Menus Subscribe Search

Follow us


The Hardest Conversation, Part 2

• October 29, 2012 • 4:55 PM

Late-stage cancer patients often don’t understand that chemotherapy isn’t a cure but a palliative, as Kevin Charles Redmon told us last week. New research shared at the annual meeting of the American Society for Radiation Oncology today finds a similar trajectory for those receiving radiation treatments for incurable lung cancer. Some 64 percent of the 384 patients with stage III or IV lung cancer surveyed said they thought palliative radiation therapy they had received might help cure their cancer.

That echoes the study Redmon cited last week, in which 69 percent of lung cancer patients and 81 percent with colorectal cancer didn’t understand that chemo was very unlikely to be a “cure.”

The lead author of the latest study, radiation oncologist Aileen B. Chen of Boston’s Dana-Farber Cancer Institute, sounded a note very much like that heard in last week’s study about the role of doctors in getting an unpalatable message across.  “In order to help patients make informed decisions about radiation treatments near the end of life, health care providers need to improve communication and understanding about the goals and limitations of palliative RT,” Chechen was quoted in a release. “While palliative RT can be very effective at relieving symptoms from cancer, overly intensive care can also reduce patients’ quality of life and lead to significant time and financial burdens for patients and their families.”

And past studies have shown that being up front about palliative care can improve quality of life and may even extend survival a bit, even as the most heroic measures are sidelined. As Joanne Kenen wrote for us in 2010:

Jennifer Temel, an oncologist at Massachusetts General and the lead author of the study, said fellow cancer doctors often regard palliative care as a last-resort discipline, a place to turn to when cancer treatment fails — not as a companion treatment. “Patients can get expert cancer care and comprehensive palliative care at the same time,” she said in an interview summing up the study’s message.

There is, of course, a price to be paid for being candid. “Physicians may be able to improve patients’ understanding, but this may come at the cost of patients’ satisfaction with them,” the authors of last week’s study, headed by Dr. Jane Meeks, concluded.

Michael Todd
Most of Michael Todd's career has been spent in newspaper journalism, ranging from papers in the Marshall Islands to tiny California farming communities. Before joining the publishing arm of the Miller-McCune Center, he was managing editor of the national magazine Hispanic Business.

More From Michael Todd

A weekly roundup of the best of Pacific Standard and PSmag.com, delivered straight to your inbox.

Recent Posts


September 30 • 10:09 AM

Trust Is Waning, and Inequality May Be to Blame

Trust in others and confidence in institutions is declining, while economic inequality creeps up, a new study shows.


September 30 • 8:00 AM

The Psychology of Penmanship

Graphology: It’s all (probably) bunk.



September 30 • 6:00 AM

The Medium Is the Message, 50 Years Later

Five decades on, what can Marshall McLuhan’s Understanding Media tell us about today?


September 30 • 4:00 AM

Grad School’s Mental Health Problem

Navigating the emotional stress of doctoral programs in a down market.


September 29 • 1:21 PM

Conference Call: Free Will Conference


September 29 • 12:00 PM

How Copyright Law Protects Art From Criticism

A case for allowing the copyright on Gone With the Wind to expire.


September 29 • 10:00 AM

Should We Be Told Who Funds Political Attack Ads?

On the value of campaign finance disclosure.


September 29 • 8:00 AM

Searching for a Man Named Penis

A quest to track down a real Penis proves difficult.


September 29 • 6:00 AM

Why Do So Many People Watch HGTV?

The same reason so many people watch NCIS or Law and Order: It’s all a procedural.


September 29 • 4:00 AM

The Link Between Depression and Terrorism

A new study from the United Kingdom finds a connection between depression and radicalization.


September 26 • 4:00 PM

Fast Track to a Spill?

Oil pipeline projects across America are speeding forward without environmental review.


September 26 • 2:00 PM

Why Liberals Love the Disease Theory of Addiction, by a Liberal Who Hates It

The disease model is convenient to liberals because it spares them having to say negative things about poor communities. But this conception of addiction harms the very people we wish to help.


September 26 • 1:21 PM

Race, Trust, and Split-Second Judgments


September 26 • 9:47 AM

Dopamine Might Be Behind Impulsive Behavior

A monkey study suggests the brain chemical makes what’s new and different more attractive.


September 26 • 8:00 AM

A Letter Becomes a Book Becomes a Play

Sarah Ruhl’s Dear Elizabeth: A Play in Letters From Elizabeth Bishop to Robert Lowell and Back Again takes 900 pages of correspondence between the two poets and turns them into an on-stage performance.


September 26 • 7:00 AM

Sonic Hedgehog, DICER, and the Problem With Naming Genes

Wait, why is there a Pokemon gene?


September 26 • 6:00 AM

Sounds Like the Blues

At a music-licensing firm, any situation can become nostalgic, romantic, or adventurous, given the right background sounds.


September 26 • 5:00 AM

The Dark Side of Empathy

New research finds the much-lauded feeling of identification with another person’s emotions can lead to unwarranted aggressive behavior.



September 25 • 4:00 PM

Forging a New Path: Working to Build the Perfect Wildlife Corridor

When it comes to designing wildlife corridors, our most brilliant analytical minds are still no match for Mother Nature. But we’re getting there.


September 25 • 2:00 PM

Fashion as a Inescapable Institution

Like it or not, fashion is an institution because we can no longer feasibly make our own clothes.


September 25 • 12:00 PM

The Fake Birth Mothers Who Bilk Couples Out of Their Cash by Promising Future Babies

Another group that’s especially vulnerable to scams and fraud is that made up of those who are desperate to adopt a child.


September 25 • 10:03 AM

The Way We QuickType


Follow us


Trust Is Waning, and Inequality May Be to Blame

Trust in others and confidence in institutions is declining, while economic inequality creeps up, a new study shows.

Dopamine Might Be Behind Impulsive Behavior

A monkey study suggests the brain chemical makes what's new and different more attractive.

School Counselors Do More Than You’d Think

Adding just one counselor to a school has an enormous impact on discipline and test scores, according to a new study.

How a Second Language Trains Your Brain for Math

Second languages strengthen the brain's executive control circuits, with benefits beyond words.

Would You Rather Go Blind or Lose Your Mind?

Americans consistently fear blindness, but how they compare it to other ailments varies across racial lines.

The Big One

One company, Amazon, controls 67 percent of the e-book market in the United States—down from 90 percent five years ago. September/October 2014 new-big-one-5

Copyright © 2014 by Pacific Standard and The Miller-McCune Center for Research, Media, and Public Policy. All Rights Reserved.