Different attitudes of oncology clinicians toward truth telling of different stages of cancer
Adult
Male
Analysis of Variance
China
Physician-Patient Relations
Attitude of Health Personnel
Middle Aged
Medical Oncology
Truth Disclosure
3. Good health
03 medical and health sciences
Logistic Models
0302 clinical medicine
Neoplasms
Physicians
Surveys and Questionnaires
Workforce
Humans
Female
Practice Patterns, Physicians'
Aged
Neoplasm Staging
DOI:
10.1007/s00520-006-0071-4
Publication Date:
2006-04-18T07:35:47Z
AUTHORS (8)
ABSTRACT
To investigate different attitudes of oncology clinicians toward whether and how to disclose diagnosis to patients with different stages of cancer.A questionnaire investigating physician's demographic information and attitude toward truth telling was delivered to 256 Chinese oncology clinicians.Two hundred thirty-two (90.6%) physicians completed the questionnaire. Of these oncology clinicians, 87.5% reported that a patient with early-stage cancer should be informed of the diagnosis, while only 40.5% believed that a patient with terminal illness should know the truth (P<0.001). Physicians who preferred to tell the truth reported that patients with early or terminal stage of cancer should be informed by the doctor-in-charge (81.3 vs 77.7%, respectively; P>0.05), immediately after the diagnosis (83.7 vs 87.2%, respectively), and in a quiet and undisturbed room (63.5 vs 68.1%, respectively; P>0.05). In stepwise multiple logistic regression analyses, no demographic information showed association with truth telling of early-stage cancer. Women doctors [odds ratio (OR), 2.25; 95% CI, 1.31 to 3.89; P=0.004] were more likely than men to want the patient to be informed of the terminal illness. Physicians with cancer relatives (OR, 0.55; 95% CI, 0.31 to 0.97; P=0.04) were less likely than physicians without cancer relatives to want the patient to be informed of the terminal illness.Oncology clinicians differed in their attitudes toward truth telling of different stages of cancer. Physicians reported that the doctor-in-charge should be the ones to disclose the condition of the patient, immediately after the diagnosis, and in a quiet and undisturbed room.
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