{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:28:37Z","timestamp":1790173717834,"version":"4.1.0"},"reference-count":19,"publisher":"BMJ","issue":"1","funder":[{"name":"Mesothelioma UK","award":["MesoUK\/NLCFN\/1\/2016"],"award-info":[{"award-number":["MesoUK\/NLCFN\/1\/2016"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Malignant pleural mesothelioma (MPM) is an aggressive cancer linked to asbestos exposure and inhalation. As with other cancers, receiving a diagnosis of MPM is challenging and distressing. Particular challenges are associated with communicating a diagnosis of MPM, including explaining the disease and its prognosis, treatment options and legal and financial implications.\n                      <jats:underline>R<\/jats:underline>\n                      eceiving\n                      <jats:underline>A Di<\/jats:underline>\n                      agnosis\n                      <jats:underline>O<\/jats:underline>\n                      f\n                      <jats:underline>Meso<\/jats:underline>\n                      thelioma (RADIO Meso) aimed to understand the experience of communicating a diagnosis of MPM from the perspective of patients, family carers and health professionals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study comprised 31 individual interviews with patients, family carers and health professionals. This was followed by two group interviews (n=42) and an electronic consultation exercise (n=39).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study provides unique insight into the mesothelioma diagnostic experience of patients, family carers and health professionals. Key findings include the importance of regarding diagnosis as a process, and provision of continuity and consistency. The clinical nurse specialist and effective multidisciplinary team working provided vital contributions to successful mesothelioma diagnostic communication. Facilitators to diagnostic communication included honesty and timeliness in communication, partnership working and maintaining a patient-centred approach. Challenges to enhancing mesothelioma diagnosis communication included accessing ongoing training, ensuring a suitable clinical environment and being able to allocate appropriate time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The RADIO Meso study highlights factors that influence the communication of a diagnosis of MPM from the perspectives of individual patients and family carers. These findings provide the basis for a set of recommendations that can be used by health professionals to improve the MPM diagnostic experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjresp-2019-000413","type":"journal-article","created":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T14:05:53Z","timestamp":1558533953000},"page":"e000413","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Communication of a mesothelioma diagnosis: developing recommendations to improve the patient experience"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4090-3047","authenticated-orcid":false,"given":"Bethany Hope","family":"Taylor","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Warnock","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Tod","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,22]]},"reference":[{"key":"2025083112343372000_6.1.e000413.1","unstructured":"Cancer Research UK . Mesothelioma incidence statistics. Available: https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/mesothelioma\/incidence [Accessed November 2018]."},{"key":"2025083112343372000_6.1.e000413.2","unstructured":"Royal College of Physicians . National mesothelioma audit report 2018 (for the audit period 2014\u201316. London: Royal College of Physicians, 2018. (Accessed January 2019)."},{"key":"2025083112343372000_6.1.e000413.3","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.ejon.2016.09.007","article-title":"A systematic literature review comparing the psychological care needs of patients with mesothelioma and advanced lung cancer","volume":"25","author":"Ball","year":"2016","journal-title":"Eur J Oncol Nurs"},{"key":"2025083112343372000_6.1.e000413.4","first-page":"149","article-title":"Research and malignant mesothelioma: lines of action for clinical psychology","volume":"54","author":"Guglielmucci","year":"2018","journal-title":"Annali dell\u2019Istituto Superiore Di Sanit"},{"key":"2025083112343372000_6.1.e000413.5","doi-asserted-by":"crossref","first-page":"66","DOI":"10.12968\/ijpn.2008.14.2.28597","article-title":"The lived experience of patients with pleural mesothelioma","volume":"14","author":"Hughes","year":"2008","journal-title":"International Journal of Palliative Nursing"},{"key":"2025083112343372000_6.1.e000413.6","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1016\/j.hoc.2005.09.003","article-title":"Mesothelioma from the patient's perspective","volume":"19","author":"Clayson","year":"2005","journal-title":"Hematology\/Oncology Clinics of North America"},{"key":"2025083112343372000_6.1.e000413.7","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.pec.2015.09.013","article-title":"Sharing news of lung cancer diagnosis with adult family members and friends","volume":"99","author":"Ewing","year":"2016","journal-title":"Patient Educ Couns"},{"key":"2025083112343372000_6.1.e000413.8","doi-asserted-by":"crossref","unstructured":"Warnock C , Tod AM , Foster J , et al . Breaking bad news in inpatient clinical settings: role of the nurse. J Adv Nurs 2010.","DOI":"10.1111\/j.1365-2648.2010.05325.x"},{"key":"2025083112343372000_6.1.e000413.9","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/S0140-6736(03)15392-5","article-title":"Communicating sad, bad, and difficult news in medicine","volume":"363","author":"Fallowfield","year":"2004","journal-title":"The Lancet"},{"key":"2025083112343372000_6.1.e000413.10","doi-asserted-by":"crossref","first-page":"51","DOI":"10.7748\/ns.28.45.51.e8935","article-title":"Breaking bad news: issues relating to nursing practice","volume":"28","author":"Warnock","year":"2014","journal-title":"Nursing Standard"},{"key":"2025083112343372000_6.1.e000413.11","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1111\/jan.13252","article-title":"The difficulties experienced by nurses and healthcare staff involved in the process of breaking bad news","volume":"73","author":"Warnock","year":"2017","journal-title":"J Adv Nurs"},{"key":"2025083112343372000_6.1.e000413.12","unstructured":"Ritchie J , Lewis J , McNaughton Nicholls C , et al . Qualitative research practice. London: Sage, 2013."},{"key":"2025083112343372000_6.1.e000413.13","unstructured":"Mesothelioma UK . 10 top tips for communicating a diagnosis of mesothelioma. Available: https:\/\/www.mesothelioma.uk.com\/news\/radio-meso-study-publishes-results\/ [Accessed November 2018]."},{"key":"2025083112343372000_6.1.e000413.14","unstructured":"Department of Health . The NHS cancer plan. London: Department of Health, 2000."},{"key":"2025083112343372000_6.1.e000413.15","unstructured":"Royal College of Physicians . National mesothelioma audit report, 2018 (for the audit period 2014-16)."},{"key":"2025083112343372000_6.1.e000413.16","doi-asserted-by":"publisher","DOI":"10.1177\/0269216308090770"},{"key":"2025083112343372000_6.1.e000413.17","doi-asserted-by":"crossref","unstructured":"Lelorain S , Cortot A , Christophe V , et al . Physician empathy interacts with breaking bad news in predicting lung cancer and pleural mesothelioma patient survival: timing may be crucial. Journal of Clinical Medicine 2018;7.doi:10.3390\/jcm7100364","DOI":"10.3390\/jcm7100364"},{"key":"2025083112343372000_6.1.e000413.18","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-008587","article-title":"Increasing access to lung cancer treatment: the role of the lung cancer nurse specialist","volume":"5","author":"Tod","year":"2015","journal-title":"BMJ Open"},{"key":"2025083112343372000_6.1.e000413.19","unstructured":"Health Service Journal Time for some advanced thinking: the benefits of advanced nursing?Available: https:\/\/www.hsj.co.uk\/Uploads\/2015\/02\/25\/f\/c\/y\/HSJ-Workforce-Supplement-150227.pdf [Accessed February 2019]."}],"container-title":["BMJ Open Respiratory Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjresp-2019-000413","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:34:47Z","timestamp":1756668887000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopenrespres.bmj.com\/lookup\/doi\/10.1136\/bmjresp-2019-000413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,5,22]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/bmjresp-2019-000413"],"URL":"https:\/\/doi.org\/10.1136\/bmjresp-2019-000413","relation":{},"ISSN":["2052-4439"],"issn-type":[{"value":"2052-4439","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}