Purpose To provide guidance to oncology clinicians on how to use effective communication to optimize the patient-clinician relationship, patient and clinician well-being, and family well-being. Methods ASCO convened a multidisciplinary panel of medical oncology, psychiatry, nursing, hospice and palliative medicine, communication skills, health disparities, and advocacy experts to produce recommendations. Guideline development involved a systematic review of the literature and a formal consensus process. The systematic review focused on guidelines, systematic reviews and meta-analyses, and randomized controlled trials published from 2006 through October 1, 2016. Results The systematic review included 47 publications. With the exception of clinician training in communication skills, evidence for many of the clinical questions was limited. Draft recommendations underwent two rounds of consensus voting before being finalized. Recommendations In addition to providing guidance regarding core communication skills and tasks that apply across the continuum of cancer care, recommendations address specific topics, such as discussion of goals of care and prognosis, treatment selection, end-of-life care, facilitating family involvement in care, and clinician training in communication skills. Recommendations are accompanied by suggested strategies for implementation. Additional information is available at www.asco.org/supportive-care-guidelines and www.asco.org/guidelineswiki .

中文翻译：

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医患沟通：美国临床肿瘤学会共识指南

目的为肿瘤临床医生如何利用有效沟通优化患者与临床医生的关系、患者与临床医生的幸福感以及家庭幸福感提供指导。方法 ASCO 召集了一个由肿瘤内科、精神病学、护理、临终关怀和姑息医学、沟通技巧、健康差异和宣传专家组成的多学科小组来提出建议。指南制定涉及对文献的系统回顾和正式的共识过程。系统评价侧重于 2006 年至 2016 年 10 月 1 日期间发表的指南、系统评价和荟萃分析以及随机对照试验。结果 系统评价包括 47 篇出版物。除了临床医生在沟通技巧方面的培训外，许多临床问题的证据有限。建议草案在最终确定之前经过了两轮协商一致投票。建议 除了提供有关适用于整个癌症治疗过程的核心沟通技巧和任务的指导外，建议还针对特定主题，例如讨论治疗目标和预后、治疗选择、临终关怀、促进家庭参与护理和临床医生的沟通技巧培训。建议伴随着建议的实施战略。如需更多信息，请访问 www.asco.org/supportive-care-guidelines 和 www.asco.org/guidelineswiki。建议针对特定主题，例如讨论护理目标和预后、治疗选择、临终护理、促进家庭参与护理以及临床医生的沟通技巧培训。建议伴随着建议的实施战略。如需更多信息，请访问 www.asco.org/supportive-care-guidelines 和 www.asco.org/guidelineswiki。建议针对特定主题，例如讨论护理目标和预后、治疗选择、临终护理、促进家庭参与护理以及临床医生的沟通技巧培训。建议伴随着建议的实施战略。如需更多信息，请访问 www.asco.org/supportive-care-guidelines 和 www.asco.org/guidelineswiki。