Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran

Background: One of the essential issues in doctor-patient relationship is the matter of telling the truth of cancer diagnosis to patients. This is not only important from an ethical standpoint, but also can have legal implications. Thus, truth-telling and its associated factors are of great importan...

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Main Authors: Mahdi Aghili, Maisa Yamrali, Razieh Akbari, Ali Kazemian
Format: Article
Language:English
Published: Kaviani Breast Disease Institute 2017-10-01
Series:Archives of Breast Cancer
Subjects:
Online Access:https://archbreastcancer.com/index.php/abc/article/view/164
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author Mahdi Aghili
Maisa Yamrali
Razieh Akbari
Ali Kazemian
author_facet Mahdi Aghili
Maisa Yamrali
Razieh Akbari
Ali Kazemian
author_sort Mahdi Aghili
collection DOAJ
description Background: One of the essential issues in doctor-patient relationship is the matter of telling the truth of cancer diagnosis to patients. This is not only important from an ethical standpoint, but also can have legal implications. Thus, truth-telling and its associated factors are of great importance especially in cancer patients. The aim of this study was to evaluate factors effective in doctors’ telling the truth to their patients. Methods: The statistical population included specialists and subspecialists working in the field of cancer treatment in Tehran. Overall, 161 questionnaires, designed for our study, were gathered and evaluated. Results: According to our study, 87.6% of the responders would tell the truth to their patients, while 12.4% wouldn't do so. They believed that the best person to tell the truth to the patient is the physician or the psychiatrist specialized in this field. Ninety-two percent of physicians felt the need for developing a guideline on educating patients. There was a significant difference between oncologists and non-oncologists in terms of tendency to tell the truth, with non-oncologists showing more tendency. Most of the doctors preferred to tell the truth to their middle-aged (51–70 years) patients rather than to their younger or older patients. Conclusion: Only 25.5% of physicians in our study had the policy to tell the truth to the majority of their patients, and almost all of them felt the need for having a formal guideline regarding informing and educating cancer patients. This highlights the significance of cultural-religious context of our country and the importance of having a practical guideline to educate our physicians.
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spelling doaj.art-1cf75b714f26486d87116e6a7d81a0e52022-12-22T02:46:48ZengKaviani Breast Disease InstituteArchives of Breast Cancer2383-04332017-10-014310.19187/abc.20174399-103138Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in IranMahdi Aghili0Maisa Yamrali1Razieh Akbari2Ali Kazemian3Department of Radiation Oncology, Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Radiation Oncology, Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, IranDepartment of Obstetrics and Gynecology, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Radiation Oncology, Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, IranBackground: One of the essential issues in doctor-patient relationship is the matter of telling the truth of cancer diagnosis to patients. This is not only important from an ethical standpoint, but also can have legal implications. Thus, truth-telling and its associated factors are of great importance especially in cancer patients. The aim of this study was to evaluate factors effective in doctors’ telling the truth to their patients. Methods: The statistical population included specialists and subspecialists working in the field of cancer treatment in Tehran. Overall, 161 questionnaires, designed for our study, were gathered and evaluated. Results: According to our study, 87.6% of the responders would tell the truth to their patients, while 12.4% wouldn't do so. They believed that the best person to tell the truth to the patient is the physician or the psychiatrist specialized in this field. Ninety-two percent of physicians felt the need for developing a guideline on educating patients. There was a significant difference between oncologists and non-oncologists in terms of tendency to tell the truth, with non-oncologists showing more tendency. Most of the doctors preferred to tell the truth to their middle-aged (51–70 years) patients rather than to their younger or older patients. Conclusion: Only 25.5% of physicians in our study had the policy to tell the truth to the majority of their patients, and almost all of them felt the need for having a formal guideline regarding informing and educating cancer patients. This highlights the significance of cultural-religious context of our country and the importance of having a practical guideline to educate our physicians.https://archbreastcancer.com/index.php/abc/article/view/164Disclosurepatients with cancertruth tellingphysicianoncologistnon-oncologist
spellingShingle Mahdi Aghili
Maisa Yamrali
Razieh Akbari
Ali Kazemian
Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran
Archives of Breast Cancer
Disclosure
patients with cancer
truth telling
physician
oncologist
non-oncologist
title Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran
title_full Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran
title_fullStr Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran
title_full_unstemmed Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran
title_short Factors Affecting the Physician's Disclosure of Truth to Cancer Patients in Iran
title_sort factors affecting the physician s disclosure of truth to cancer patients in iran
topic Disclosure
patients with cancer
truth telling
physician
oncologist
non-oncologist
url https://archbreastcancer.com/index.php/abc/article/view/164
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