論文

査読有り 筆頭著者 国際誌
2021年5月26日

A descriptive analysis of end-of-life discussions for high-grade glioma patients

Neuro-Oncology Practice
  • Ai Chikada
  • ,
  • Sayaka Takenouchi
  • ,
  • Yoshiki Arakawa
  • ,
  • Kazuko Nin

8
3
開始ページ
345
終了ページ
354
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/nop/npab010
出版者・発行元
Oxford University Press (OUP)

<title>Abstract</title>
<sec>
<title>Background</title>
End-of-life discussions (EOLDs) in patients with high-grade glioma (HGG) have not been well described. Therefore, this study examined the appropriateness of timing and the extent of patient involvement in EOLDs and their impact on HGG patients.


</sec>
<sec>
<title>Methods</title>
A cross-sectional survey was conducted among 105 bereaved families of HGG patients at a university hospital in Japan between July and August 2019. Fisher’s exact test and the Wilcoxon rank-sum test were used to assess the association between patient participation in EOLDs and their outcomes.


</sec>
<sec>
<title>Results</title>
In total, 77 questionnaires were returned (response rate 73%), of which 20 respondents replied with refusal documents. Overall, 31/57 (54%) participated in EOLDs at least once in acute hospital settings, and a significant difference was observed between participating and nonparticipating groups in communicating the patient’s wishes for EOL care to the family (48% vs 8%, P = .001). Moreover, &amp;gt;80% of respondents indicated that the initiation of EOLDs during the early diagnosis period with patients and families was appropriate. Most EOLDs were provided by neurosurgeons (96%), and other health care providers rarely participated. Additionally, patient goals and priorities were discussed in only 28% of the EOLDs. Patient participation in EOLDs was not associated with the quality of EOL care and a good death.


</sec>
<sec>
<title>Conclusions</title>
Although participation in EOLDs is relatively challenging for HGG patients, this study showed that participation in EOLDs may enable patients to express their wishes regarding EOL care. It is important to initiate EOLDs early on through an interdisciplinary team approach while respecting patient goals and priorities.


</sec>

リンク情報
DOI
https://doi.org/10.1093/nop/npab010
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34061125
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153814
URL
http://academic.oup.com/nop/advance-article-pdf/doi/10.1093/nop/npab010/36195879/npab010.pdf
URL
http://academic.oup.com/nop/article-pdf/8/3/345/38270778/npab010.pdf
ID情報
  • DOI : 10.1093/nop/npab010
  • ISSN : 2054-2577
  • eISSN : 2054-2585
  • PubMed ID : 34061125
  • PubMed Central 記事ID : PMC8153814

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