{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T21:18:02Z","timestamp":1790543882526,"version":"4.1.0"},"reference-count":47,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T00:00:00Z","timestamp":1539734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"SIRIC (SIte de Recherche Int\u00e9gr\u00e9e sur le Cancer) ONCOLille","award":["INCa-DGOS-Inserm 6041"],"award-info":[{"award-number":["INCa-DGOS-Inserm 6041"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This study is the first to examine the prognostic role of physician empathy in interaction with the type of consultation (TC) (TC, bad news versus follow-up consultations) in cancer patient survival. Between January 2015 and March 2016, 179 outpatients with thoracic cancer and a Karnofsky performance status \u226560 assessed their oncologist\u2019s empathy using the CARE questionnaire, which provides a general score and two sub-dimensions: listening\/compassion and active\/positive empathy. Survival was recorded until April 2018. Usual medical, social and psychological confounders were included in the Cox regression. The median follow-up time was 3.1 years. There was a statistical interaction between listening\/compassion empathy and TC (p = 0.016) such that in bad news consultations, higher listening\/compassion predicted a higher risk of death (hazard ratio (HR) = 1.13; 95% confidence interval (CI): 1.03\u20131.23; p = 0.008). In follow-up consultations, listening\/compassion did not predict survival (HR = 0.94; 95% CI: 0.85\u20131.05; p = 0.30). The same results were found with the general score of empathy, but not with active\/positive empathy. In bad news consultations, high patient-perceived physician compassion could worry patients by conveying the idea that there is no longer any hope, which could hasten death. Further studies are warranted to confirm these results and find out the determinants of patient perception of physician empathy.<\/jats:p>","DOI":"10.3390\/jcm7100364","type":"journal-article","created":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T10:22:54Z","timestamp":1539771774000},"page":"364","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Physician Empathy Interacts with Breaking Bad News in Predicting Lung Cancer and Pleural Mesothelioma Patient Survival: Timing May Be Crucial"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7956-2019","authenticated-orcid":false,"given":"Sophie","family":"Lelorain","sequence":"first","affiliation":[{"name":"University of Lille, CNRS, CHU Lille, UMR 9193\u2014SCALab\u2014Cognitive and Affective Sciences, F-59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Cortot","sequence":"additional","affiliation":[{"name":"University of Lille, Department of Thoracic Oncology, Albert Calmette University Hospital, F-59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Christophe","sequence":"additional","affiliation":[{"name":"University of Lille, CNRS, CHU Lille, UMR 9193\u2014SCALab\u2014Cognitive and Affective Sciences, F-59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5509-6199","authenticated-orcid":false,"given":"Claire","family":"Pin\u00e7on","sequence":"additional","affiliation":[{"name":"University of Lille, CHU Lille, EA 2694, Public Health: Epidemiology and Quality of Care, F-59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yori","family":"Gidron","sequence":"additional","affiliation":[{"name":"University of Lille, CNRS, CHU Lille, UMR 9193\u2014SCALab\u2014Cognitive and Affective Sciences, F-59000 Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,10,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.lungcan.2009.10.012","article-title":"Targeted therapies for non-small cell lung cancer","volume":"67","author":"Dempke","year":"2010","journal-title":"Lung Cancer"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1038\/ncponc1134","article-title":"Do stress-related psychosocial factors contribute to cancer incidence and survival?","volume":"5","author":"Chida","year":"2008","journal-title":"Nat. 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