TY - JOUR
T1 - Breaking the Bad News in Cancer
T2 - An In-Depth Analysis of Varying Shades of Ethical Issues
AU - Baliga, Manjeshwar Shrinath
AU - Prasad, Krishna
AU - Rao, Suresh
AU - Hegde, Sanath Kumar
AU - Sacheendran, Dhanya
AU - Krishna, Abhishek
AU - Simon, Paul
AU - George, Thomas
AU - Palatty, Princy Louis
N1 - Publisher Copyright:
© 2022. Indian Society of Medical and Paediatric Oncology. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Oncology has a range of ethical issues that are difficult to address and breaking the bad news is probably the most important and common across the world. Conventionally, breaking the bad news has been exclusively used in the situation where definitive diagnosis of cancer is to be conveyed to the patient. On a practical note, for the treating doctor, breaking the bad news is not restricted only to the confirmation of cancer and its prognosis at the initial diagnosis but also includes conveying futility of curative treatment, changing from curative to palliative treatment, recurrence/metastasis posttreatment, end of life care, and finally informing death of the patient to the family members. In addition to this, informing pregnant women that she has been diagnosed with cancer, about surgery-induced body disfigurement, loss of fertility due to chemotherapy/ radiotherapy, and of treatment-induced irreversible health complications are also challenging for the treating oncologist. On the basis of an in-depth analysis, the current review presents the various situations, complexities, and the related ethical issues in breaking the bad news in various situations from the perspective of an oncologist in detail in Indian context.
AB - Oncology has a range of ethical issues that are difficult to address and breaking the bad news is probably the most important and common across the world. Conventionally, breaking the bad news has been exclusively used in the situation where definitive diagnosis of cancer is to be conveyed to the patient. On a practical note, for the treating doctor, breaking the bad news is not restricted only to the confirmation of cancer and its prognosis at the initial diagnosis but also includes conveying futility of curative treatment, changing from curative to palliative treatment, recurrence/metastasis posttreatment, end of life care, and finally informing death of the patient to the family members. In addition to this, informing pregnant women that she has been diagnosed with cancer, about surgery-induced body disfigurement, loss of fertility due to chemotherapy/ radiotherapy, and of treatment-induced irreversible health complications are also challenging for the treating oncologist. On the basis of an in-depth analysis, the current review presents the various situations, complexities, and the related ethical issues in breaking the bad news in various situations from the perspective of an oncologist in detail in Indian context.
UR - https://www.scopus.com/pages/publications/85160273409
UR - https://www.scopus.com/pages/publications/85160273409#tab=citedBy
U2 - 10.1055/s-0042-1750738
DO - 10.1055/s-0042-1750738
M3 - Review article
AN - SCOPUS:85160273409
SN - 0971-5851
VL - 43
SP - 226
EP - 232
JO - Indian Journal of Medical and Paediatric Oncology
JF - Indian Journal of Medical and Paediatric Oncology
IS - 3
ER -
