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Juliet Jacobsen and Vicki A. Jackson

. 3 Parker PA Baile WF de Moor C . Breaking bad news about cancer: patients’ preferences for communication . J Clin Oncol 2001 ; 19 : 2049 – 2056 . 4 Kutner JS Steiner JF Corbett KK . Information needs in terminal illness . Soc Sci

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Ashish Rai, Xuesong Han, Zhiyuan Zheng, K. Robin Yabroff and Ahmedin Jemal

) mandated the adjustment of Medicare payment rates in response to value-based performance scores—a substantive portion of which is measured using patients' assessment of communication with healthcare providers. 2 The Patient-Centered Outcomes Research

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Jeffrey K. Belkora, David W. Hutton, Dan H. Moore and Laura A. Siminoff

rate would have been candidates for routine adjuvant therapy. 16 , 17 As the objective was to study risk communication and therapy choice, the authors believed that the threshold of a greater than 85% 10-year survival rate would include not only

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Giuseppe Curigliano

which she lives. Across borders and cultures, breast cancer experience is emotionally distressing. Oncologists should help our patients to overcome their difficulties through personalized communication, no less than personalized medicine, using the

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Joan S. McClure

In the past few months I have had the privilege of traveling to Japan, the United Arab Emirates, and China with groups of physicians presenting NCCN Clinical Practice Guidelines in Oncology. One particularly rewarding aspect of these experiences has been recognizing how similar the management of cancer is in these diverse areas of the world. Physicians in all areas of the world are reviewing the same literature so that, with minor changes to account for regulatory availability of agents, access to specific technologies, and metabolic and genetic differences among populations, the treatments for common cancers are very much the same. Especially gratifying is seeing the dedication that physicians in all parts of the world show to their patients. These travels have also illustrated a few significant differences, however, one of which is how physicians in different cultures talk about end of life issues with patients who have poor prognoses. In this area, when at its best, American medicine shines. In the United States, a continuum of care is becoming the “norm.” In this continuum, tumor-directed therapy continues throughout most of the course of the disease, even as its intent changes from potentially curative to palliative. Similarly, symptom management begins at diagnosis and becomes a greater focus when disease progresses. Patients, doctors, and nurses engage in ongoing conversations about both treatments and the changing goals of treatment. Initially, the goal is often to cure the disease or to extend life as long as possible. During this period, fighting the cancer is...
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Patricia A. Ganz

disease management, they must be well-informed about the diagnosis, prognosis, and potential treatment options, having received that information from clinicians with good communication skills that match the unique needs of the patient. In addition, the

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Teresita Muñoz-Antonia

comprises awareness, communication, and respect, she said. To Dr. Muñoz-Antonia, this means the following: understanding that a person’s culture and his or her individual fears will influence that individual’s decisions and care; delivering care that is

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Martha Aschenbrenner, Bruce Ham, Paula K. Rauch, Zoraida Sambolin, Maya Silver and Lillie D. Shockney

oncology team was so important that she selected her oncology providers based as much on their communication skills as their clinical expertise. “I knew that if I had difficult conversations that needed to happen,” she said, “they would happen in a setting

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Jennifer W. Mack, Erin R. Currie, Vincent Martello, Jordan Gittzus, Asisa Isack, Lauren Fisher, Lisa C. Lindley, Stephanie Gilbertson-White, Eric Roeland and Marie Bakitas

, adolescents, and young adults promote attention to symptoms and suffering, open communication about the future, inclusion in decisions, and support of enduring personal connections. 3 – 5 Although young people may arrive at different decisions for the care

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Janet L. Abrahm

Achievement awards. Barrier 1 Problem: “Learned Helplessness” Oncologists practicing in the era before the advent of effective palliative medications or communication training may have acquired a “learned helplessness.” Most oncologists, including