Your browser doesn't support javascript.
loading
Patient and Provider Attitudes and Preferences Regarding Early Palliative Care Delivery for Patients with Advanced Gastrointestinal Cancers: A Prospective Survey.
Levine, Oren; Bainbridge, Daryl; Pond, Gregory R; Slaven, Marissa; Dhesy-Thind, Sukhbinder; Sussman, Jonathan; Meyer, Ralph M.
Afiliación
  • Levine O; Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
  • Bainbridge D; Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
  • Pond GR; Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
  • Slaven M; Department of Family Medicine, McMaster University, Hamilton, ON L8S 4L8, Canada.
  • Dhesy-Thind S; Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
  • Sussman J; Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
  • Meyer RM; Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
Curr Oncol ; 31(6): 3329-3341, 2024 Jun 13.
Article en En | MEDLINE | ID: mdl-38920736
ABSTRACT
Early integrated palliative care (EIPC) for patients with advanced cancers requires the involvement of family doctors (FDs) and oncologists. We compared attitudes between patients and their providers regarding the delivery of EIPC. Patients with newly diagnosed incurable gastrointestinal (GI) cancer at a tertiary cancer centre in Ontario, Canada, were surveyed using a study-specific instrument regarding the importance of and preferences for accessing support across eight domains of palliative care. Physicians within the circle of care completed a parallel survey for each patient. The concordance between patient and physician responses was analyzed. A total of 66 patients were surveyed (median age 69, 35% female). All had an oncologist, 12% had a specialist palliative care provider (SPC), and 97% had an FD, but only 41% listed the FD as part of the care team. In total, 95 providers responded (oncologist = 68, FD = 21, SPC = 6; response rate 92%; 1-3 physician responses per patient). Disease management and physical concerns were most important to patients. Patients preferred to access care in these domains from oncologists or SPCs. For all other domains, most patients attributed primary responsibility to self or family rather than any healthcare provider. Thus, concordance was poor between patient and physician responses. Across most domains of palliative care, we found low agreement between cancer patients and their physicians regarding responsibilities for care, with FDs appearing to have limited involvement at this stage.
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: Cuidados Paliativos / Neoplasias Gastrointestinales Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Curr Oncol Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
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: Cuidados Paliativos / Neoplasias Gastrointestinales Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Curr Oncol Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza