Evaluation of physi̇ans, pati̇ents, relatives and society of opi̇ni̇ons on the told lung cancer diagnosis

Lung cancer is a disease that generally has low survival rate and deteroites the patients quality of life. Giving information about diagnosis of lung cancer to the patient is suggested but this situation is difficult for doctors. In our country, this is usually done by patient relatives. In sthis study, we aimed to investigate the thought of doctors who done the diagnosis, doctors who arrange the treatment, first degree relatives of patients with lung cancer, and population as a control. 310 subjects (100 doctors, 110 first degree realtives of patients, and 100 subjets as a control) were included to the study. The mean age was 39,77±11,44 years and there was 170 females. 46% of doctors were giving cancer treatment (chemotheraphy/radiotheraphy). 84,5% of subjets were answered the question (Do you want to know the diagnosis of lung cancer if you are lung cancer?) as "yes" and the answers were not different between groups (p>0,05). 72 of doctors were giving information about diagnsis of patients. This ratio was 89,1% in doctors who arrange lung cancer treatment whereas it was 57,4% in doctors who do not arrange cancer treatment. The percentage of learning of diagnosis of lung cancer throughout the timein doctors, population, and patient's realtives were 19%, 34%, and 59% respectively (p<0,05). To be informed about survival time was more important in doctors who arrange lung cancer treatment (77%) than doctors who did not (56%) (p<0,05). Treatment modality and adverse effects of treatment was important for all groups (90,8%)(p>0,05). Information about quality of life was more important in realtives of patients (87%) than population (65%) and doctors (63%) (p<0,05). Quality of life was more important for doctors who arrange lung cancer treatment (76,7)% than doctors who did not (48,8%) (p<0,05). Patients who were more children wanted to stay with their family at end stage of disease (p<0,05). According to this study we think that doctors should say the diagnosis of lung cancer in the form of they understand, inform the patients and relatives about treatment, adverse effects of treatment, and quality of life and this can increase patient trust to doctor and compliance of patients to the treatment.