Blackshaw, G.; Edwards, P.; Gent, C.; Allison, M.; Lewis, W.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA88
Academic Journal
Background: Consultations to convey a diagnosis of oesophagogastric cancer may be a difficult and traumatic time for patients. Indeed, as many as 50% of patients are displeased with the information received. One of the key recommendations of the Bristol report was the provision of audio tape recording facilities. Aims: The aim of this study was to assess the value of tape recording the first consultation, to determine whether re-listening to the information given, might aid patients' memory of key facts, and reduce anxiety prior to therapy. Methods: Two groups of patients were studied: a historical control group of 15 patients (median age 66 years, 8 months, 5 oesophageal, 10 gastric cancers) who did not receive tape recordings of their consultations was compared with 10 consecutive patients (median age 68 years, 8 months, 6 oesophageal, 4 gastric cancers) who had their consultations tape recorded. All patients completed a hospital anxiety and depression (HAD) questionnaire 1-2 weeks after the consultation. Results: Patients who had received tape recordings of their consultations were less likely to forget key facts regarding their diagnosis and treatment options (0 patients) compared with patients who had not received a tape (5 patients, χ² = 4.167, df 1, p = 0.04). HAD questionnaire scores were also lower in patients who had received a tape compared with patients who had not (median (range) HAD A 5.5 (0-160) v6 (2-14), HAD D 3.5 (0-13) v4.5 (1-11), respectively, p = n.s.). Conclusion: All patients who received a tape found that listening to the consultation again with relatives was helpful. Tape recorded enhanced interviews improved patients factual memory and in general reduced levels of anxiety prior to therapy.


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