Quality of dying in head and neck cancer patients: A retrospective analysis of potential indicators of care

Ethunandan, M.; Rennie, Andrew; Hoffman, Gary R.; Morey, Paula J.; Brennan, Peter A.

doi:10.1016/j.tripleo.2004.11.011

Cited by 34 publications

(37 citation statements)

References 20 publications

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“…A recent study by Kamisetty et al [11] found that for UK oral cancer patients treated with palliative intent, 34% died in hospital, 22% in a hospice, 22% in their own home, and 22% in a nursing, residential or old people's home. In a similar study, assessing UK head and neck cancer patients, Ethunandan et al [10] reported 63% died in hospital, 19% in a hospice and 16% at home. Despite long held social opinion that dyeing at home is preferable, this group argued that the shift to hospital deaths is due in part to a societal change in pastoral and family support.…”

Section: Where and When To Provide Palliative Carementioning

confidence: 94%

“…The location where terminal patients receive treatment should enable a pain free, peaceful and dignified death, with relatives presents [10]. Ideally, the patient should be allowed to decide where they wish to die.…”

Section: Where and When To Provide Palliative Carementioning

confidence: 99%

“…They demonstrated a statistically significant improvement in QOL and reduction in pain score, with the use of correct palliative drug therapy in this cohort. Especially important in head and neck cancer patients, is the method of drug administration, taking into account the symptoms of dysphagia and other oral difficulties [10]. Devices such as syringe drivers provide continuous infusions, often of multiple drug cocktails, and can facilitate an easier transition from hospital care to the home environment.…”

Section: Palliative Drug Therapymentioning

confidence: 99%

See 2 more Smart Citations

The Impact of the Multi-Disciplinary Team Approach In Managing Palliative Head and Neck Cancer Patients: A Review

Payne¹

2017

BJSTR

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Section: Where and When To Provide Palliative Carementioning

confidence: 94%

Section: Where and When To Provide Palliative Carementioning

confidence: 99%

Section: Palliative Drug Therapymentioning

confidence: 99%

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The Impact of the Multi-Disciplinary Team Approach In Managing Palliative Head and Neck Cancer Patients: A Review

Payne¹

2017

BJSTR

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“…In one study, only 22% of patients had family members present at the time of death, and 35% did not have code status documented. 19 Due to the multidisciplinary nature of care, it is critical to ensure that all involved parties communicate effectively. One survey of primary care providers caring for end-stage head and neck cancer patients revealed that only 33% felt comfortable with their management, and a minority believed that symptom control was adequate.…”

Section: A Multidisciplinary Approachmentioning

confidence: 99%

End of Life Care among Head and Neck Cancer Patients

Yang¹,

Prince²,

Taylor³

2010

Otolaryngol.--head neck surg.

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Objective-This study is designed to (1) determine the perceived quality of care received by patients with head and neck cancer at the end of their lives, in order to (2) better anticipate and improve upon the experiences of future patients.Study Design-Cross-sectional survey.Setting-Single-institution, academic tertiary care medical center.Subjects and Methods-A validated survey instrument, the Family Assessment of Treatment at the End of life (FATE), was administered to families of patients who died of head and neck cancer (n=58). The primary outcome was the overall FATE score. Independent variables included clinical characteristics, treatments received and the care provided at the time of death.Results-Overall FATE scores and the domains assessing management of symptoms and care at the time of death did not vary by disease status (logoregional vs. distant metastasis) at the end of life (p=.989). The location of death in the home or in hospice (vs. hospital) significantly improves scores in all three categories (p=.023). Involvement of a palliative care team improved the care at the time of death (p<.001), and palliative treatments (radiation and/or chemotherapy) improved scores in management of symptoms and care at the time of death (p=.011, p=.017). Conclusion-The FATE survey is a useful measure of the end of life experience of head and neck cancer patients. Palliative treatments of head and neck cancer, death outside of the hospital and palliative care team involvement all improve the end of life experience in this population. KeywordsHead and neck cancer; quality of life; end of life care

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“…Em geral, a dor no câncer apresenta intensidade e frequência elevadas independentemente do diagnóstico tumoral, porém sua prevalência é maior em alguns tipos de câncer, dentre eles o de cabeça e pescoço que corresponde varia de 70% a 80% da população acometida (Sheed et al, 1980;Ethunandan et al, 2005;van den Beuken-van Everdingen, 2007).…”

Section: Dor: Causas Do Agravamento E Tratamentounclassified

Avaliação da efetividade de um protocolo de cuidados odontológicos no alívio da dor, sintomas bucais e melhora da qualidade de vida em pacientes com câncer de cabeça e pescoço em cuidados paliativos: ensaio clínico não-controlado

Jales¹

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AGRADECIMENTOSvi À Deus por me iluminar e me guiar.Aos meus pais Vilmar e Rosana que me deram a vida e são exemplos de força, caráter e determinação, que me inspiram para eu sempre seguir em frente.Ao Levi, Guilherme e a Beatriz, pelo companheirismo, pela compreensão nos momentos de ausência, e força nas dificuldades. Sempre me renovando com seu amor.Aos meus irmãos Victor e Vilmar Segundo pelo estímulo e carinho.Aos meus sogros Vilma e Levi Jales pelo carinho eterno, apoio constante e incondicional em todos os aspectos, especialmente no cuidado aos meus filhos.Ao Dr. Hélson e à Dra. Ângela Paiva que despertaram meu interesse pela Dor Orofacial e me guiaram para que eu chegasse até aqui.Ao Dr. José Tadeu Tesseroli de Siqueira, pesquisador visionário e entusiasta, por enxergar antes de muitos a importância dos cuidados paliativos em odontologia, idealizando este estudo. Agradeço pela oportunidade de realiza-lo, pela dedicação de tantas horas de discussão, pela paciência com que sempre me orientou e pelo incentivo constante. À Dra. Maria Paula Siqueira de Melo Peres pelo incansável apoio e compreensão, tornou possível o que foi mais que um sonho.

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Quality of dying in head and neck cancer patients: A retrospective analysis of potential indicators of care

Cited by 34 publications

References 20 publications

The Impact of the Multi-Disciplinary Team Approach In Managing Palliative Head and Neck Cancer Patients: A Review

The Impact of the Multi-Disciplinary Team Approach In Managing Palliative Head and Neck Cancer Patients: A Review

End of Life Care among Head and Neck Cancer Patients

Avaliação da efetividade de um protocolo de cuidados odontológicos no alívio da dor, sintomas bucais e melhora da qualidade de vida em pacientes com câncer de cabeça e pescoço em cuidados paliativos: ensaio clínico não-controlado

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