Communication challenges for chronic metastatic cancer in an era of novel therapeutics

Thorne, Sally E., Oliffe, John L., Oglov , Valerie and Gelmon, karen (2013) Communication challenges for chronic metastatic cancer in an era of novel therapeutics. Qualitative Health Research, 23 7: 863-875. doi:10.1177/1049732313483926

Author Thorne, Sally E.
Oliffe, John L.
Oglov , Valerie
Gelmon, karen
Title Communication challenges for chronic metastatic cancer in an era of novel therapeutics
Journal name Qualitative Health Research   Check publisher's open access policy
ISSN 1049-7323
Publication date 2013-07
Sub-type Article (original research)
DOI 10.1177/1049732313483926
Open Access Status
Volume 23
Issue 7
Start page 863
End page 875
Total pages 13
Place of publication Thousand Oaks, CA, United States
Publisher Sage
Language eng
Abstract Advances in the production of novel therapies for cancer management are creating new challenges for the support of increasing numbers of persons surviving for extended periods with advanced disease. Despite incurable and life-limiting metastatic conditions, these patients are living longer with serious disease, pushing the boundaries of what science explains and clinicians can confidently interpret using available evidence. Here we report findings from an early subset of such individuals within a longitudinal qualitative cancer cohort study on clinician–patient communication across the cancer trajectory. In these findings, we contextualize experiential accounts of communication in a changing environment of the costs and uncertainties of personalized medicine, and examine the complex psychosocial circumstances of this rapidly growing patient population. Interpretation of these findings illustrates how emerging issues in cancer treatment influence the experience of these patients, their social and support networks, their cancer care specialists, and the multidisciplinary teams charged with coordinating their care.
Keyword Cancer
Cancer, psychosocial aspects
Interpretive description
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
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Created: Wed, 20 Aug 2014, 14:24:13 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work