Decisions for lung cancer chemotherapy: the influence of physician and patient factors.

Purpose: The purpose of this study is to review the literature examining how the beliefs and behaviours of physicians and patients influence clinical communication, doctor-patient interaction and treatment decisions for lung cancer treatment.Methods: Literature was obtained via electronic database s...

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Publicado en:Supportive Care in Cancer Vol. 19; no. 8; pp. 1261 - 1267
Autores principales: Davidson PM, Jiwa M, Goldsmith AJ, McGrath SJ, Digiacomo M, Phillips JL, Agar M, Newton PJ, Currow DC, Davidson, Patricia M, Jiwa, Moyez, Goldsmith, Alice J, McGrath, Sarah J, Digiacomo, Michelle, Phillips, Jane L, Agar, Meera, Newton, Phillip J, Currow, David C
Formato: research Journal Article
Publicado: Springer Nature Aug2011
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Decisions for lung cancer chemotherapy: the influence of physician and patient factors.
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          Davidson PM
          Jiwa M
          Goldsmith AJ
          McGrath SJ
          Digiacomo M
          Phillips JL
          Agar M
          Newton PJ
          Currow DC
          Davidson, Patricia M
          Jiwa, Moyez
          Goldsmith, Alice J
          McGrath, Sarah J
          Digiacomo, Michelle
          Phillips, Jane L
          Agar, Meera
          Newton, Phillip J
          Currow, David C
        affil: Centre for Cardiovascular and Chronic Care, University of Technology Sydney, P.O. Box 123, Broadway, NSW, 2007, Australia
      sug:
        subj:
          Antineoplastic Agents Therapeutic Use
          Lung Neoplasms Drug Therapy
          Patient Satisfaction
          Physician-Patient Relations
          Communication
          Decision Making
          Lung Neoplasms Psychosocial Factors
          Risk Assessment
      ab: Purpose: The purpose of this study is to review the literature examining how the beliefs and behaviours of physicians and patients influence clinical communication, doctor-patient interaction and treatment decisions for lung cancer treatment.Methods: Literature was obtained via electronic database searches and hand searching of journals from 1990 to 2011.Results: Wide variability in perceptions of the value of chemotherapy in lung cancer is present among both physicians and patients. There is a mismatch in the degree patients and physicians weigh survival, such that patients value survival benefits highly whilst physicians strongly emphasize toxicity and associated symptoms. This lack of congruence between patients and clinicians is influenced by a range of factors and has implications for treatment decisions, long-term survival and quality of life in people affected by lung cancer.Conclusion: The divergence of treatment priorities indicates a need for improved communication strategies addressing the needs and concerns of both patients and clinicians. Patients should understand the benefits and risks of treatment options, while clinicians can gain a greater awareness of factors influencing patients' decisions on treatments. Reflecting these perspectives and patient preferences for lung cancer treatment in clinical guidelines may improve clinician awareness.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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