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Does awareness of terminal status influence survival and quality of life in terminally ill cancer patients?
Psycho-oncology (Chichester, England), 2013-10, Vol.22 (10), p.2206-2213
Kim, Seon-Young
Kim, Jae-Min
Kim, Sung-Wan
Shin, Il-Seon
Bae, Kyung-Yeol
Shim, Hyun-Jeong
Hwang, Jun-Eul
Bae, Woo-Kyun
Cho, Sang-Hee
Chung, Ik-Joo
Yoon, Jin-Sang
2013
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Kim, Seon-Young
Kim, Jae-Min
Kim, Sung-Wan
Shin, Il-Seon
Bae, Kyung-Yeol
Shim, Hyun-Jeong
Hwang, Jun-Eul
Bae, Woo-Kyun
Cho, Sang-Hee
Chung, Ik-Joo
Yoon, Jin-Sang
Titel
Does awareness of terminal status influence survival and quality of life in terminally ill cancer patients?
Ist Teil von
Psycho-oncology (Chichester, England), 2013-10, Vol.22 (10), p.2206-2213
Ort / Verlag
England: Blackwell Publishing Ltd
Erscheinungsjahr
2013
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Background Clinical studies, with a proper scientific design, on the impact of disclosing a prognosis on a patient's psychological or physical conditions are rare. We investigated the effect of patient awareness of terminal status on survival and quality of life (QoL) in a palliative care setting. Methods This is a prospective cohort study of patients with terminal cancer. Patients with cancer at a palliative care unit were enrolled consecutively. The patients' awareness of their terminal status was determined using a semistructured interview. Sociodemographic and clinical characteristics, including Eastern Cooperative Oncology Group performance status, depressed mood, and QoL, were investigated. To determine the independent effects of awareness of illness on survival and QoL, multivariate Cox proportional‐hazards regression and multivariate linear regression were used, respectively. Results For the 262 cases analyzed, the median survival time (interquartile range) was 28.5 (15.8–55.3) days, and 76 (29.0%) patients were unaware of their prognosis. Patients who were aware survived for a shorter period than did those who were unaware (HR, 1.44; 95% CI, 1.07–1.93, p = 0.015) after adjusting for clinical variables including physical status and depression. Also, patients who were aware reported lower subjective QoL compared with patients who were unaware in a multivariate linear regression analysis (B, −0.10; 95% CI, −0.17 to −0.03, p = 0.008). Conclusions Awareness of prognosis may negatively impact survival and QoL in terminally ill cancer patients. Therefore, the patient's preference for and individual susceptibility to receiving such information should be assessed carefully before disclosure. Copyright © 2013 John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 1057-9249
eISSN: 1099-1611
DOI: 10.1002/pon.3275
Titel-ID: cdi_proquest_miscellaneous_1680190260
Format
–
Schlagworte
Activities of Daily Living
,
Aged
,
Cohort Studies
,
Depression - psychology
,
disclosure
,
Female
,
Humans
,
Linear Models
,
Male
,
Medical prognosis
,
Middle Aged
,
Neoplasms - psychology
,
Oncology
,
Palliative Care
,
Proportional Hazards Models
,
Prospective Studies
,
Quality of life
,
Quality of Life - psychology
,
survival
,
Survival analysis
,
Survival Rate
,
terminal cancer
,
Terminally Ill - psychology
,
Truth Disclosure
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