Communicating about precision oncology Journal Article

   


Authors: McFarland, D. C.; Blackler, E.; Banerjee, S.; Holland, J.
Article Title: Communicating about precision oncology
Abstract: Communication in oncology has always been challenging. The new era of precision medicine complicates communication even further as a result of our increasing reliance on genomic data and the varying psychological responses to genomic-based treatments and their expected outcomes. The crux of the matter hinges on understanding communication. The informed consent processmayrequire more attention in the precision medicine era. However, manyof the communication issues are actually similar to perennial long-standing communication issues in oncology, which center on providing hope when breaking bad news and ensuring that adequate informed consent to treatments is obtained. This piece presents several common patient reactions to different precision medicine scenarios in oncology practice. We highlight these new communication issues that focus on clinical and ethical questions (ie, informed consent, shared decision making, patient autonomy, and uncertainty in oncologic treatments) and provide guidance on working with each scenario. In this article, weaddresscommonreactions of patients to genomic information and provide thoughtful communication suggestions using a Shared Decision Making framework to help patients cope with the inherent distress-provoking uncertainties in oncology practice. © 2018 American Society of Clinical Oncology.
Keywords: cancer patient; clinical practice; psychology; practice guideline; oncology; cancer therapy; genomics; interpersonal communication; informed consent; medical ethics; patient attitude; personalized medicine; shared decision making; uncertainty; clinical outcome; patient autonomy; human; priority journal; article
Journal Title: JCO Precision Oncology
Volume: 1
ISSN: 2473-4284
Publisher: American Society of Clinical Oncology  
Date Published: 2017-01-01
Language: English
DOI: 10.1200/po.17.00066
PROVIDER: scopus
PMCID: PMC7446474
PUBMED: 32913976
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077484571&doi=10.1200%2fPO.17.00066&partnerID=40&md5=7ffbc17231bdc35b8693c6193b2d6181
Notes: Article -- Export Date: 3 February 2020 -- Source: Scopus
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MSK Authors
  1. Elizabeth Blackler
    19 Blackler
  2. Smita Banerjee
    123 Banerjee
  3. Jimmie C B Holland
    379 Holland
  4. Daniel C. McFarland
    70 McFarland
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