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J Surg Oncol. 2019 Jul;120(1):23-29. doi: 10.1002/jso.25472. Epub 2019 Apr 18.

Navigating difficult conversations.

Author information

1
Division of Surgical Oncology, Johns Hopkins University, Baltimore, Maryland.
2
Department of Surgery, Johns Hopkins Hospital, Baltimore, Maryland.

Abstract

Breaking bad news and navigating difficult conversations is challenging and a frequent occurrence in surgical oncology practice. Cancer communication recommendations are guided by ethical principles, legal precedence, and emerging evidence regarding patient preference and efficacy of communication tools. Evidence continues to mount supporting a patient-centered communication approach and a model of shared decision making. Likewise, physician training in effective patient-centered cancer communication continues to evolve.

KEYWORDS:

bad news; patient-centered; shared decision making

PMID:
31001875
DOI:
10.1002/jso.25472
[Indexed for MEDLINE]

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