What do advanced cancer patients know of their disease? A report from Italy
- PMID: 7522106
- DOI: 10.1007/BF00365729
What do advanced cancer patients know of their disease? A report from Italy
Abstract
The aim of this work was to investigate the awareness of diagnosis, prognosis and meaning of palliative treatment in Italian patients with advanced, incurable cancers. A group of 100 patients, referred to a Medical Oncology facility, were interviewed. Only 38 patients were aware of the malignant neoplastic nature of their disease. The remaining patients believed they had a benign neoplasia, non-neoplastic disease, or were unable to define their illness. No patient had a correct idea of the poor prognosis of the disease. Only 11.5% of 87 patients receiving chemotherapy had a correct perception of the palliative intent of the treatment, while most believed that the chemotherapy was "preventive". Dissatisfaction with the information received was expressed by a minority of patients. The awareness of diagnosis was better among women and patients with a higher educational background. Withholding the truth from cancer patients still seems very common in Italy.
Similar articles
-
Assessment of satisfaction with the communication process during consultation of cancer patients with potentially curable disease, cancer patients on palliative care, and HIV-positive patients.Wien Med Wochenschr. 1998;148(21):491-9. Wien Med Wochenschr. 1998. PMID: 10048178
-
Awareness of incurable cancer status and health-related quality of life among advanced cancer patients: a prospective cohort study.Palliat Med. 2013 Feb;27(2):144-54. doi: 10.1177/0269216311429042. Epub 2011 Dec 5. Palliat Med. 2013. PMID: 22143041
-
Thinking and talking about life expectancy in incurable cancer.Semin Oncol. 2011 Jun;38(3):380-5. doi: 10.1053/j.seminoncol.2011.03.007. Semin Oncol. 2011. PMID: 21600367
-
Evolution of truth-telling attitudes and practices in Italy.Crit Rev Oncol Hematol. 2004 Dec;52(3):165-72. doi: 10.1016/j.critrevonc.2004.09.002. Crit Rev Oncol Hematol. 2004. PMID: 15582784 Review.
-
Advanced cancer patients' prognostic information preferences: a review.Palliat Med. 2009 Jan;23(1):29-39. doi: 10.1177/0269216308098799. Epub 2008 Oct 24. Palliat Med. 2009. PMID: 18952746 Review.
Cited by
-
Can Oncologists Prompt Patient Prognostic Awareness to Enhance Decision-Making? Data From the NEOetic Study.Oncologist. 2023 Nov 2;28(11):986-995. doi: 10.1093/oncolo/oyad100. Oncologist. 2023. PMID: 37185783 Free PMC article.
-
Awareness of Disease Status Among Patients With Cancer: An Integrative Review.Cancer Nurs. 2023 Jan 16:10.1097/NCC.0000000000001170. doi: 10.1097/NCC.0000000000001170. Online ahead of print. Cancer Nurs. 2023. PMID: 36728162 Free PMC article.
-
Dispositional hope as a potential outcome parameter among patients with advanced malignancy: An analysis of the ENABLE database.Cancer. 2022 Jan 15;128(2):401-409. doi: 10.1002/cncr.33907. Epub 2021 Oct 6. Cancer. 2022. PMID: 34613617 Free PMC article. Clinical Trial.
-
5th ESO-ESMO international consensus guidelines for advanced breast cancer (ABC 5).Ann Oncol. 2020 Dec;31(12):1623-1649. doi: 10.1016/j.annonc.2020.09.010. Epub 2020 Sep 23. Ann Oncol. 2020. PMID: 32979513 Free PMC article. No abstract available.
-
Patient expectations of benefit from systemic treatments for metastatic prostate cancer.Cancer Med. 2020 Feb;9(3):980-987. doi: 10.1002/cam4.2783. Epub 2019 Dec 16. Cancer Med. 2020. PMID: 31840434 Free PMC article.