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Hollywood and Cancer: Bridging the Gap Between Fiction and Reality

Hoag Medical Oncologist David J. Benjamin, M.D., is the author of a new study published in JCO Oncology Practice that sheds light on Hollywood’s portrayal of cancer, revealing that the film industry may provide an unrealistic view of cancer to individuals with cancer and their families. The study highlights the significant impact movies have on shaping public opinion about cancer treatment, prognosis and the cost of care.

The Power and Responsibility of Hollywood

The study emphasizes the influential role Hollywood plays in shaping societal norms, expectations and behaviors. Drawing parallels with Hollywood’s impact on issues like LGBTQIA+ rights and racial disparity, the researchers stress the important role that movies play in formulating opinions of cancer and its management. They note that common cancers are often elevated over rare ones in movies, influencing public perceptions about preventative care and screenings.

The Misrepresentation of Cancer Types

The researchers found that Hollywood often misrepresents the prevalence of different cancer types. For example, brain cancer is frequently cast in a leading role, despite not being among the top 10 cancers diagnosed in the U.S. On the other hand, lung cancer, the second-most diagnosed cancer in the U.S., is given minimal attention. This misrepresentation can impact public awareness of recommended screenings and contribute to misconceptions about cancer risks.

Survivorship and Thrivorship

The study challenges the common narrative in films where characters diagnosed with cancer are portrayed as doomed from the start. While acknowledging the integral role of death in certain storylines, the researchers argue against depicting cancers as “untreatable” when advancements in treatment have significantly improved survival rates. The cancer mortality rate has decreased by 27% between 1999 and 2019, with a projected 24.4% increase in cancer survivors by 2032.

Closing the Gap Between Fiction and Reality

Recognizing that Hollywood prioritizes entertainment over education, the authors suggest a simple solution: Patients and oncologists must be cognizant that movie depictions of cancer may not accurately reflect the state of cancer care. By being aware of cinematic depictions of cancer, oncologists can anticipate and address potential discrepancies between patients’ views and the reality of cancer care. The study emphasizes the need for greater awareness of palliative care options, often overlooked in films, and the potential stigma associated with discussing these services.

To learn more about the study, visit https://ascopubs.org/doi/10.1200/OP.23.00658#.