Conversations regarding goals of care with patients who have advanced cancer still occur
too late, and oncologists say they lack the training to have these conversations effectively …

Context Optimal advance care planning allows patients to articulate their values as a
touchstone for medical decision making. Ideally, this occurs when patients are clinically …

Because most patients now want to know the truth about their diagnosis and prognosis, the
ability to discuss the cancer diagnosis, disease recurrence, or treatment failure, and to solicit …

Patients undergo multiple transitions during the course of their cancer care. Oncologists are
uniquely positioned to help patients through these transitions. When patients' situations …

Abstract" How much time do I have?" A patient's question about his/her life expectancy is
among the most difficult of conversation topics. Oncologists, often with very little training in …

Background Communication about prognosis and treatment choices is essential for
informed decision making in advanced cancer. This article describes an investigation …

As a clinician involved in caring for patients with serious illness, one frequently is tasked with
helping patients and their families navigate various points of the patient's illness trajectory …

Background: Conversations with seriously ill patients about their values and goals have
been associated with reduced distress, a better quality of life, and goal-concordant care near …

Dr B. How much should I tell her about prognosis? he wonders. She already seems nervous.
Do I hand her the death sentence? Or sugarcoat the statistics? Maybe I'll wait to see if she …

In its 2006 report “From Cancer Patient to Cancer Survivor: Lost in Transition,” 1 the Institute
of Medicine (IOM) provided suggestions for improving transitional and follow-up care for the …