Attitudes to Chemotherapy: Comparing Views of Patients With Cancer With Those of Doctors, Nurses, and General Public
Slevin, Maurice L.
BMJ (British Medical Journal). 1990 Jun 2; 300(6737): 1458-1460.
Objective -- To compare responses of patients with cancer with those of a matched control group, cancer specialists, general practitioners, and cancer nurses in assessing personal cost-benefit of chemotherapy...Setting -- A medical oncology ward of a London teaching hospital. Subjects -- 106 Patients with newly diagnosed solid tumours referred to the unit for consideration of treatment with cytotoxic chemotherapy...Main outcome measures -- Percentage chance of cure, prolonging life, or palliation of symptoms required to make treatment worth while with two hypothetical chemotherapy treatments, with severe and mild side effects respectively...Conclusion -- Patients with cancer are much more likely to opt for radical treatment with minimal chance of benefit than people who do not have cancer, including medical and nursing professionals. This should be taken into account when discussing treatment options with patients and their relatives.
Attitudes; Cancer; Communication; Consent; Decision Making; Disclosure; Drugs; Doctors; Evaluation; Evaluation Studies; Hospitals; Informed Consent; Life; Nurses; Patient Care; Patient Participation; Patients; Physicians; Prognosis; Quality of Life; Risks and Benefits; Relatives; Survey; Terminal Care; Toxicity;
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