.2020.02.036
Oken D. What to tell cancer patients. A study of medical attitudes JAMA. 1961;175:1120–8. https://doi.org/10.1001/jama.1961.03040130004002 .
doi: 10.1001/jama.1961.03040130004002
pubmed: 13730593
Friedman HJ. Physician management of dying patients: an exploration. Psychiatry Med. 1970;1(4):295–305. https://doi.org/10.2190/qhye-h6gw-ym2j-tpc6 .
doi: 10.2190/qhye-h6gw-ym2j-tpc6
pubmed: 5525665
Adler DD, Riba MB, Eggly S. Breaking bad news in the breast imaging setting. Acad Radiol. 2009;16(2):130–5. https://doi.org/10.1016/j.acra.2008.08.006 .
doi: 10.1016/j.acra.2008.08.006
pubmed: 19124097
Baile WF, Lenzi R, Parker PA, Buckman R, Cohen L. Oncologists’ attitudes toward and practices in giving bad news: an exploratory study. J Clin Oncol. 2002;20(8):2189–96. https://doi.org/10.1200/JCO.2002.08.004 .
doi: 10.1200/JCO.2002.08.004
pubmed: 11956281
Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5(4):302–11. https://doi.org/10.1634/theoncologist.5-4-302 .
doi: 10.1634/theoncologist.5-4-302
pubmed: 10964998
Keum N, Giovannucci E. Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies. Nat Rev Gastroenterol Hepatol. 2019;16(12):713–32. https://doi.org/10.1038/s41575-019-0189-8 .
doi: 10.1038/s41575-019-0189-8
pubmed: 31455888
Gebhardt C, Gorba C, Oechsle K, Vehling S, Koch U, Mehnert A. [Breaking bad news to cancer patients: content, communication preferences and psychological distress]. Psychother Psychosom Med Psychol. 2017;67(7):312–321. Die Kommunikation schlechter Nachrichten bei Krebspatienten: Inhalte, Kommunikationspraferenzen und psychische Belastungen. https://doi.org/10.1055/s-0043-113628 .
Alves CGB, Treister NS, Ribeiro ACP, et al. Strategies for communicating oral and oropharyngeal cancer diagnosis: why talk about it? Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129(4):347–56. https://doi.org/10.1016/j.oooo.2019.11.014 .
doi: 10.1016/j.oooo.2019.11.014
pubmed: 31928903
Porensky EK, Carpenter BD. Breaking bad news: effects of forecasting diagnosis and framing prognosis. Patient Educ Couns. 2016;99(1):68–76. https://doi.org/10.1016/j.pec.2015.07.022 .
doi: 10.1016/j.pec.2015.07.022
pubmed: 26238257
Street RL Jr, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ Couns. 2009;74(3):295–301. https://doi.org/10.1016/j.pec.2008.11.015 .
doi: 10.1016/j.pec.2008.11.015
pubmed: 19150199
Langbecker D, Caffery LJ, Gillespie N, Smith AC. Using survey methods in telehealth research: a practical guide. J Telemed Telecare. 2017;23(9):770–9. https://doi.org/10.1177/1357633X17721814 .
doi: 10.1177/1357633X17721814
pubmed: 28728502
Kelley K, Clark B, Brown V, Sitzia J. Good practice in the conduct and reporting of survey research. Int J Qual Health Care. 2003;15(3):261–6. https://doi.org/10.1093/intqhc/mzg031 .
doi: 10.1093/intqhc/mzg031
pubmed: 12803354
Eysenbach G. Improving the quality of web surveys: the checklist for reporting results of Internet e-surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34. https://doi.org/10.2196/jmir.6.3.e34 .
Al-Mohaimeed AA, Sharaf FK. Breaking bad news issues: a survey among physicians. Oman Med J. 2013;28(1):20–5. https://doi.org/10.5001/omj.2013.05 .
doi: 10.5001/omj.2013.05
pubmed: 23386940
pmcid: 3562973
Fulmer T, Escobedo M, Berman A, Koren MJ, Hernandez S, Hult A. Physicians’ views on advance care planning and end-of-life care conversations. J Am Geriatr Soc. 2018;66(6):1201–5. https://doi.org/10.1111/jgs.15374 .
doi: 10.1111/jgs.15374
pubmed: 29797314
Kumar M, Goyal S, Singh K, et al. Breaking bad news issues: a survey among radiation oncologists. Indian J Palliat Care. 2009;15(1):61–6. https://doi.org/10.4103/0973-1075.53533 .
doi: 10.4103/0973-1075.53533
pubmed: 20606858
pmcid: 2886220
Eid A, Petty M, Hutchins L, Thompson R. “Breaking bad news”: standardized patient intervention improves communication skills for hematology-oncology fellows and advanced practice nurses. J Cancer Educ. 2009;24(2):154–9. https://doi.org/10.1080/08858190902854848 .
doi: 10.1080/08858190902854848
pubmed: 19431034
Musa A, Baron DA, Anavim A, et al. Notions of Preprocedural Patient Anxiety in the Realm of IR. J Vasc Interv Radiol. 2020;31(2):336–340 e1. https://doi.org/10.1016/j.jvir.2019.04.007 .