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. 2021 Feb 22;8(2):166.
doi: 10.3390/children8020166.

Important Aspects Influencing Delivery of Serious News in Pediatric Oncology: A Scoping Review

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Important Aspects Influencing Delivery of Serious News in Pediatric Oncology: A Scoping Review

Lucie Hrdlickova et al. Children (Basel). .

Abstract

Delivering serious news presents a major challenge for clinical practice in pediatric oncology due to the complexity of the communication process and a number of aspects that influence how the serious news is delivered and received. This study aims to review and explore the aspects influencing the delivery of serious news in pediatric oncology from the perspective of physicians, parents, siblings and patients themselves. The MEDLINE, Embase, Scopus, Cochrane Library, PsycInfo and Medvik databases were systematically searched for relevant articles published from 1990 to 2017. Following the Preferred Reporting Items for Systematic Review and Meta-analysis extension for scoping reviews (PRISMA-ScR) guidelines, 36 original papers were included. Identified aspects of communication were categorized into six thematic groups: initial setting, physician's approach, information exchange, parental role, illness related aspects and age of the ill child. The importance of the aspects is perceived differently by parents, patients, siblings and physicians. This scoping review highlights that delivering serious news requires an individualized approach towards the patient and the family. Ten key objectives built upon the results of the literature review offer guidance for daily clinical practice in communication with pediatric patients and their families.

Keywords: communication; pediatric oncology; serious news.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) diagram.

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References

    1. Kaye E.C., Friebert S. Early Integration of Palliative Care for Children with High-Risk Cancer and Their Families. Pediatr. Blood Cancer. 2016;63:593–597. doi: 10.1002/pbc.25848. - DOI - PubMed
    1. Waldman E.D., Levine J.M. The Day Two Talk: Early Integration of Palliative Care Principles in Pediatric Oncology. J. Clin. Oncol. 2016;34:4068–4070. doi: 10.1200/JCO.2016.69.3739. - DOI - PubMed
    1. Stein A., Dalton L. Communication with children and adolescents about the diagnosis of their own life-threatening condition. Lancet. 2019;393:1150–1163. doi: 10.1016/S0140-6736(18)33201-X. - DOI - PubMed
    1. Snaman J., McCarthy S. Pediatric palliative care in oncology. J. Clin. Oncol. 2020;38:954–962. doi: 10.1200/JCO.18.02331. - DOI - PMC - PubMed
    1. Mack J.W., Wolfe J. Communication About Prognosis Between Parents and Physicians of Children with Cancer: Parent Preferences and the Impact of Prognostic Information. J. Clin. Oncol. 2006;24:5265–5270. doi: 10.1200/JCO.2006.06.5326. - DOI - PubMed

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