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Cancer disclosure in Japan: Historical comparisons, current practices


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  • Elwyn, Todd S.
  • D. Fetters, Michael
  • Gorenflo, Daniel W.
  • Tsukasa Tsuda
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    Although Japanese physicians historically have not disclosed cancer diagnoses to patients, pressures upon physicians to disclose have increased in recent years. We questioned physicians practicing at a private medical hospital in rural Japan about their current approach to cancer disclosure. We compared their responses with responses of physicians in a 1991 study conducted in Japan, and two studies conducted in the United States, in 1961 and in 1977. Seventy-seven clinically active physicians with experience treating cancer patients responded (73% response rate). Forty percent of respondents reported usually telling patients of a cancer diagnosis, over three times more than the 13% who reported such a policy in Japan in 1991. Physicians were significantly more likely (P

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 46 (1998)
    Issue (Month): 9 (May)
    Pages: 1151-1163

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    Handle: RePEc:eee:socmed:v:46:y:1998:i:9:p:1151-1163

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    Keywords: Japan cancer disclosure informed consent;


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    Cited by:
    1. Hagihara, Akihito & Tarumi, Kimio, 2007. "Association between physicians' communicative behaviors and judges' decisions in lawsuits on negligent care," Health Policy, Elsevier, vol. 83(2-3), pages 213-222, October.


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