nach oben

Erschienen in:

01.06.2009 | Review Article

Clinician-patient communication: a systematic review

verfasst von: Gary Rodin, Jean A. Mackay, Camilla Zimmermann, Carole Mayer, Doris Howell, Mark Katz, Jonathan Sussman, Melissa Brouwers

Erschienen in: Supportive Care in Cancer | Ausgabe 6/2009

Einloggen, um Zugang zu erhalten

Abstract

Goal of Work

The goal of this work was to identify methods of clinician–patient cancer-related communication that may impact patient outcomes associated with distress at critical points in the course of cancer care.

Materials and methods

A systematic review of practice guidelines, systematic reviews, or randomized trials on this topic was conducted. Guidelines for quality was evaluated using the Appraisal of Guidelines for Research and Evaluation Instrument, and the contributive value for recommendations was assessed. Systematic reviews and randomized trials were also evaluated for methodological rigor.

Results

Four existing guidelines, eight systematic reviews and nine randomized trials were identified. Two of the guidelines were of high quality, and all systematic reviews reported clear search criteria and support for their conclusions; the randomized trials were of modest or low quality. For all situations and disease stages, guidelines consistently identified open, honest, and timely communication as important; specifically, there was evidence for a reduction in anxiety when discussions of life expectancy and prognosis were included in consultations. Techniques to increase patient participation in decision-making were associated with greater satisfaction but did not necessarily decrease distress. Few studies took cultural and religious diversity into account.

Conclusions

There is little definitive evidence supporting the superiority of one specific method for communicating information compared to another. Evidence regarding the benefit of decision aids or other strategies to facilitate better communication is inconsistent. Since patients vary in their communication preferences and desire for active participation in decision making, there is a need to individualize communication style.

The AGREE Collaboration (2001) Appraisal of Guidelines for Research & Evaluation (AGREE) Instrument (monograph on the Internet). http://www.agreecollaboration.org. Cited 6 Dec 2006

Browman GP, Levine MN, Mohide EA, Hayward RS, Pritchard KI, Gafni A et al (1995) The practice guidelines development cycle: a conceptual tool for practice guidelines development and implementation. J Clin Oncol 13(2):502–512PubMed

Brown RF, Butow PN, Sharrock MA, Henman M, Boyle F, Goldstein D et al (2004) Education and role modeling for clinical decisions with female cancer patients. Health Expect 7(4):303–316 doi:10.1111/j.1369-7625.2004.00294.x PubMedCrossRef

Butow P, Devine R, Boyer M, Pendlebury S, Jackson M, Tattersall MH (2004) Cancer consultation preparation package: changing patients but not physicians is not enough. J Clin Oncol 22(21):4401–4409 doi:10.1200/JCO.2004.66.155 PubMedCrossRef

Clayton JM, Butow PN, Tattersall MH, Devine RJ, Simpson JM, Aggarwal G et al (2007) Randomized controlled trial of a prompt list to help advanced cancer patients and their caregivers to ask questions about prognosis and end-of-life care. J Clin Oncol 25(6):715–723 doi:10.1200/JCO.2006.06.7827 PubMedCrossRef

Davies E, Higginson IJ (2003) Communication, information and support for adults with malignant cerebral glioma: a systematic literature review. Support Care Cancer 11(2):21–29 doi:10.1007/b97840 PubMed

Deadman JM, Leinster SJ, Owens RG, Dewey ME, Slade PD (2001) Taking responsibility for cancer treatment. Soc Sci Med 53(5):669–677 doi:10.1016/S0277-9536(00)00369-5 PubMedCrossRef

Dowsett SM, Saul JL, Butow PN, Dunn SM, Boyer MJ, Findlow R et al (2000) Communication styles in the cancer consultation: preferences for a patient-centred tactics. Psychooncology 9(2):147–156 doi:10.1002/(SICI)1099-1611(200003/04)9:2<147::AID-PON443>3.0.CO;2-X PubMedCrossRef

Fogarty LA, Curbow BA, Wingard JR, McDonnell K, Somerfield MR (1999) Can 40 seconds of compassion reduce patient anxiety? J Clin Oncol 17(1):371–379PubMed

10.

Gaston CM, Mitchell G (2005) Information giving and decision-making in patients with advanced cancer: a systematic review. Soc Sci Med 61(10):2252–2264 doi:10.1016/j.socscimed.2005.04.015 PubMedCrossRef

11.

Griffin JP, Nelson JE, Koch KA, Niell HB, Ackerman TF, Thompson M et al (2003) End-of-life care in patients with lung cancer. Chest 123(1 Suppl):312S–331S doi:10.1378/chest.123.1_suppl.312S PubMedCrossRef

12.

Hagerty RG, Butow PN, Ellis PM, Dimitry S, Tattersall MH (2005) Communicating prognosis in cancer care: a systematic review of the literature. Ann Oncol 16(7):1005–1053 doi:10.1093/annonc/mdi211 PubMedCrossRef

13.

Holland JC, Andersen B, Breitbart WS, Dabrowski M, Dudley MM, Fleishman S et al (2007) Distress management: clinical practice guidelines in oncology. J Natl Compr Cancer Netw 5:66–98

14.

Kruijver IPM, Garssen B, Visser AP, Kuiper AJ (2006) Signalising psychosocial problems in cancer care: the structural use of a short psychosocial checklist during medical or nursing visits. Patient Educ Couns 62:163–177 doi:10.1016/j.pec.2005.10.001 PubMedCrossRef

15.

McPherson CJ, Higginson IJ, Hearn J (2001) Effective methods of giving information in cancer: a systematic literature review of randomized controlled trials. J Public Health Med 23(3):227–234 doi:10.1093/pubmed/23.3.227 PubMedCrossRef

16.

National Breast Cancer Centre (2000) Psychosocial clinical practice guidelines: information, support and counselling for women with breast cancer [monograph on the Internet]. http://www.nhmrc.gov.au/publications/. Cited 06 Dec 2006

17.

National Breast Cancer Centre, National Cancer Control Initiative (2003) Clinical practice guidelines for the psychosocial care of adults with cancer. Camperdown (Australia): National Health and Medical Research Council. http://www.nhmrc.gov.au. Cited 24 July 2006

18.

National Institute for Health and Clinical Excellence (2004) Guidance on cancer services: improving supportive and palliative care for adults with cancer. http://www.nice.org.uk. Cited 24 July 2006

19.

National Institute for Health and Clinical Excellence (2004) Improving supportive and palliative care for adults with cancer: research evidence. http://www.nice.org.uk. Cited 24 July 2006

20.

National Institute for Health and Clinical Excellence (2004) Improving supportive and palliative care for adults with cancer: the manual. http://www.nice.org.uk. Cited 24 July 2006

21.

Schofield P, Carey M, Love A, Nehill C, Wein S (2006) ‘Would you like to talk about your future treatment options?’ Discussing the transition from curative cancer treatment to palliative care. Palliat Med 20(4):397–406 doi:10.1191/0269216306pm1156oa PubMedCrossRef

22.

Scott JT, Harmsen M, Prictor MJ, Entwistle VA, Sowden AJ, Watt I (2003) Recordings or summaries of consultations for people with cancer. Cochrane Database Syst Rev Art No CD001539. doi:10.1002/14651858.CD001539

23.

Simpson M, Buckman R, Stewart M, Maguire P, Lipkin M, Novack D et al (1991) Doctor–patient communication: the Toronto consensus statement. BMJ 303(6814):1385–1387PubMedCrossRef

24.

Stewart MA (1996) Effective physician-patient communication and health outcomes: a review. CMAJ 152:1423–1433

25.

Strasser F, Palmer JL, Willey J, Shen L, Shin K, Sivesind D et al (2005) Impact of physician sitting versus standing during inpatient oncology consultations: patients’ preference and perception of compassion and duration. A randomized controlled trial. J Pain Symptom Manage 29(5):489–497 doi:10.1016/j.jpainsymman.2004.08.011 PubMedCrossRef

26.

Turner J, Zapart S, Pedersen K, Rankin N, Luxford K, Fletcher J et al (2005) Clinical practice guidelines for the psychosocial care of adults with cancer. Psychooncology 14(3):159–173 doi:10.1002/pon.897 PubMedCrossRef

27.

Waljee JF, Rogers MA, Alderman AK (2007) Decision aids and breast cancer: do they influence choice for surgery and knowledge of treatment options? J Clin Oncol 25(9):1067–1073 doi:10.1200/JCO.2006.08.5472 PubMedCrossRef

28.

Walker MS, Podbilewicz-Schuller Y (2005) Video preparation for breast cancer treatment planning: results of a randomized clinical trial. Psychooncology 14(5):408–420 doi:10.1002/pon.858 PubMedCrossRef

29.

Whelan TM, O’Brien MA, Villasis-Keever M, Robinson P, Skye A, Gafni A et al (2002) Impact of cancer-related decision aids. Evidence Report/Technology Assessment No: 46 (Prepared by McMaster University under contract no 290-97-0017) AHRQ Publication No. 02-E004. Agency for Healthcare Research and Quality, Rockville, MD

30.

Whelan T, Sawka C, Levine M, Gafni A, Reyno L, Willan A et al (2003) Helping patients make informed choices: a randomized trial of a decision aid for adjuvant chemotherapy in lymph node-negative breast cancer. J Natl Cancer Inst 95(8):581PubMedCrossRef

Titel: Clinician-patient communication: a systematic review
verfasst von: Gary Rodin
Jean A. Mackay
Camilla Zimmermann
Carole Mayer
Doris Howell
Mark Katz
Jonathan Sussman
Melissa Brouwers
Publikationsdatum: 01.06.2009
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 6/2009
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-009-0601-y

Springer Medizin

Clinician-patient communication: a systematic review