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Patient's perceptions of oral and oropharyngeal cancer diagnosis disclosure: communication aspects based on SPIKES protocol.

Published:December 22, 2022DOI:https://doi.org/10.1016/j.oooo.2022.12.008

      ABSTRACT

      Objective

      : Breaking bad medical news is a complex task of clinical practice. The manner in which this is done has a significant impact on patients. This study aimed to assess patient's perceptions regarding oral and oropharyngeal cancer diagnosis disclosure according to the “SPIKES” protocol.

      Study Design

      : This cross-sectional study utilized a questionnaire with 21 SPIKES-based items. The questionnaire was administered to 100 patients with recently diagnosed oral and oropharyngeal squamous cell carcinoma who evaluated each item according to their preference and experience.

      Results

      : Nineteen items showed a significant difference between patient's preference and recalled experience. Eighteen of these items showed lower experience scores primarily related to the amount of information desired by patients, presence of a companion, time to express feelings, and summary of information. Most patients preferred receiving as much information as possible about the diagnosis. However, only 35% reported that they had obtained sufficient information. Patient's aware of cancer diagnostic suspicion had better communication experience.

      Conclusions

      : Protocols may be useful to guide health professionals to support patient-centered strategies to disclose oral cancer diagnoses.

      Keywords

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