Current oncology reports
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Current oncology reports · Jul 2010
Review Case ReportsHow to discuss errors and adverse events with cancer patients.
Medical error has been increasingly recognized as a source of harm. The risk of harm can be even greater in cancer care with its potentially life-limiting disease and toxic treatments. ⋯ Despite these difficulties, the experience of disclosure of medical error to date has shown that it can strengthen relationships, reduce litigation and the associated costs, and be beneficial to both the patient and physician. Disclosure can be approached in many of the same ways as any other difficult communication situations, with training and preparation helping to improve the process.
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Current oncology reports · Jul 2010
ReviewLung cancer screening: an update, discussion, and look ahead.
Over the past few years there has been a great deal of debate about the status of lung cancer screening. The debate has focused on at least three areas: the unmet need to prove a mortality reduction from the screening tests being studied, the potential for these screening tests to produce harm, and the possible cost-effectiveness of an image-based screening program. In this manuscript, I review the chest imaging cohort and controlled trials that have been added to the evidence base over the past few years. I then discuss the evidence related to the areas that are currently debated, describe the ongoing trials that will help to clarify these issues, and speculate about the future.