Experiences of End-of-Life Care of Older Adults with Cancer From the Perspective of Stakeholdersin Iran: A Content Analysis Study

Ghezelsefli, Zohreh; Ahmadi, Fazlollah; Mohammadi, Eesa; Puts, Martine

doi:10.31557/apjcp.2021.22.1.295

Cited by 2 publications

(2 citation statements)

References 30 publications

(19 reference statements)

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“…Despite these figures, the state of end-of-life care in Iran is only partially quantified. Recently, in terms of the increasing incidence of cancer and the decline in the quality of end-of-life care of these patients, this type of service has received more attention from health policymakers ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

“…Many of these patients in the final stages of life attach great importance to the preferred place for end-of-life care (PPOEOLC) and preferred place of death (PPOD), and this place will have a significant impact on their quality of life and death and care ( 10 , 11 ). The terms “preferred place of death” (PPOD) and “preferred place for end-of-life care” (PPOEOLC) relate to people’s preferences for where they would want to pass away or receive care in their last days, respectively ( 8 ). Awareness of patients’ preferences about PPOEOLC and PPOD is essential for end-of-life palliative care planning ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

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Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study

et al. 2022

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BackgroundMore than 50,000 deaths in terms of cancer occur annually in Iranian hospitals. Determining the preferred place of end-of-life care and death for cancer patients in Iran is a quality marker for good end-of-life care and good death. The purpose of this study was to determine the preferred place of end-of-life care and death in cancer patients.MethodIn 2021, the current descriptive cross-sectional investigation was carried out. Using the convenience sample approach, patients were chosen from three Tehran referral hospitals (the capital of Iran). A researcher-made questionnaire with three parts for demographic data, clinical features, and two questions on the choice of the desired location for end-of-life care and the death of cancer patients served as the data collecting instrument. Data were analyzed using SPSS software version 18. The relationship between the two variables preferred place for end-of-life care and death and other variables was investigated using chi-square, Fisher exact test, and multiple logistic regression.ResultThe mean age of patients participating in the study was 50.21 ± 13.91. Three hundred ninety (69.6%) of the patients chose home, and 170 (30.4%) patients chose the hospital as the preferred place of end-of-life care. Choosing the home as a preferred place for end-of-life care had a significant relationship with type of care (OR = .613 [95% CI: 0.383–0.982], P = .042), level of education (OR = 2.61 [95% CI: 1.29–5.24], P = 0.007), type of cancer (OR = 1.70 [1.01–2.89], P = .049), and income level (Mediate: (OR: 3.27 (1.49, 7.14), P = .003) and Low: (OR: 3.38 (1.52–7.52), P = .003). Also, 415 (75.2%) patients chose home and 137 (24.8%) patients chose hospital as their preferred place of death. Choosing the home as a preferred place of death had a significant relationship with marriage (OR = 1.62 [95% CI: 1.02–2.57], P = .039) and time to diagnostic disease less than 6 months (OR = 1.62 [95% CI: 0.265–0.765], P = .002).ConclusionThe findings of the current research indicate that the majority of cancer patients selected their homes as the preferred location for end-of-life care and final disposition. Researchers advise paying more attention to patients’ wishes near the end of life in light of the findings of the current study. This will be achieved by strengthening the home care system using creating appropriate infrastructure, insurance coverage, designing executive instructions, and integration of palliative care in home care services.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study

et al. 2022

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Effectiveness and Feasibility of Home-Based Palliative Care Interventions for Geriatric Oncology Patients: A Systematic Review Using Narrative Synthesis

Vlachopoulos,

Kontogiannis,

Papageorgiou

et al. 2024

Am J Hosp Palliat Care

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Background Due to an urgent need to develop palliative care services for geriatric patients with advanced cancer, an overview of available information regarding home-based palliative care interventions would be valuable. Aim To summarize current literature for interventions targeted to homebound, older patients with incurable cancer, and investigate whether these patients can be benefited from home-based palliative care and achieve improved outcomes. Design A search strategy consisting of terms related to home care, palliation, oncology, and geriatrics was employed. A protocol following PRISMA guidelines was prospectively uploaded at PROSPERO (ID = CRD42023404675). Data sources Pubmed (MEDLINE), Cochrane Central Register of Controlled Trials (CENTRAL), ClinicalTrials.gov , and Epistemonikos.org databases were searched from inception until the present day. Eligibility criteria were selected based on the research question, the population of interest, and the research design. The Risk of Bias Assessment Tool version 2 (RoB-2) was used to appraise study quality. Results A total of 10 articles including 871 patients (out of 1236 titles and 141 fully-reviewed texts) were selected. Four studies assessed exercise interventions, two evaluated multi-component home-care models, two focused on supervision services, and two had nutrition and activity components. Eight studies reported improved outcomes in either specified or mixed cancer geriatric populations. Conclusions There is a scarcity of clinical trials regarding home-based palliative care for geriatric oncology patients, resulting in poor information and a lack of evidence. At-home interventions seem feasible and have a positive effect on pain management and functional status, but more high-quality studies are required.

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Experiences of End-of-Life Care of Older Adults with Cancer From the Perspective of Stakeholdersin Iran: A Content Analysis Study

Cited by 2 publications

References 30 publications

Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study

Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study

Effectiveness and Feasibility of Home-Based Palliative Care Interventions for Geriatric Oncology Patients: A Systematic Review Using Narrative Synthesis

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