Your browser doesn't support javascript.
loading
Influence of advance directives on reducing aggressive measures during end-of-life cancer care: A systematic review.
Marchi, Lillian Ponchio E Silva; Santos Neto, Martins Fideles Dos; Moraes, Júlia de Pauli; Paiva, Carlos Eduardo; Paiva, Bianca Sakamoto Ribeiro.
Afiliación
  • Marchi LPES; Research Group on Palliative Care and Health-Related Quality of Life (GPQual), Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
  • Santos Neto MFD; Oncology Graduate Program and Research Group on Palliative Care and Health-Related Quality of Life (GPQual), Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
  • Moraes JP; Research Group on Palliative Care and Health-Related Quality of Life (GPQual), Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
  • Paiva CE; Oncology Graduate Program and Research Group on Palliative Care and Health-Related Quality of Life (GPQual), Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
  • Paiva BSR; Research Group on Palliative Care and Health-Related Quality of Life (GPQual), Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
Palliat Support Care ; 19(3): 348-354, 2021 06.
Article en En | MEDLINE | ID: mdl-32854813
CONTEXT: Although the literature recognizes the participation of patients in medical decisions as an important indicator of quality, there is a lack of consensus regarding the influence of advance directives (ADs) on reducing aggressive measures during end-of-life care involving cancer patients. OBJECTIVE: A systematic review was conducted to analyze the influence of ADs on reducing aggressive end-of-life care measures for cancer patients. METHOD: We searched the Medline, Embase, Web of Science, and Lilacs databases for studies published until March 2018 using the following keywords, without language restrictions: "advance directives," "living wills," "terminal care," "palliative care," "hospice care," and "neoplasms." Article quality was assessed using study quality assessment tools from the Department of Health and Human Services (NHLBI). RESULTS: A total of 1,489 studies were identified; 7 met the inclusion criteria. The studies were recently published (after 2014, 71.4%). Patients with ADs were more likely to die at the site of choice (n = 3) and received less chemotherapy in the last 30 days (n = 1). ADs had no impact on intensive care unit admission (n = 1) or hospitalization (n = 1). One study found an association between ADs and referral to palliative care, but other did not find the same result. SIGNIFICANCE OF RESULTS: Of the seven articles found, four demonstrated effects of ADs on the reduction in aggressive measures at the end of life of cancer patients. Heterogeneity regarding study design and results and poor methodological quality are challenges when drawing conclusions.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidado Terminal / Cuidados Paliativos al Final de la Vida / Neoplasias Tipo de estudio: Prognostic_studies / Systematic_reviews Aspecto: Ethics / Patient_preference Límite: Humans Idioma: En Revista: Palliat Support Care Asunto de la revista: TERAPEUTICA Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidado Terminal / Cuidados Paliativos al Final de la Vida / Neoplasias Tipo de estudio: Prognostic_studies / Systematic_reviews Aspecto: Ethics / Patient_preference Límite: Humans Idioma: En Revista: Palliat Support Care Asunto de la revista: TERAPEUTICA Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido