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Practical considerations for prognostic communication in pediatric cancer
Brittany Cowfer1, Tammy I Kang1, Matthew T McEvoy2
1Division of Palliative Care, Texas Children's Hospital, Houston, TX; Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Current Problems in Cancer
|October 14, 2023
Summary
Pediatric oncologists can improve care by communicating cancer prognoses clearly and compassionately. Honest prognostic disclosure supports families and enhances hope throughout a child's cancer journey.
Area of Science:
- Pediatric Oncology
- Medical Communication
- Bioethics
Background:
- Effective communication is vital for optimal care of pediatric cancer patients and families.
- Prognostic communication is a critical skill for oncologists across the disease trajectory.
- Families often prefer honest discussions about prognosis, which can support hope.
Purpose of the Study:
- To provide practical guidance for prognostic communication in pediatric cancer.
- To offer helpful phrases and communication frameworks for oncologists.
- To address challenges in prognostic communication skills training for oncologists.
Main Methods:
- Review of communication strategies in pediatric oncology.
- Inclusion of practical phrases for prognostic discussions.
- Overview of established communication frameworks.
Main Results:
- Prognostic disclosure, contrary to prior beliefs, supports parental hope.
- Families value and expect honest conversations about prognosis.
- Training in prognostic communication is often lacking among oncologists.
Conclusions:
- Clear and compassionate prognostic communication is essential for pediatric cancer care.
- Guidance and training can improve oncologists' ability to discuss prognosis effectively.
- Honest communication meets family needs and fosters hope throughout treatment.
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