Cancer communication near the end of life has a growing evidence base, and requires clinicians to draw on a distinct set of communication skills. Patients with advanced and incurable cancers are dealing with the
emotional impact of a life-limiting illness, treatment decisions that are complex and frequently involve consideration of
clinical trials, and the challenges of sustaining hope while also having realistic goals. In this review, the authors sought to provide a guide to important evidence about communication for patients with advanced cancer regarding communication at diagnosis, discussing prognosis,
decision making about
palliative anticancer therapy and phase 1 trials, advance care
planning, transitions in focus from
anticancer to
palliative care, and preparing patients and families for dying and death.
