Understanding the Views of Those Who Care for Patients With Cancer on Advance Care Planning and End-of-life Care

Malcolm D. Mattes, Kaity Tung, Rachel Baum, Kapila Parikh, Hani Ashamalla

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

An electronic survey was used to assess the views of a diverse nationwide cohort of health care professionals regarding advance care planning and end-of-life care. A total of 645 responses were received. If diagnosed with a serious incurable illness with limited life expectancy, 97% would want to discuss their prognosis, 74% would refuse cardiopulmonary resuscitation, and 72% favored supportive/comfort care to more aggressive life-prolonging treatments. However, prognosis was thought to be discussed with only 52% of such patients, and just 5% thought doctors were either very or extremely successful at explaining advanced life-sustaining treatments to patients. Greater than 90% believed these discussions should best occur when a patient is thought to have one or more years to live and 80% thought they are best initiated in the outpatient setting.

Original languageEnglish (US)
Pages (from-to)802-809
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Volume32
Issue number8
DOIs
StatePublished - Dec 1 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • General Medicine

Keywords

  • advance care planning
  • advance medical planning
  • attitude to death
  • cancer
  • end-of-life care
  • oncology
  • palliative care
  • prognosis

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