End-of-Life Choices Affected by Doctors' Outlook

A survey of 900 doctors has revealed that a doctor's level of comfort in discussing death and presenting options to terminally ill patients are affected by the doctor's medical ethics training and the doctor's religious affiliation.

Researchers surveyed 900 members of the Society of Gynecologic Oncologists, and the results were published in the September 2004 issue of the International Journal of Gynecological Cancer. These doctors treat patients both surgically and medically, and they exercise significant influence in conversations between them and patients regarding life-sustaining decisions, affecting a patient's last days with family or hope from further treatments that may or may not be futile. Some of the key aspects of these conversations were noted as "straight talk” and "compassion.” However, 8% said they would avoid telling patients they have a terminal condition, and only 75% would disclose to patients with inoperable cervical cancer that their disease is incurable, prior to starting treatment.

"It is important to recognize opportunities to help physicians to speak about their concerns and to improve conversations about breaking bad news,” said study author Dr. Lois Ramondetta, assistant professor in the department of gynecologic oncology at the University of Texas M.D. Anderson Cancer Center (Houston, USA). A team approach involving nurses, clergy, doctors, and psychiatrists, educational workshops, and taped practice sessions were among those methods favored to help change current approaches and improve patient awareness and options.




Related Links:
M.D. Anderson Cancer Center