Information given to patients about adverse effects of radiotherapy: a survey of patients' views
- 1 October 2004
- journal article
- Published by Elsevier BV in Clinical Oncology
- Vol. 16 (7), 479-484
- https://doi.org/10.1016/j.clon.2004.06.013
Abstract
In practice, clinicians vary markedly in the amount of information they give to patients before consent for investigation or treatment is obtained. We present a study to evaluate the amount of information patients feel that they should be given. Between October 2001 and February 2002, 82 adults were enrolled into the study before commencing treatment with radiotherapy. Participants were interviewed with the aid of a questionnaire, and responses were analysed to detect differences related to age, sex, disease site, treatment intent and social class. The distribution of responses to the interview was large. For a mild side-effect, 23 patients (28%) wanted to be informed if the risk of the side-effect was as small as 0.1%, whereas 25 patients (31%) would only want to be informed if there was either a 50% or a 100% chance of it occurring. For severe side-effects, 36 (44%) wanted to be informed of a 0.1% risk, whereas 13 (16%) only wanted to be informed if the risk was either 50% or 100%. There was no association with sex, treatment intent (radical or palliative), social class or disease site. Information requirements tended to be greater in people under 60 years. This reached statistical significance (P = 0.007) for severe side-effects, where younger patients were more likely to want to be informed of a side-effect if there was a 10% or less chance of it occurring. Information needs varied widely within our survey population. It is difficult to predict how much information patients feel they need before giving informed consent. Therefore, a patient-centred approach must involve tailoring information to individual patient requirements.Keywords
This publication has 24 references indexed in Scilit:
- Informed consent: lessons from AustraliaBMJ, 2002
- Risks of elective cardiac surgery: what do patients want to know?Heart, 2001
- How Much Information About Adverse Effects of Medication Do Patients Want From Physicians?Archives of Internal Medicine, 2001
- INFORMED CONSENT: HOW MUCH INFORMATION IS ENOUGH?Anz Journal of Surgery, 1998
- Information needs of cancer patients in west Scotland: cross sectional survey of patients' viewsBMJ, 1996
- How much now to tell? Patients' attitudes to an information sheet prior to angiography and angioplastyAustralasian Radiology, 1995
- Who's afraid of informed consent?BMJ, 1993
- Effects of sensory and procedural information on coping with stressful medical procedures and pain: A meta-analysis.Journal of Consulting and Clinical Psychology, 1989
- Psychologic predictors of psychosocial and medical outcomes in patients undergoing coronary angioplasty.Psychosomatic Medicine, 1986
- Interacting effects of information and coping style in adapting to gynecologic stress: Should the doctor tell all?Journal of Personality and Social Psychology, 1983