Publications by authors named "I Henselmans"

Article Synopsis
  • Many patients with advanced cancer are initially unaware of their limited prognosis, but awareness increases significantly in the last year of life, rising from 15% to 40%.
  • The study involved 801 deceased patients who completed follow-up questionnaires, revealing that most changes in prognosis perception occur in the last 6 months of life.
  • Understanding their prognosis can encourage patients to engage in end-of-life discussions, emphasizing the need to explore individual preferences for care, even if some prefer not to know their prognosis.
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Purpose: Tobacco and alcohol use influence cancer risk as well as treatment outcomes, specifically for esophageal and gastric cancer patients. Therefore, it is an important topic to discuss during consultations. This study aims to uncover medical, radiation, and surgical oncologists' communication about substance use, i.

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Objectives: We aimed to investigate effects of prognostic communication strategies on emotions, coping, and appreciation of consultations in advanced cancer.

Methods: For this experimental study, we created 8 videos of a scripted oncological consultation, only varying in prognostic communication strategies. Disease-naive individuals ( = 1036) completed surveys before and after watching 1 video, while imagining being the depicted cancer patient.

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Context: Evidence-based guidance for oncologists on how to communicate prognosis is scarce.

Objectives: To investigate the effects of prognostic communication strategies (prognostic disclosure vs. communication of unpredictability vs.

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Article Synopsis
  • The study investigated the potential negative impact of shared decision making (SDM) on patients with incurable cancer, focusing on outcomes like anxiety and hopelessness.
  • Analyzing data from 194 patients and 31 oncologists, the research found that increased SDM in consultations was linked to higher levels of tension and decisional uncertainty.
  • The specific SDM element of informing patients about their options was notably associated with feelings of helplessness and tension, indicating the need for oncologists to be cautious about how they implement SDM, despite no long-term adverse effects being observed.
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