Concepedia

Spikes Protocol

The "SPIKES Protocol" is a structured communication framework used in clinical practice, comprising six sequential phases—Setting, Perception, Invitation, Knowledge, Emotions, and Summary—that systematically guide healthcare professionals in delivering difficult medical news with empathy and clarity.

35

Publications

4.8K

Citations

147

Authors

80

Institutions

Publications per year

2017–2026

19

Variants

Spikes

Parents

Publications

35

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

Walter F. Baile, Robert Buckman, Renato Lenzi et al. · The Oncologist · 2000 · 3K citations · Full text

, , +17

′BREAKS′ protocol for breaking bad news

Vijayakumar Narayanan, Bibek Bista, Cheriyan Koshy · Indian Journal of Palliative Care · 2010 · 215 citations · Full text

, , +12

Breaking bad news–what patients want and what they get: evaluating the SPIKES protocol in Germany

Carola Seifart, Mareike Hofmann, Tordis Bär et al. · Annals of Oncology · 2014 · 182 citations

, , +6

SPIKES: A Framework for Breaking Bad News to Patients With Cancer

Marcelle Kaplan · Clinical journal of oncology nursing · 2010 · 160 citations

, , +12

Breaking the news: A survey of ALS patients and their caregivers

Leo McCluskey, David Casarett, Andrew Siderowf · Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders · 2004 · 91 citations

, , +17

1–5 of 35

Authors

147

  1. MS
    Maria Sílvia Vellutini Setúbal

    Universidade Estadual de Campinas (UNICAMP), Brazil

    3 publications · 104 citations

    3

    h-index

  2. EA
    Eliana Amaral

    Universidade Estadual de Campinas (UNICAMP), Brazil

    2 publications · 85 citations

    2

    h-index

  3. WR
    Winfried Rief

    Philipps University of Marburg, Germany

    2 publications · 255 citations

    2

    h-index

  4. CS
    Carola Seifart

    Philipps University of Marburg, Germany

    2 publications · 255 citations

    2

    h-index

  5. SA
    Samar Aoun

    Curtin University, Australia

    2 publications · 58 citations

    2

    h-index

1–5 of 147

Institutions

80

  1. Curtin University

    Perth, Australia

    3 h-index

    4 publications

    100 citations

  2. University of Pennsylvania

    Philadelphia, United States

    3 h-index

    5 publications

    264 citations

  3. Philipps University of Marburg

    Marburg, Germany

    2 h-index

    5 publications

    474 citations

  4. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

    São Paulo, Brazil

    2 h-index

    15 publications

    339 citations

  5. Speech Pathology Australia

    Melbourne, Australia

    2 h-index

    2 publications

    76 citations

  6. Universidade Estadual de Campinas (UNICAMP)

    Campinas, Brazil

    2 h-index

    7 publications

    297 citations

  7. Milton Keynes Hospital

    Milton Keynes, United Kingdom

    1 h-index

    1 publications

    22 citations

  8. New York Hospital Queens

    New York, United States

    1 h-index

    1 publications

    160 citations

1–8 of 80

Venues

  1. Revista Brasileira Ginecologia e Obstetrícia

    2 publications · 85 citations

    2

    h-index

  2. 2

    h-index

  3. Patient Education and Counseling

    2 publications · 88 citations

    2

    h-index

  4. Acta Médica Portuguesa

    1 publications · 22 citations

    1

    h-index

  5. Sao Paulo Medical Journal

    1 publications · 81 citations

    1

    h-index

1–5