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Chemotherapy's Goals Often Not Conveyed.
SAN FRANCISCO -- Physicians and their patients are more likely than not to disagree about the goals and the benefits of chemotherapy, demonstrating possible shortcomings in the informed-consent process, Dr. Geetha N. Varma reported at the annual meeting of the American Society of Clinical Oncology.
A survey of 80 physicians and 88 of their patients who were about to begin chemotherapy revealed widespread misunderstanding on the part of patients regarding the primary goal of treatment as well as the likelihood of achieving that goal. While 80 patients (91%) thought they understood the goals of chemotherapy and 67 physicians (84%) thought their patients understood, the true level of understanding was much lower than either group believed, reported Dr. Varma of Sinai Samaritan Medical Center in Milwaukee, and her colleagues.
Patients and their physicians agreed on the primary goal of chemotherapy 47% of the time. When physicians said that the goal was palliation, their patients thought the goal was cure 65% of the time. On the other hand, when physicians said the goal was cure, their patients agreed ...
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