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Article Date: June 5, 2013-0:00 PDT current ratings for:
The therapeutic decisions: doctor for Cancer Patients
Desire of patients for participation changes over the course of the disease
What are the treatments a doctor recommends for advanced cancer depends not only on the medical aspects. His relationship with the patient and his own vision of their life to their age situation play a role. It was discovered by a team of researchers led by Dr. Jan Schildmann of the Ruhr-Universitat Bochum (RUB) with colleagues at the University of Oxford. RUB researchers also studied how patients perceive and evaluate the information they receive for clarification and decision making. The report of medical ethicists in the journals the oncologist and Annals of Oncology.
One of the most difficult challenges in medicine
"The therapeutic decisions in advanced, life-threatening diseases are among the most difficult challenges in medicine", said Jan Schildmann, responsible for North Rhine-Westphalia junior research group "Medical Ethics at the end of life: Norm and empiricism. Scientific data often on the benefits and harms of therapy in such situations are rare. To RUB Institute, medical ethics and history of medicine led by the Prof. Dr. Dr. Jochen Vollmann, scientists have studied how cancer patients evaluated the explanation of potential therapies and what criteria physicians base their decisions on. To this end, the researchers interviewed doctors who work in medical oncology and patients with cancer and qualitatively evaluated discussions.
Personal values influence treatment recommendations of doctors
Making decisions for or against a therapy, in addition to medical factors, the age and the lives of the patients situation plays a role - for example, if they have a family. Thus, one of the doctors involved in the study of the interview said: "I think instinctively feel it as a young patient with a young family, it should make more effort to try to help them live a little longer. '' Doctors have also made comparisons to their age and their life situation. "I had recently a young woman... with teenage girls, the same age as my daughters, so there was a kind of sense of... it should not influence, but you can imagine the same as yourself person ', as an example of one of the interviews. The results of studies conducted in England are consistent with the already published results of the Germany.
The wishes of patients are changing during the illness
To explore the wishes of patients, the researchers interviewed people suffering from cancer of the pancreas. The result: at the beginning of the treatment, patients treatment hardly information received; their confidence in the physician was crucial. "I placed my life and my health in the hands of specialists and said you'll do this right", one of the participants said. During the illness, however, people have learned to treat the words of better doctors; While they wanted more information and be involved in the decision on possible therapies.
Reflecting the value judgments
"Unable to apply the results of this qualitative study to the entire cohort of oncologists, or all cancer patients", says Jan Schildmann. However, the results of other research groups also highlighted treatment that doctors recommendations are based not only on the medical aspects. "Doctors should reflect on the value judgements that play a role in the recommendations. They should also consider what information really allow patients to participate in the decision-making process according to their wishes at some point. ?
Article adapted by Medical News Today press release original. Click on "references" tab above for the source.Visit our cancer / Oncology section for the latest news on this subject. Funding: The empirical study is part of a clinical and ethical research project directed by the North Rhine-Westphalia junior research group "Medical Ethics at the end of life: Norm and empiricism", funded by the Ministry of Innovation, Science, research and technology.
Bibliographic records: Schildmann J. j., P. Ritter, S. Salloch, W. Uhl, J Vollmann (2013): ?it takes a little confidence in the doctor...? ': a study qualitative interview with patients of cancer of the pancreas on their perceptions and their views on the information and treatment decision-making, Annals of Oncology, doi: 10.1093/annonc/mdt193
J. Schildmann, J. Tan, S. Salloch, J. Vollmann (2012): well, I think that there is great variation... ': a qualitative study of the experiences of oncologists and the views on the medical criteria and other factors relevant to the therapeutic decisions in advanced cancer, the oncologist, doi: 10.1634/theoncologist.2012-0206
The University of Bochum Ruhr
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