Psychiatry Service, Department of Psychiatry, University Hospital Lausanne and University of Lausanne, Lausanne, Switzerland.
Division of Social and Behavioral Health Research, Institute of Social and Preventive Medicine, University of Bern, Switzerland.
Ann Oncol. 2010 Feb;21(2):204-207. doi: 10.1093/annonc/mdp564. Epub 2009 Dec 21.
Communication in cancer care has become a major topic of interest. Since there is evidence that ineffective communication affects both patients and oncology clinicians (physicians and nurses), so-called communication skills trainings (CSTs) have been developed over the last decade. While these trainings have been demonstrated to be effective, there is an important heterogeneity with regard to implementation and with regard to evidence of different aspects of CST.
In order to review and discuss the scientific literature on CST in oncology and to formulate recommendations, the Swiss Cancer League has organised a consensus meeting with European opinion leaders and experts in the field of CST, as well as oncology clinicians, representatives of oncology societies and patient organisations. On the basis of a systematic review and a meta-analysis, recommendations have been developed and agreed upon.
Recommendations address (i) the setting, objectives and participants of CST, (ii) its content and pedagogic tools, (iii) organisational aspects, (iv) outcome and (v) future directions and research.
This consensus meeting, on the basis of European expert opinions and a systematic review and meta-analysis, defines key elements for the current provision and future development and evaluation of CST in oncology.
癌症护理中的沟通已成为一个主要关注点。由于有证据表明无效的沟通会影响患者和肿瘤临床医生（医生和护士），因此在过去十年中开发了所谓的沟通技巧培训（CST）。虽然这些培训已被证明是有效的，但在实施方面以及 CST 的不同方面的证据方面存在重要的异质性。
为了审查和讨论癌症 CST 的科学文献，并制定建议，瑞士癌症联盟组织了一次共识会议，邀请了欧洲意见领袖和 CST 领域的专家，以及肿瘤临床医生、肿瘤学会代表和患者组织的代表。在系统审查和荟萃分析的基础上，制定并达成了建议。
建议涉及（i）CST 的设置、目标和参与者，（ii）其内容和教学工具，（iii）组织方面，（iv）结果，以及（v）未来方向和研究。
本次共识会议基于欧洲专家意见以及系统审查和荟萃分析，定义了当前提供和未来发展和评估癌症 CST 的关键要素。
