On Reducing Cancer Care Costs by Resetting Expectations, and Hope

Today we should move forward on the list published in the NEJM on Bending the Cost Curve in Cancer Care. We’re up to point 7 in our discussion, what’s 2nd in the authors’ proposed changes in attitudes and practice: “Both doctors and patients need to have more realistic expectations.” This point follows closely from the […]

Posted in Books, cancer treatment, health care costs, Medical Ethics, Oncology (cancer)Tagged , , , , , , , , , , 4 Comments on On Reducing Cancer Care Costs by Resetting Expectations, and Hope

The Flip Side of Unrealistic Optimism

Last week, Pauline Chen wrote on medical ethics and clinical trials. She reflects on her training at a cancer research hospital, where some cancer patients go with unrealistic optimism.

Like Dr. Chen, I spent part of my training at a famous cancer center where I worked as a resident and fellow on rotations. And yes, some patients were unreasonably optimistic and some – perhaps even most, it seemed – didn’t fully “get” the purpose of their trial, which in Phase I studies were not designed to help them. This is a real dilemma for treating oncologists.

Posted in clinical trials, Ideas, Informed Consent, Medical Ethics, Oncology (cancer), Patient AutonomyTagged , , , , , 2 Comments on The Flip Side of Unrealistic Optimism
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