Decisions for lung cancer chemotherapy: the influence of physician and patient factors
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.
Literature was obtained via electronic database searches and hand searching of journals from 1990 to 2011.
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.
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.
- Decisions for lung cancer chemotherapy: the influence of physician and patient factors
Supportive Care in Cancer
Volume 19, Issue 8 , pp 1261-1266
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Lung cancer
- Patient preference
- Industry Sectors
- Author Affiliations
- 1. Centre for Cardiovascular and Chronic Care, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia
- 2. Health Innovation (Chronic Diseases), Curtin Health Innovation Research Institute (CHIRI), Curtin University, GPO Box U1987, Perth, WA, 6845, Australia
- 3. Centre for Cardiovascular and Chronic Care, University of Technology Sydney & Curtin University, PO Box 123, Broadway, NSW, 2007, Australia
- 4. The Cunningham Centre for Palliative Care, The University of Notre Dame Australia, P.O. Box 944, Broadway, Sydney, NSW, 2007, Australia
- 5. SSWAHS Area Palliative Care Service (Western Zone), Braeside Hospital, Locked Bag 82, Wetherill Park, 2164, Australia
- 6. Discipline of Palliative and Supportive Services, Flinders University, Adelaide, SA, 5041, Australia