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Supportive Care in Cancer

, Volume 12, Issue 3, pp 143–146 | Cite as

Persisting differences in truth telling throughout the world

  • Antonella SurboneEmail author
Editorial

This issue of our journal presents two articles [13, 24] that deal with different aspects of truth telling to the cancer patient. The article by Culha Atesci et al. [13] examines the psychiatric distress in 117 patients from Turkey admitted for chemotherapy of early stage cancers. The authors find a higher level of distress among those patients who were aware of their cancer diagnosis—an observation contradicted by many Western studies [14]. The authors acknowledge that other patient-related factors and disease and treatment variables, as well as social and environmental elements, may have contributed to the higher psychiatric morbidity.

My interest in this commentary, however, is the issue of truth-telling attitudes and practices throughout the world. This article reports a rate of cancer awareness of less than 50%. Moreover, most of the informed patients had guessed their diagnosis from the treatment side effects, while only 14.5% had received full information from their physicians....

Keywords

Cancer Diagnosis Communication Skill Cultural Identity Psychiatric Morbidity Western Model 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Anderlik MR, Pentz RD, Hess KR (2000) Revisiting the truth telling debate: a study of disclosure practices at a major cancer center. J Clin Ethics 11:251–259PubMedGoogle Scholar
  2. 2.
    Annas GJ (1994) Informed consent, cancer, and truth in prognosis (1994) N Engl J Med 330:223–225CrossRefPubMedGoogle Scholar
  3. 3.
    Authors, various. In: Surbone A, Zwitter M (eds) (1997) Communication with the cancer patient. Information and truth. Ann NY Acad Sci 809Google Scholar
  4. 4.
    Back A, Baile W (2003) Communication skills: myths, realities and new developments. Commentary. J Supp Oncol 1:169–171Google Scholar
  5. 5.
    Back AL, Arnold RM, Tulsky JA et al (2003) Teaching communication skills to medical oncology fellows. J Clin Oncol 21:2433–2436CrossRefPubMedGoogle Scholar
  6. 6.
    Baier A (1994) Moral prejudices: essays on ethics. Harvard University Press, CambridgeGoogle Scholar
  7. 7.
    Baile WF, Buckman R, Lenzi R et al (2000) SPIKES—a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 5:302–311PubMedGoogle Scholar
  8. 8.
    Blackhall L (1995) Ethnicity and attitudes toward patient autonomy. JAMA 274:820–825PubMedGoogle Scholar
  9. 9.
    Buckman R (1992) How to break bad news: a guide for health care professionals. Johns Hopkins University Press, BaltimoreGoogle Scholar
  10. 10.
    Carrese J, Rhodes L (1995) Western bioethics on the Navajo reservation: benefit or harm? JAMA 274:826–829PubMedGoogle Scholar
  11. 11.
    Costantini-Ferrando MF, Foley KM, Rapkin BD (1998) Communicating with patients about advanced cancer (letter). JAMA 280:1403CrossRefGoogle Scholar
  12. 12.
    Coyle N, Sculco MA (2003) Communication and the patient/physician relationship: a phenomenological inquiry. J Supp Oncol 1:206–215Google Scholar
  13. 13.
    Culha Atesci F, Baltalarli B, Oguzhanoglu K et al (2004) Psychiatric morbidity among cancer patients and awareness of illness. Support Care CancerGoogle Scholar
  14. 14.
    Fallowfield L (1997) Truth sometime hurts, but deceit hurts more. In: Communication with the cancer patient. Surbone A, Zwitter M (eds) Ann NY Acad Sci 809:525–536Google Scholar
  15. 15.
    Fallowfield L, Jenkins V, Farewell V et al (2002) Efficacy of a cancer research UK communication skills training model for oncologists: a randomized controlled trial. Lancet 359:650–656CrossRefPubMedGoogle Scholar
  16. 16.
    Grassi L, Giraldi T, Messina EG et al (2000) Physicians’ attitudes to and problems with truth-telling to cancer patients. Support Care Cancer 8:40–45PubMedGoogle Scholar
  17. 17.
    Hall P, Stone G, Fiset VJ (1998) Palliative care: how can we meet the needs of our multicultural communities? J Pall Care 14:46–49Google Scholar
  18. 18.
    Higginson IJ, Costantini M (2002) Communication in end-of-life cancer care: A comparison of team assessment in three European countries. J Clin Oncol 20:3674–3682CrossRefPubMedGoogle Scholar
  19. 19.
    Kagawa-Singer M, Blackhall LJ (2001) Negotiating cross-cultural issues at the end of life. JAMA 286:2993–3001CrossRefPubMedGoogle Scholar
  20. 20.
    Kodish E, Post GP (1995) Oncology and hope. J Clin Oncol 13:1817–1822PubMedGoogle Scholar
  21. 21.
    Lamont EB, Christakis NA (2003) Complexities in prognostication in advanced cancer “to help them live their lives the way they want to”. JAMA 2901:98–102Google Scholar
  22. 22.
    Gostin LO (1995) Informed consent, cultural sensitivity and respect for persons. JAMA 274:844–845CrossRefPubMedGoogle Scholar
  23. 23.
    Maguire P (1990) Can communication skills be taught? Br J Hosp Med 43:215–216PubMedGoogle Scholar
  24. 24.
    Mystakidou K, Parpa E, Tsilika E et al (2004) Cancer information disclosure in different cultural contexts. Support Care CancerGoogle Scholar
  25. 25.
    Olweny C (1994) The ethics and conduct of cross-cultural research in developing countries. Psycho-Oncol 3:11–20Google Scholar
  26. 26.
    Pellegrino ED (1987) Altruism, self–interest and medical ethics. JAMA 258:1939–1940CrossRefPubMedGoogle Scholar
  27. 27.
    Pellegrino, ED, Thomasma DC (1981) For the Patient’s Good. The Restoration of Beneficence in Health Care. Oxford University Press, New YorkGoogle Scholar
  28. 28.
    Schapira L (2003) Communication skill training in clinical oncology: the ASCO position reviewed and an optimistic personal perspective. Crit Rev Oncol Hematol 46:25–31CrossRefPubMedGoogle Scholar
  29. 29.
    Seibert PS, Stridh-Igo P, Zimmermann CG (2002) A checklist to facilitate cultural awareness and sensitivity. J Med Ethics 28:143–146CrossRefPubMedGoogle Scholar
  30. 30.
    Seo M, Tamura K, Shijo H et al (2000) Telling the diagnosis to cancer patients in Japan: attitudes and perceptions of patients, physicians and nurses. Palliat Med 14:105–110PubMedGoogle Scholar
  31. 31.
    Smith TJ, Swisher K (1998) Telling the truth about terminal cancer (editorial). JAMA 279:1746–748CrossRefPubMedGoogle Scholar
  32. 32.
    Authors, various (2002) In: Baider L, Cooper CL, Kaplan De-Nour A (eds) Cancer and the family. Wiley & SonsGoogle Scholar
  33. 33.
    Surbone A (2000) Truth telling. In: Cohen-Almagor R (ed), Medical ethics at the dawn of the 21st century. Ann NY Acad Sci 913:52–62PubMedGoogle Scholar
  34. 34.
    Surbone A (2003) The quandary of cultural diversity. Guest editorial. J Pall Care 19:3–4Google Scholar
  35. 35.
    Surbone A, Lowenstein J (2003) Asymmetry in the relationship between patients and d physicians. J Clin Ethics 14:3PubMedGoogle Scholar
  36. 36.
    Weeks JC, Cook EF, O’Day SJ et al (1998) Relationship between cancer patients’ predictions of prognosis and their treatment preferences. JAMA 279:1709–1714CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Department of MedicineNew York UniversityNew YorkUSA

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