Communication and Behavior of Palliative Care Physicians of Patients With Cancer Near End of Life in Three East Asian Countries

Yamaguchi, Takashi; Maeda, Isseki; Hatano, Yutaka; Suh, Sang-Yeon; Cheng, Shao‐Yi; Kim, Sun Hyun; Chen, Ping-Jen; Morita, Tatsuya; Tsuneto, Satoru; Mori, Masanori

doi:10.1016/j.jpainsymman.2020.07.031

Cited by 39 publications

(28 citation statements)

References 23 publications

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“…The situation where patients have not decided the place for receiving care even at the end of life might be related to the fact that very few explanations about impeding death are given to patients in Japan [15]. Few Japanese patients (4.8%) were informed of their impending death.…”

Section: Discussionmentioning

confidence: 99%

“…Few Japanese patients (4.8%) were informed of their impending death. Some studies reported that when elderly people needed discussions for decision making near the end of life, most lacked the capacity to make decisions [15][16][17][18][19]. Health care professionals were viewed as playing an important role in addressing interventions to improve communication, and in discussions about decision-making regarding the goals of EOL care [13,[19][20][21].…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing Decision-Making of Terminally Ill Cancer Patients and Their Families Regarding Where to Stay and Receive Final-Month Care: A Preliminary Study

Eriko

Fukano

Onishi

2021

Preprint

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Background:Advance care planning is essential for a better terminal phase, although many patients do not make a choice regarding the place of receiving terminal care even one month before the expected end of life. This study explores the factors that influence patients with a life-expectancy of less than one month when they are admitted to the palliative care ward or other terminal care institutions.Methods: Self-administered questionnaire surveys were completed by patients and caregiver questionnaire surveys were completed by patients and caregivers. We assessed patient symptoms using Support Team Assessment Schedule-Japan (STAS-J), and all patients’ families answered the self-reported questionnaire, Caregiver Reaction Assessment-Japan (CRA-J).Results: The family care burden score for “Impact on schedule” was significantly higher for the palliative care ward inpatient group than for the non-inpatient group (21.0±1.5 vs. 17.6±1.8; ρ <0.01).Conclusions: Family burden might influence the choice of facility when patients with a survival prognosis of less than one month are admitted to the palliative care ward for reducing the burden of long-term care. Nurses should take care of family caregiver’s physical and psychosocial health, especially before the patient’s admission to the palliative care ward. The results of this study show that caregiver support is needed to reduce the feeling of family burden related to impact on schedule, enabling them to choose the best place for terminal care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Influencing Decision-Making of Terminally Ill Cancer Patients and Their Families Regarding Where to Stay and Receive Final-Month Care: A Preliminary Study

Eriko

Fukano

Onishi

2021

Preprint

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“…This phenomenon may reflect the fact that family members, not patients, are often the ones who listen explanations about the details of patients' illnesses in Japan. In fact, previous results 37 showed that the ratio at which impending death is not disclosed to patients is highest in Japan (Japan: 94.4%, Korea: 79.5%, Taiwan: 29.1%). Because all patients were inpatients in palliative care units, most may have accepted their impending deaths.…”

Section: What This Study Addsmentioning

confidence: 92%

Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study

et al. 2021

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Background: Some factors associated with spiritual well-being in dying patients have previously been reported. However, there has been no cross-cultural study comparing factors related to spiritual well-being. The current investigation may shed light on this under-investigated area through a comparison of diverse factors. Aim: We aimed to (1) examine factors associated with spiritual well-being in the last days and (2) compare those factors across three East Asian countries. Design: This is an international multicenter prospective cohort study. Setting/participants: Newly admitted inpatients with far advanced cancer in palliative care units in Japan, Korea and Taiwan were enrolled. Each patient was classified into one of two groups based on spiritual well-being score in the last days of life. Univariate and multivariate analyses were performed to identify the factors related to better spiritual well-being score in each country. Results: A total of 1761 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. Seven variables were significant in Japan, three in Korea, and five in Taiwan. “Good death scale [acceptance],” “fatigue” and “expressed wish for hastened death” were unique in Japan. “Visit from a pastoral care worker within 48 h of death” was unique in Korea. “Patient’s preferences for place of death,” “dyspnea” and “continuous deep sedation” were unique in Taiwan. Conclusions: This study found novel factors related to spiritual well-being in the last days of life, several of which differed according to country. Recognition of factors associated with spiritual well-being can improve the quality of palliative care.

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“…This was a post hoc exploratory analysis of two multicenter, prospective cohort studies of advanced cancer patients who were receiving palliative care in PCUs or at home to addresses the dying process and end‐of‐life care in terminally ill cancer patients, especially to clarify the symptoms of and medical treatment for advanced cancer patients at the end of life. One study was performed at 23 PCUs between Jan 2017 and Dec 2017, 12 and other was performed on 45 palliative home care services between July 2017 and Dec 2017 in Japan.…”

Section: Methodsmentioning

confidence: 99%

Comparison of the prevalence and associated factors of hyperactive delirium in advanced cancer patients between inpatient palliative care and palliative home care

Hamano

Mori

Ozawa³

et al. 2020

Cancer Medicine

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Communication and Behavior of Palliative Care Physicians of Patients With Cancer Near End of Life in Three East Asian Countries

Cited by 39 publications

References 23 publications

Factors Influencing Decision-Making of Terminally Ill Cancer Patients and Their Families Regarding Where to Stay and Receive Final-Month Care: A Preliminary Study

Factors Influencing Decision-Making of Terminally Ill Cancer Patients and Their Families Regarding Where to Stay and Receive Final-Month Care: A Preliminary Study

Factors related to spiritual well-being in the last days of life in three East Asian countries: An international multicenter prospective cohort study

Comparison of the prevalence and associated factors of hyperactive delirium in advanced cancer patients between inpatient palliative care and palliative home care

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