Information and awareness of diagnosis and progression of cancer in adult and elderly cancer patients.
OBJECTIVE
The present study examines the effects of physicians' attitudes towards providing information about diagnosis and progression of disease to cancer patients. The aims of the study were to: a) establish how many patients (subdivided into an adult and an elderly group) were informed and how many were aware of the diagnosis and progression of disease; b) identify possible significant differences between the two groups as regards information and awareness of disease; c) determine possible significant differences between information about diagnosis and disease progression and between awareness of diagnosis and progression within each group, and d) identify the patients' real needs.


METHODS
A total of 311 adults and 92 elderly cancer patients were enrolled in the study. A semi-structured clinical interview was employed to assess the "information" and "awareness" variables and the patients' needs. Statistical analyses were made with the chi squared test.


RESULTS
Significant differences were observed between the two groups as regards information and awareness of diagnosis. Within each group, we found significant differences between information about diagnosis and progression and between awareness of diagnosis and progression. The principle needs expressed in both groups were to have clear information and emotional containment.


CONCLUSIONS
The results of the study showed that physicians informed a greater number of adult than elderly patients and more often during the early rather than in the more advanced stages of the disease.
Service of Oncological Psychology, Regina Elena Cancer Institute, Rome, Italy.
A
A
Caruso
B
B
Di Francesco
P
P
Pugliese
V
V
Cinanni
A
A
Corlito
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001364:Awareness; D018450:Disease Progression; D004522:Educational Status; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology*; D014342:Truth Disclosure