BREAKING BAD-NEWS

Objective: To investigate the importance of a sympathetic approach to breaking bad news in the doctor-patient relationship. Data sources: Worldwide surveys of views on truth disclosure by health care professionals, the public, and patients with cancer and other diseases. Study selection: Surveys using a Medline Computer Search were identified. Data extraction: Twenty-two questionnaire studies. Data synthesis: The data obtained demonstrate trends of an increasing wish since 1950 on the part of patients, the public and doctors for more openness. Conclusions: The skills necessary for breaking bad news well can be acquired through organised undergraduate and postgraduate education which emphasises a good working doctor-patient relationship.