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Link to original content: https://pubmed.ncbi.nlm.nih.gov/7522106/
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. 1994 Jul;2(4):242-4.
doi: 10.1007/BF00365729.

What do advanced cancer patients know of their disease? A report from Italy

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What do advanced cancer patients know of their disease? A report from Italy

P Pronzato et al. Support Care Cancer. 1994 Jul.

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.

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