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Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis

The oncologist (Dayton, Ohio), 2023-01, Vol.28 (1), p.e54-e62 [Peer Reviewed Journal]

The Author(s) 2022. Published by Oxford University Press. ;COPYRIGHT 2023 Oxford University Press ;ISSN: 1083-7159 ;EISSN: 1549-490X ;DOI: 10.1093/oncolo/oyac227 ;PMID: 36320128

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Title:
Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis
Author: Bigi, Sarah ; Ganfi, Vittorio ; Borelli, Eleonora ; Potenza, Leonardo ; Artioli, Fabrizio ; Eliardo, Sonia ; Mucciarini, Claudia ; Cottafavi, Luca ; Ferrari, Umberto ; Lombardo, Laura ; Cagossi, Katia ; Pietramaggiori, Alessandra ; Fantuzzi, Valeria ; Bernardini, Ilaria ; Cruciani, Massimiliano ; Cacciari, Cristina ; Odejide, Oreofe ; Adolfo Porro, Carlo ; Zimmermann, Camilla ; Efficace, Fabio ; Bruera, Eduardo ; Luppi, Mario ; Bandieri, Elena
Subjects: Aged ; Analysis ; Attitude to Death ; Cancer ; Care and treatment ; Caregivers ; Caregivers - psychology ; Caregivers - statistics & numerical data ; Evaluation ; Humans ; Middle Aged ; Neoplasms - pathology ; Neoplasms - therapy ; Oncology, Experimental ; Palliative Care ; Palliative treatment ; Patient outcomes ; Patients - psychology ; Patients - statistics & numerical data ; Physician and patient ; Physician-Patient Relations
Is Part Of: The oncologist (Dayton, Ohio), 2023-01, Vol.28 (1), p.e54-e62
Description: Oncologists are often concerned that talking about death with patients may hinder their relationship. However, the views of death held by patients have not been thoroughly investigated. This study aimed to describe the perception of death among patients with advanced cancer receiving early palliative care (EPC) and their caregivers. Qualitative and quantitative analyses were performed on 2 databases: (a) transcripts of open-ended questionnaires administered to 130 cancer patients receiving EPC with a mean age of 68.4 years and to 115 primary caregivers of patients on EPC with a mean age of 56.8; (b) texts collected from an Italian forum, containing instances of web-mediated interactions between patients and their caregivers. Quantitative analysis shows that: (a) patients and caregivers are not afraid of speaking about death; (b) patients and caregivers on EPC use the word "death" significantly more than patients on standard oncology care (SOC) and their caregivers (P < .0001). For both participants on EPC and SOC, the adjectives and verbs associated with the word "death" have positive connotations; however, these associations are significantly more frequent for participants on EPC (verbs, Ps < .0001; adjectives, Ps < .003). Qualitative analysis reveals that these positive connotations refer to an actual, positive experience of the end of life in the EPC group and a wish or a negated event in the SOC group. EPC interventions, along with proper physician-patient communication, may be associated with an increased acceptance of death in patients with advanced cancer and their caregivers.
Publisher: England: Oxford University Press
Language: English
Identifier: ISSN: 1083-7159
EISSN: 1549-490X
DOI: 10.1093/oncolo/oyac227
PMID: 36320128
Source: MEDLINE
PubMed Central
Alma/SFX Local Collection
DOAJ Directory of Open Access Journals

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Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis

The Author(s) 2022. Published by Oxford University Press. ;COPYRIGHT 2023 Oxford University Press ;ISSN: 1083-7159 ;EISSN: 1549-490X ;DOI: 10.1093/oncolo/oyac227 ;PMID: 36320128

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