Cancer diagnosis disclosure preferences of family caregivers of cancer patients in Egypt

2016 ◽  
Vol 26 (11) ◽  
pp. 1758-1762 ◽  
Author(s):  
Samy A. Alsirafy ◽  
Shady S. Abdel-Kareem ◽  
Noha Y. Ibrahim ◽  
Mohamed A. Abolkasem ◽  
Dina E. Farag
Keyword(s):  
Cancer Patients ◽  
Family Caregivers ◽  
Cancer Diagnosis ◽  
Diagnosis Disclosure ◽  
Disclosure Preferences

Diagnosis Disclosure Preferences of Cancer Patients in Egypt: A Multi-Institutional Cross-Sectional Study

2021 ◽  
pp. 104990912110410
Author(s):  
Ahmed Abdel-hafeez ◽  
Hadeer I. Abdel-Aziz ◽  
Ahmad Hassan ◽  
Dina E. Farag ◽  
Wessam A. El-Sherief ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Health Care Professionals ◽  
Cancer Care ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Routine Practice ◽  
Cross Sectional ◽  
Diagnosis Disclosure ◽  
To Receive

Background: Although diagnosis disclosure to cancer patients has important roles in cancer care, it is not a routine practice in countries like Egypt. Respecting patients’ autonomy and responding to their preferences are among the factors that should guide the practice of cancer diagnosis disclosure. Objectives: To assess the preferences of Egyptian cancer patients regarding the disclosure of cancer diagnosis and to determine factors that may affect their preferences. Methods: The study included 295 patients aware of their cancer diagnosis from 3 cancer care facilities in Egypt. Patients were asked if they would have preferred to be informed of the diagnosis or not, whom they would have preferred to receive the diagnosis information from, and if they would have preferred to tell their families or not. Results: The vast majority (91%) of the included patients preferred to be informed about their diagnosis, 59% preferred to disclose the diagnosis to their families and 66% preferred to receive the diagnosis information from a physician. In univariate analysis, male gender, higher education level and employment were significantly associated with the preference for disclosure. None of the studied variables associated significantly with the preferences in multivariate analysis. Conclusion: The majority of Egyptian cancer patients in our study preferred to be informed about their diagnosis, which should be respected. The results may help in changing the diagnosis disclosure practice of health care professionals and refuting the misconception of family caregivers about cancer diagnosis disclosure in Egypt and countries with similar culture.

Psychological Ladder in Oral Cancer Patients

2021 ◽  
Author(s):  
Jeyaraman Swathiraman
Keyword(s):  
Oral Cancer ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Cancer Diagnosis ◽  
Family Role ◽  
Common Cancer ◽  
The World ◽  
Oral Cancer Patients ◽  
Cancer Diagnosis And Therapy

Oral cancer ranks sixth most common cancer in the world. Smoking and alcohol consumption consider to the major risk factor. Despite recent advances in cancer diagnosis and therapy the 5 years survival rate of oral cancer patient has remains low. During the advance stage of changes in family role and the burden placed on family caregivers negatively affect quality of life for cancer patients as well the caregivers. Treatment of oral cancer usually requires surgery which results in transformed facial appearance, which may be the cause of separation of the patient from the society and leads to psychological distress.

scholarly journals Cancer Diagnosis Disclosure and Quality of Life in Elderly Cancer Patients

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 163
Author(s):  
Ying Zheng ◽  
Fang Lei ◽  
Bao Liu
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Psychological Intervention ◽  
Psychological Burden ◽  
Elderly Cancer Patients ◽  
Diagnosis Disclosure ◽  
Quality Of Life Scale ◽  
Disclosure Strategy

Informed consent and patient autonomy rights require an optimal cancer diagnosis disclosure strategy to be used to update the patients and caregivers with the bad news. However, a cancer diagnosis disclosure may arouse anxiety and distress which increase patients’ and caregivers’ psychological burden. This study aims to explore the influence of cancer diagnosis disclosure on the quality of life in elderly cancer patients and their caregivers, and to introduce an effective way to disclose cancer diagnosis. A total of 120 participants were randomly selected in the study. The Medical Coping Modes Questionnaire was used to select informed person. The SPIKES was used to guide the disclosure procedures. The informed patients’ or caregivers’ quality of life were evaluated by the Generic Quality of Life Inventory-74 or Caregiver Quality of Life Scale before and after the cancer diagnosis disclosure and at the discharge time. After cancer diagnosis disclosure, no significant change was found on the quality of life of the informed person. With multiple psychological interventions implemented, a significant increase was noticed on the quality of life of the informed person. Applying the cancer diagnosis disclosure strategies and psychological intervention were essential to improve cancer patients’ and caregivers’ quality of life.

Cancer Diagnosis Disclosure in a Northern Italian Hospital Report on 312 Consecutive Cancer Patients

2007 ◽  
Vol 93 (3) ◽  
pp. 290-291 ◽  
Author(s):  
Luigi Cavanna ◽  
Elisa Anselmi ◽  
Antonio Lazzaro ◽  
Pietro Seghini ◽  
Camilla Di Nunzio ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Diagnosis Disclosure ◽  
Hospital Report ◽  
Italian Hospital

scholarly journals The Role of Advance Care Planning in Cancer Patient and Caregiver Grief Resolution: Helpful or Harmful?

Cancers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1977
Author(s):  
Francesca Falzarano ◽  
Holly G. Prigerson ◽  
Paul K. Maciejewski
Keyword(s):  
Cancer Patients ◽  
Family Caregivers ◽  
Advance Care Planning ◽  
Care Planning ◽  
Do Not Resuscitate ◽  
Prospective Longitudinal Study ◽  
Advance Care ◽  
Grief Resolution ◽  
Caregiver Grief ◽  
Prospective Longitudinal

Cancer patients and their family caregivers experience various losses when patients become terminally ill, yet little is known about the grief experienced by patients and caregivers and factors that influence grief as patients approach death. Additionally, few, if any, studies have explored associations between advance care planning (ACP) and grief resolution among cancer patients and caregivers. To fill this knowledge gap, the current study examined changes in grief over time in patients and their family caregivers and whether changes in patient grief are associated with changes in caregiver grief. We also sought to determine how grief changed following the completion of advance directives. The sample included advanced cancer patients and caregivers (n = 98 dyads) from Coping with Cancer III, a federally funded, multi-site prospective longitudinal study of end-stage cancer care. Participants were interviewed at baseline and at follow-up roughly 2 months later. Results suggest synchrony, whereby changes in patient grief were associated with changes in caregiver grief. We also found that patients who completed a living will (LW) experienced increases in grief, while caregivers of patients who completed a do-not-resuscitate (DNR) order experienced reductions in grief, suggesting that ACP may prompt “grief work” in patients while promoting grief resolution in caregivers.

scholarly journals Physical Comorbidities and Depression in Recent and Long-Term Adult Cancer Survivors: NHANES 2007–2018

Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3368
Author(s):  
Dafina Petrova ◽  
Andrés Catena ◽  
Miguel Rodríguez-Barranco ◽  
Daniel Redondo-Sánchez ◽  
Eloísa Bayo-Lozano ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Depression Symptoms ◽  
Depression Risk ◽  
Adult Cancer Survivors ◽  
Before And After ◽  
Nationally Representative ◽  
Risk Of Cancer

Many adult cancer patients present one or more physical comorbidities. Besides interfering with treatment and prognosis, physical comorbidities could also increase the already heightened psychological risk of cancer patients. To test this possibility, we investigated the relationship between physical comorbidities with depression symptoms in a sample of 2073 adult cancer survivors drawn from the nationally representative National Health and Nutrition Examination Survey (NHANES) (2007–2018) in the U.S. Based on information regarding 16 chronic conditions, the number of comorbidities diagnosed before and after the cancer diagnosis was calculated. The number of comorbidities present at the moment of cancer diagnosis was significantly related to depression risk in recent but not in long-term survivors. Recent survivors who suffered multimorbidity had 3.48 (95% CI 1.26–9.55) times the odds of reporting significant depressive symptoms up to 5 years after the cancer diagnosis. The effect of comorbidities was strongest among survivors of breast cancer. The comorbidities with strongest influence on depression risk were stroke, kidney disease, hypertension, obesity, asthma, and arthritis. Information about comorbidities is usually readily available and could be useful in streamlining depression screening or targeting prevention efforts in cancer patients and survivors. A multidimensional model of the interaction between cancer and other physical comorbidities on mental health is proposed.

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