Lived Experiences of Cancer Patients Who Discontinued Radiation Therapy

Abstract

Discontinuation of radiation therapy among cancer patients remains a critical concern, with profound implications for treatment outcomes and survival. While prior research has highlighted factors like side effects and financial burden, limited attention has been given to the lived experiences behind these decisions. This study explored the personal and emotional journeys of patients who voluntarily discontinued radiation therapy. Utilizing a phenomenological approach and Colaizzi’s Seven-Step Method, in-depth interviews were conducted with six participants. The analysis revealed that discontinuation was not a passive act but a deliberate and reflective decision shaped by intersecting physical, emotional, logistical, and financial struggles. Participants described moments of intense self-reflection, assessing their strength, suffering, and the cost of continuing versus the peace that comes with letting go. Family and friends emerged as vital sources of emotional support, providing stability and reassurance during periods of uncertainty. Many participants reported a sense of recovery after discontinuation, not only physically through rest but also emotionally and spiritually through renewed peace and clarity. These findings call for a more holistic, patient-centered approach in oncology care—one that affirms patient autonomy while addressing the broader psychosocial realities influencing treatment decisions.