# Reflecting on 25 years of SPIKES: bad news communication in our modern era

**Authors:** Joseph McCollom, Mazie Tsang

PMC · DOI: 10.1093/oncolo/oyag064 · The Oncologist · 2026-02-25

## Full-text entities

- **Diseases:** toxicity (MESH:D064420), metastasis (MESH:D009362), death (MESH:D003643), COVID (MESH:D000086382), anxiety (MESH:D001007), serious illness (MESH:D002908), Cancer (MESH:D009369), dementia (MESH:D003704)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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## References

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Source: https://tomesphere.com/paper/PMC12990979