Importance and Timing of End-of-Life Care Discussions Among Gynecologic Oncology Patients-Reference-Cited by-同舟云学术

Importance and Timing of End-of-Life Care Discussions Among Gynecologic Oncology Patients

Published:2012-04-24 Issue:1 Volume:30 Page:59-67
ISSN:1049-9091
Container-title:American Journal of Hospice and Palliative Medicine®
language:en
Short-container-title:Am J Hosp Palliat Care

Author:

Díaz-Montes Teresa P.¹,Johnson Megan K.²,Giuntoli Robert L.¹,Brown Alaina J.²

Affiliation:

1. The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, The Johns Hopkins Medical Institutions, Baltimore, MD, USA

2. Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA

Abstract

Objectives: To assess the importance and desired timing of end-of-life care (EOLC) discussions among women with gynecologic cancer. Methods: A questionnaire related to EOLC issues was distributed to patients with gynecologic cancer. Answers were analyzed via SPSS using descriptive statistics. Contingency analysis was done to evaluate for differences among disease status and age regarding preferences for timing of discussions. Results: Patients expressed that addressing EOLC is an important part of their treatment. Most patients were familiar with advanced directives (73.0%), do not resuscitate/do not intubate (88.5%), and hospice (97.5%). Designating someone to make decisions was significantly related to disease status ( P = .03) and age ( P = 0.02). Conclusions: Patients are familiar with basic EOLC with optimal timing for discussions at disease progression or when treatment is no longer available.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1049909112444156

Reference19 articles.

1. Decisions About End-of-Life Care

2. Hard Choices: The Gynecologic Cancer Patient's End-of-Life Preferences

3. Factors influencing views of patients with gynecologic cancer about end-of-life decisions

4. Gynecologic cancer patients' psychosocial needs and their views on the physician's role in meeting those needs

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