[Skip to Content]
[Skip to Content Landing]
Views 401
Citations 0
February 9, 2017

Having a Conversation With a Patient With Incurable Cancer—Just Another Protocol?

Author Affiliations
  • 1Antoni van Leeuwenhoek Hospital, Department of Medical Oncology, Amsterdam, the Netherlands
  • 2Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands
JAMA Oncol. Published online February 9, 2017. doi:10.1001/jamaoncol.2016.6776

Seriously ill patients with cancer value frank discussions with their physicians. Physicians themselves, however, often experience difficulties speaking with patients about a prognosis, death, goals of end-of-life treatment, abstaining from potentially life-prolonging treatment, and spirituality. Reasons physicians disregard these topics include difficulties estimating a patient’s life expectancy, fear of decreasing a patient’s hope, and confronting the eventuality of life. These reasons, among others, have resulted in an attempt to formalize and structure conversations with patients with incurable cancer.

First Page Preview View Large
First page PDF preview
First page PDF preview