Factors associated with a preference for disclosure of life expectancy information from physicians: a cross-sectional survey of cancer patients undergoing radiation therapy.
Purpose: This study aimed to investigate experiences and preferences for disclosure of life expectancy, agreement between them, and the factors associated with preferences for disclosure of life expectancy with physicians among cancer patients undergoing radiation therapy.Methods: Cancer patients ag...
| Publicado en: | Supportive Care in Cancer Vol. 27; no. 12; pp. 4487 - 4496 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139458652&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139458652 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Dec2019 vid: 27 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139458652 139458652 144141861 NLM30911915 139458652 10.1007/s00520-019-04716-1 NLM30911915 139458652 ppf: 4487 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Factors associated with a preference for disclosure of life expectancy information from physicians: a cross-sectional survey of cancer patients undergoing radiation therapy. aug: au: Uchida, Megumi Sugie, Chikao Yoshimura, Michio Suzuki, Eiji Shibamoto, Yuta Hiraoka, Masahiro Akechi, Tatsuo affil: Division of Palliative Care and Psycho-Oncology, Nagoya City University Hospital, Nagoya, Japan sug: subj: Neoplasms Psychosocial Factors Truth Disclosure Life Expectancy Neoplasms Radiotherapy Physicians Communication Adult Female Young Adult Male Decision Making Patient Satisfaction Cross Sectional Studies Physician-Patient Relations Aged Prognosis Neoplasms Mortality Middle Age Job Descriptive Index Scales Funding Source Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Purpose: This study aimed to investigate experiences and preferences for disclosure of life expectancy, agreement between them, and the factors associated with preferences for disclosure of life expectancy with physicians among cancer patients undergoing radiation therapy.Methods: Cancer patients aged 20 years or older were consecutively sampled when they started radiation therapy at two university hospitals. Patients completed self-administered questionnaires concerning their experiences of and preferences for disclosure of life expectancy, treatment decision-making, psychological distress, physical symptoms, sociodemographic and medical factors, physician's communication style, and provision of psychological, physical, and practical support.Results: Among the 226 respondents (response rate: 58%) who responded, 54% experienced disclosure of life expectancy, and 45% preferred it. The agreement is 65%. Eighty-five percent recognized their aim of radiation therapy as curative. A univariate analysis indicated that having a full/part-time job and wishing to leave treatment decisions to doctors were significantly associated with preference for disclosure of life expectancy, but psychological distress was not. A multiple regression analysis revealed that having a full-time/part-time job was significantly associated with preference of communication about life expectancy.Conclusions: Fifty-four percent of the patients experienced and 45% of the patients preferred disclosure of life expectancy. The agreement is moderate. Our results show that there was a significant association between employment status and patient's preference for disclosure of life expectancy with physicians. Communication of prognosis is difficult but whether a patient continues to work or not may be an indicator of preference. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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