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Table 2 Requests to Physicians by MPM Patients (217 requests; N = 73)

From: Physician requests by patients with malignant pleural mesothelioma in Japan

Categories Times mentioned % of Sample
 Subcategories
1. Understandable explanation to meet the patient’s needs 80  
1.1 Explain the cause of the symptoms, curability and prognosis of the disease, and provide a treatment plan 41 56.2
1.2 Use simple words 12 16.4
1.3 Explain the purpose, benefits, risk and results of examinations 10 14.0
1.4 Inform about all treatment options 10 14.0
1.5 Give advice about daily activities 3 4.1
1.6 Spend enough time on explanations 2 2.7
1.7 Confirm patient’s understanding and allow them to ask questions 2 2.7
2. Patient-centered treatment 39  
2.1 Minimize the physical impact of treatment 11 15.1
2.2 Do not give up on the treatment 10 14.0
2.3 Respect patient’s intention 9 12.3
2.4 Careful clinical assessment to not miss clinical signs of progression 9 12.3
3. Improvement of treatment and support systems for MPM 35  
3.1 Develop country-wide specialized care system 16 21.9
3.2 Develop new drugs 10 14.0
3.3 Improve information systems 9 12.3
4. Emotional support 32  
4.1 Be kind and cheerful 11 15.1
4.2 Sympathize with patient’s anxiety 10 14.0
4.3 Have a reliable attitude 6 8.2
4.4 Empathy for victims of asbestos 3 4.1
4.5 Visit patient as often as possible 2 2.7
5. Customize “breaking the bad news” 24  
5.1 Tell everything including bad news 17 23.3
5.2 Do not inform about bad news 5 6.8
5.3 Customize the contents and the way of informing 2 2.7
6. Dedication to the treatment of MPM 7  
6.1 Confront intractable disease 4 5.4
6.2 Learn about MPM 3 4.1
  1. MPM, malignant pleural mesothelioma