{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:32:04Z","timestamp":1777984324556,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This report introduces a unique outpatient service led by a pathologist at a cancer palliative care\u2013specialized hospital in Japan. Since 2015, the \u201cKnowing the Disease Well\u201d clinic has aimed to enhance patients\u2019 understanding of their disease\u2014an essential foundation for envisioning their future\u2014and to support the cultivation of autonomy in decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinic offers weekly one-hour sessions, free of charge, for cancer patients and their families. Consultations cover medical explanations (diagnosis, pathological findings, test interpretation, treatment plans, disease trajectory) as well as emotional and existential concerns such as anxiety, prognosis, and family relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between May 2015 and March 2025, 37 cancer patients aged 30-80 years attended the clinic (Table 1). Over the past decade, 452 consultations were conducted, with family members present in some cases. Patients often reported relief, clarity, and strengthened autonomy. A representative case of a breast cancer survivor illustrates how tailored communication helped restore emotional balance and confidence in her future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that counseling by pathologists can serve as a meaningful and underutilized component of comprehensive palliative care. Further study is needed to evaluate its broader impact and to explore its potential in other clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091251385972","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T14:15:16Z","timestamp":1759500916000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pathologist-Led Support in Palliative Cancer Care: A Consultative Approach to Enhancing Patient Understanding, Concerns, and Autonomy"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0811-1211","authenticated-orcid":false,"given":"Yumiko","family":"Ogushi","sequence":"first","affiliation":[{"name":"Director of Nursing and Vice Director, Higashi Sapporo Hospital, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9418-0238","authenticated-orcid":false,"given":"Noriyuki","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Pathology and Vice President, Higashi Sapporo Hospital, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0106-7958","authenticated-orcid":false,"given":"Toshiro","family":"Kusakabe","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology and Palliative Care, Medical Director, Higashi Sapporo Hospital, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909113502118"},{"key":"e_1_3_4_3_2","article-title":"Sapporo: history of a conference","author":"Kusakabe T","year":"2023","unstructured":"Kusakabe T. Sapporo: history of a conference. BMJ Support Palliat Care Blog. 2023. https:\/\/blogs.bmj.com\/spcare\/2023\/09\/05\/sapporo-history-of-a-conference\/. Accessed August 14, 2025.","journal-title":"BMJ Support Palliat Care Blog"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2018-0379-0A"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2019-0105-OA"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251385972","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091251385972","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251385972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:31:30Z","timestamp":1777368690000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091251385972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,3]]},"references-count":4,"alternative-id":["10.1177\/10499091251385972"],"URL":"https:\/\/doi.org\/10.1177\/10499091251385972","relation":{"has-preprint":[{"id-type":"doi","id":"10.31124\/advance.175637672.20333498\/v1","asserted-by":"object"}]},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,3]]},"article-number":"10499091251385972"}}