{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:59:09Z","timestamp":1790251149468,"version":"4.1.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"19","license":[{"start":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:00:00Z","timestamp":1696377600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:00:00Z","timestamp":1696377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008967","name":"Philipps-Universit\u00e4t Marburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008967","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Res Clin Oncol"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Little is known about the quality of receiving bad news (BN) for women diagnosed with cervical neoplasia. We evaluated adherence to the SPIKES protocol in three cohorts of women with different stages of the disease and treatment modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>\n                      We included women with cervical cancer who underwent radical vaginal trachelectomy (RVT group,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009110), radical hysterectomy or chemo-radiation (HE\/RCT group,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009101), and women with CIN 3 treated by loop excision (CIN group,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009108). We asked the participants about how they received the bad news delivery in reality and how they would envision an ideal communication process based on the main items of the SPIKES protocol. The participants filled out a questionnaire with 38 items of the Marburg Breaking Bad News (MABBAN) Scale representing the six SPIKES subscales.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Only 72% of all patients reported being satisfied with their BBN experience. The following factors were considered important by 90% of the patients: an undisturbed atmosphere, taking enough time, coherent explanation of the disease, and the possibility to ask questions. However, the reality of their experiences fell significantly short of their expectations. Asking about the patient\u2019s knowledge of the disease, addressing their concerns, allowing them to show emotions, providing clarity about the change in quality of life, informing them about alternative therapies, and involving them in further planning were also significantly lacking in the actual BBN encounters compared to the patients\u2019 preferences. The experience of RVT patients was more negative compared to the HE\/RCT patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). The CIN patients had an overall satisfactory impression (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt; 0.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The process of breaking bad news in German women diagnosed with cervical neoplasia requires substantial improvement. The SPIKES protocol can be used as a guideline for enhancement but should be supplemented by incorporating a second consultation as the norm rather than the exception. Continuous monitoring and improvement of the quality of BBN is recommended for all oncologic institutions, utilizing the MABBAN questionnaire as a valuable tool.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00432-023-05442-2","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T10:05:46Z","timestamp":1696413946000},"page":"17215-17222","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Quality of breaking bad news to patients diagnosed with neoplasia of the uterine cervix"],"prefix":"10.1007","volume":"149","author":[{"given":"Pia","family":"von Blanckenburg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christhardt","family":"K\u00f6hler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Petzel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"J\u00fclicher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viola","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"issue":"4","key":"5442_CR1","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1634\/theoncologist.5-4-302","volume":"5","author":"WF Baile","year":"2000","unstructured":"Baile WF et al (2000) SPIKES\u2014a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 5(4):302\u201311","journal-title":"Oncologist"},{"issue":"6","key":"5442_CR2","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1016\/j.bulcan.2022.02.009","volume":"109","author":"J Bouaoud","year":"2022","unstructured":"Bouaoud J, Michon L, Saintigny P (2022) Teaching how to break bad news in oncology: in-class vs virtual peer role-plays. Bull Cancer 109(6):685\u201391","journal-title":"Bull Cancer"},{"issue":"6","key":"5442_CR3","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1007\/s13187-018-1415-8","volume":"34","author":"M Brouwers","year":"2019","unstructured":"Brouwers M et al (2019) Training undergraduates skills in breaking bad news: how students value educators\u2019 feedback. J Cancer Educ 34(6):1103\u20131106","journal-title":"J Cancer Educ"},{"key":"5442_CR4","doi-asserted-by":"publisher","first-page":"15","DOI":"10.56021\/9780801844904","volume-title":"Breaking bad news: a guide for health care professionals","author":"R Buckman","year":"1992","unstructured":"Buckman R (1992) Breaking bad news: a guide for health care professionals. Johns Hopkins University Press, Baltimore, p 15"},{"issue":"2","key":"5442_CR5","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1002\/pon.5276","volume":"29","author":"V Carrard","year":"2020","unstructured":"Carrard V et al (2020) Undergraduate training in breaking bad news: a continuation study exploring the patient perspective. Psychooncology 29(2):398\u2013405","journal-title":"Psychooncology"},{"issue":"9405","key":"5442_CR6","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1016\/S0140-6736(03)15392-5","volume":"363","author":"L Fallowfield","year":"2004","unstructured":"Fallowfield L, Jenkins V (2004) Communicating sad, bad, and difficult news in medicine. Lancet 363(9405):312\u201319","journal-title":"Lancet"},{"issue":"2","key":"5442_CR7","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3758\/BF03193146","volume":"39","author":"F Faul","year":"2007","unstructured":"Faul F, Erdfelder E, Lang AG, Buchner A (2007) G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39(2):175\u2013191","journal-title":"Behav Res Methods"},{"issue":"2","key":"5442_CR8","doi-asserted-by":"publisher","first-page":"773","DOI":"10.21873\/anticanres.16217","volume":"43","author":"G Goumas","year":"2023","unstructured":"Goumas G et al (2023) Breaking bad news during the COVID-19 pandemic: a systematic review of the literature. Anticancer Res 43(2):773\u201379","journal-title":"Anticancer Res"},{"issue":"8","key":"5442_CR21","doi-asserted-by":"publisher","first-page":"4195","DOI":"10.1007\/s00520-021-06167-z","volume":"29","author":"H Hauk","year":"2021","unstructured":"Hauk H, Bernhard J, McConnell M, Wohlfarth B (2021) Breaking bad news to cancer patients in times of COVID-19. Support Care Cancer 29(8):4195\u20134198. https:\/\/doi.org\/10.1007\/s00520-021-06167-z","journal-title":"Support Care Cancer"},{"issue":"6","key":"5442_CR9","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1038\/sj.bjc.6600816","volume":"88","author":"JM Kirwan","year":"2003","unstructured":"Kirwan JM et al (2003) How doctors record breaking bad news in ovarian cancer. Br J Cancer 88(6):839\u201342","journal-title":"Br J Cancer"},{"issue":"2","key":"5442_CR10","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1007\/s13187-017-1315-3","volume":"34","author":"P Marschollek","year":"2019","unstructured":"Marschollek P et al (2019) Oncologists and breaking bad news-from the informed patients\u2019 point of view. The evaluation of the SPIKES protocol implementation. J Cancer Educ 34(2):375\u201380","journal-title":"J Cancer Educ"},{"issue":"10","key":"5442_CR11","doi-asserted-by":"publisher","first-page":"2507","DOI":"10.1038\/bjc.2013.615","volume":"109","author":"I Merckaert","year":"2013","unstructured":"Merckaert I et al (2013) Is it possible to improve the breaking bad news skills of residents when a relative is present? A randomised study. Br J Cancer 109(10):2507\u201314","journal-title":"Br J Cancer"},{"issue":"1","key":"5442_CR12","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1080\/23294515.2018.1543218","volume":"10","author":"RD Mirza","year":"2019","unstructured":"Mirza RD et al (2019) Assessing patient perspectives on receiving bad news: a survey of 1337 patients with life-changing diagnoses. AJOB Empir Bioeth 10(1):36\u201343","journal-title":"AJOB Empir Bioeth"},{"issue":"7","key":"5442_CR13","doi-asserted-by":"publisher","first-page":"2049","DOI":"10.1200\/JCO.2001.19.7.2049","volume":"19","author":"PA Parker","year":"2001","unstructured":"Parker PA et al (2001) Breaking bad news about cancer: patients\u2019 preferences for communication. J Clin Oncol 19(7):2049\u201356","journal-title":"J Clin Oncol"},{"issue":"3","key":"5442_CR14","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1093\/annonc\/mdt582","volume":"25","author":"C Seifart","year":"2014","unstructured":"Seifart C et al (2014) Breaking bad news-what patients want and what they get: evaluating the SPIKES protocol in Germany. Ann Oncol 25(3):707\u201311","journal-title":"Ann Oncol"},{"issue":"2","key":"5442_CR15","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1111\/cyt.12057","volume":"24","author":"SM Sherman","year":"2013","unstructured":"Sherman SM, Moss E, Redman CW (2013) The invasive cervical cancer review: psychological issues surrounding disclosure. Cytopathology 24(2):77\u201380","journal-title":"Cytopathology"},{"issue":"2","key":"5442_CR16","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1002\/pon.1383","volume":"18","author":"W Spiegel","year":"2009","unstructured":"Spiegel W et al (2009) Breaking bad news to cancer patients: survey and analysis. Psychooncology 18(2):179\u201386","journal-title":"Psychooncology"},{"issue":"4","key":"5442_CR17","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1002\/jso.24887","volume":"117","author":"WJ Temple","year":"2018","unstructured":"Temple WJ (2018) Inspiring hope\u2014a physician\u2019s responsibility, translating the science into clinical practice. J Surg Oncol 117(4):545\u201350","journal-title":"J Surg Oncol"},{"issue":"8","key":"5442_CR18","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1016\/j.pec.2020.02.036","volume":"103","author":"P von Blanckenburg","year":"2020","unstructured":"von Blanckenburg P et al (2020) Assessing patients\u2019 preferences for breaking bad news according to the SPIKES-protocol: the MABBAN scale. Patient Educ Couns 103(8):1623\u201329","journal-title":"Patient Educ Couns"},{"issue":"1","key":"5442_CR19","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1186\/s12885-020-07096-6","volume":"20","author":"M Wan","year":"2020","unstructured":"Wan M et al (2020) The impact on quality of life from informing diagnosis in patients with cancer: a systematic review and meta-analysis. BMC Cancer 20(1):618","journal-title":"BMC Cancer"},{"issue":"2","key":"5442_CR20","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1002\/cncr.23588","volume":"113","author":"SN Whitney","year":"2008","unstructured":"Whitney SN et al (2008) Beyond breaking bad news: the roles of hope and hopefulness. Cancer 113(2):442\u201345","journal-title":"Cancer"}],"container-title":["Journal of Cancer Research and Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00432-023-05442-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00432-023-05442-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00432-023-05442-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T17:04:14Z","timestamp":1700327054000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00432-023-05442-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,4]]},"references-count":21,"journal-issue":{"issue":"19","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["5442"],"URL":"https:\/\/doi.org\/10.1007\/s00432-023-05442-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3269449\/v1","asserted-by":"object"}]},"ISSN":["0171-5216","1432-1335"],"issn-type":[{"value":"0171-5216","type":"print"},{"value":"1432-1335","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,4]]},"assertion":[{"value":"16 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}