SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer

F. Baile, Walter; Buckman, Robert; Lenzi, Renato; A. Glober, Gary; A. Beale, Estela; P. Kudelka, Andrzej

doi:10.1634/theoncologist.5-4-302

Public

SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer

Published in The Oncologist • Aug 1, 2000

Authors:

Walter F. Baile

Robert Buckman

Renato Lenzi

Abstract

We describe a protocol for disclosing unfavorable information-"breaking bad news"-to cancer patients about their illness. Straightforward and practical, the protocol meets the requirements defined by published research on this topic. The protocol (SPIKES) consists of six steps. The goal is to enable...

Subject

Protocol (science)

Medicine

Cancer

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