Patient versus Clinician Perspectives on Communication about Results of Lung Cancer Screening: A Qualitative Study.

Patient versus Clinician Perspectives on Communication about Results of Lung Cancer Screening: A Qualitative Study.
Chest. 2020 May 06;:
Authors: Wiener RS, Clark JA, Koppelman E, Bolton R, Fix GM, Slatore CG, Kathuria H
Abstract
BACKGROUND: In the incidental pulmonary nodule and breast cancer screening settings, high-quality patient-centered communication can improve adherence to evaluation and mitigate patient distress. While guidelines emphasize shared decision-making prior to lung cancer screening, little is known about patient-clinician communication following lung cancer screening.
RESEARCH QUESTION: How do patients and clinicians perceive communication and results notification following lung cancer screening, and are there approaches that may mitigate or exacerbate distress?
STUDY DESIGN: and Methods: We conducted interviews and focus groups with 49 patients who underwent lung cancer screening in the prior year and 36 clinicians who communicate screening results (primary care providers, pulmonologists, nurses), recruited from lung cancer screening programs at 4 hospitals. We analyzed transcripts using conventional content analysis.
RESULTS: Clinicians and patients diverged in their impressions of the quality of communication following lung cancer screening. Clinicians recognized the potential for patient distress and tailored their approach to disclosure based on how clinically concerning they perceived...

Source: Chest - May 5, 2020 Category: Respiratory Medicine Authors: Wiener RS, Clark JA, Koppelman E, Bolton R, Fix GM, Slatore CG, Kathuria H Tags: Chest Source Type: research