Document Detail

Disclosure of a cancer diagnosis in Thai patients treated with radiotherapy.
MedLine Citation:
PMID:  12948576     Owner:  NLM     Status:  MEDLINE    
Although radiotherapy usually implies a cancer diagnosis, no available study has been reported as to what proportion of Thai patients treated with radiotherapy know their diagnosis and how they want related information revealed. We questioned 106 patients in order to determine the proportion who knew their cancer diagnosis, and interviewed patients who knew the diagnosis and relatives of patients both who knew and did not know it with semi-structured questionnaires concerning how they wanted to be told. Sixty-seven patients (63.2%) knew their cancer diagnosis. Multivariate analysis showed that the patients with the following characteristics were inclined to know their diagnosis: younger than 70 years old, head and neck or gynecological cancer, no previous treatment before radiotherapy, no accompanying relatives during the treatment, and patients with relatives who wanted to disclose the information. 97.0% of patients who knew the diagnosis indicated that they had really wanted to know, 89.5% and 73.3%, respectively of relatives who accompanied patients who knew and did not know it expressed the same wish. No demographic factors could predict who wanted to be told the diagnosis. The majority of patients and relatives who wanted the diagnosis disclosed wanted to know all related information before treatment. They wanted to hear this directly from the doctor in the presence of their relatives.
Temsak Phungrassami; Hutcha Sriplung; Aran Roka; Em nasree Mintrasak; Thanarpan Peerawong; Umard Aegem
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  57     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-09-01     Completed Date:  2003-10-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1675-82     Citation Subset:  IM    
Department of Radiology, Faculty of Medicine, Prince of Songkla University, 90110 Songkhla, Thailand.
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MeSH Terms
Adaptation, Psychological
Cross-Sectional Studies
Family / psychology
Middle Aged
Multivariate Analysis
Neoplasms / classification,  diagnosis*,  psychology,  radiotherapy
Odds Ratio
Oncology Service, Hospital
Patient Education as Topic
Patient Participation
Patient Satisfaction / statistics & numerical data*
Truth Disclosure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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