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Patients rate physician communication about lung cancer
Judith E Nelson1, Elizabeth B Gay, Andrew R Berman
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, New York, USA.
Cancer
|April 16, 2011
Summary
Lung cancer patients report poor communication with physicians on critical topics like symptoms, prognosis, and end-of-life care. This inadequate physician-patient communication can worsen distress and impair decision-making.
Area of Science:
- Oncology
- Medical Communication
- Patient-Centered Care
Background:
- High-quality lung cancer care necessitates effective physician-patient communication regarding disease, treatment, needs, preferences, and goals.
- This study assesses communication across various topics and stages of lung cancer care.
Purpose of the Study:
- To evaluate the extent of physician-patient communication with lung cancer patients.
- To identify factors associated with inadequate communication.
Main Methods:
- A questionnaire assessed patient ratings of communication on 11 topics (e.g., symptoms, prognosis, end-of-life preferences).
- Inadequate communication was defined as discussing fewer than 5 topics.
- Multivariate logistic regression analyzed factors linked to inadequate communication.
Main Results:
- Most lung cancer patients reported low levels of communication on key topics, including spiritual concerns (80%), living wills (90%), and hospice care (88%).
- Inadequate communication was prevalent across different patient demographics (age, stage, race).
- Hispanic patients reported less inadequate communication compared to non-Hispanic whites and blacks.
Conclusions:
- Patients with lung cancer experience low rates of physician-patient communication on crucial aspects of care.
- This communication gap may lead to increased patient distress, compromised decision-making, and adverse clinical outcomes.
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