The relationship between cancer patients' place of death and bereaved caregivers' mental health status

Hatano, Yutaka; Aoyama, Maho; Morita, Tatsuya; Yamaguchi, Takuhiro; Maeda, Isseki; Kizawa, Yoshiyuki; Tsuneto, Satoru; Shima, Yasuo

doi:10.1002/pon.4412

Cited by 26 publications

(25 citation statements)

References 30 publications

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“…1 Patients with cancer who receive hospice care have reported reductions in pain intensity, 2 symptom burden, 3 and distress 3 and receive less burdensome aggressive care compared with patients not enrolled in hospice care. 7,8 Furthermore, caregivers of patients who receive hospice care have a lower risk of death in the 18 months after the patient's death than caregivers of patients who do not receive hospice care. 7,8 Furthermore, caregivers of patients who receive hospice care have a lower risk of death in the 18 months after the patient's death than caregivers of patients who do not receive hospice care.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Furthermore, caregivers of patients who receive hospice care have a lower risk of death in the 18 months after the patient's death than caregivers of patients who do not receive hospice care. 8 Understanding the factors that predict hospice enrollment is vital to ensuring that patients who would benefit from hospice receive this care; an understanding of the course of their illness among patients with cancer is one such factor. 8 Understanding the factors that predict hospice enrollment is vital to ensuring that patients who would benefit from hospice receive this care; an understanding of the course of their illness among patients with cancer is one such factor.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Personal (ie, informal, unpaid) caregivers of patients who receive hospice care are more likely to report that the patient received high-quality care 6 and that the patient had a good death compared with caregivers of patients who do not receive hospice care. 7,8 Furthermore, caregivers of patients who receive hospice care have a lower risk of death in the 18 months after the patient's death than caregivers of patients who do not receive hospice care. 9 Caregivers of patients with cancer who die in hospice also report less severe depressive symptoms and grief after the patient's death.…”

Section: Introductionmentioning

confidence: 99%

“…9 Caregivers of patients with cancer who die in hospice also report less severe depressive symptoms and grief after the patient's death. 8 Understanding the factors that predict hospice enrollment is vital to ensuring that patients who would benefit from hospice receive this care; an understanding of the course of their illness among patients with cancer is one such factor. Patients with advanced cancer who understand their illness is terminal are more likely to prefer comfort care over aggressive care 10,11 and die in their preferred place of death (home).…”

Section: Introductionmentioning

confidence: 99%

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Association between advanced cancer patient‐caregiver agreement regarding prognosis and hospice enrollment

Trevino

Prigerson

Shen

et al. 2019

Cancer

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BACKGROUND: Patients with advanced, incurable cancer who understand their illness is incurable are more likely to prefer hospice care at the end of life compared with patients who believe their illness is curable. To the authors' knowledge, it is unclear whether patient-caregiver agreement regarding perceived prognosis is associated with hospice enrollment. METHODS: The current study examined the prospective relationship between patient-caregiver agreement concerning perceived prognosis and hospice enrollment in the last 30 days of life. Data were collected during a cluster randomized controlled trial examining a communication intervention for oncologists and patients with advanced cancer and their caregivers. At the time of study entry, patients and caregivers (141 dyads) were categorized as endorsing a "good" prognosis if they: 1) reported a >50% chance of surviving ≥2 years; or if they 2) predicted that the patient's quality of life 3 months into the future would be ≥7 on an 11-point scale. RESULTS: Approximately one-fifth of dyads agreed on a poor prognosis whereas approximately one-half disagreed regarding prognosis. In approximately one-third of dyads, patients and caregivers both believed the patient's future quality of life would be good (34%) and that the patient would live for ≥2 years (30%). Patients in these dyads were less likely to enroll in hospice compared with patients in dyads who disagreed and those who agreed on a shorter life expectancy and poor future quality of life. CONCLUSIONS: Dyadic understanding of patients' projected life expectancy and future quality of life appears to be predictive of care received at the end of life. Improving rates of hospice enrollment may be best achieved with dyadic interventions. Cancer 2019;125:3259-3265.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association between advanced cancer patient‐caregiver agreement regarding prognosis and hospice enrollment

Trevino

Prigerson

Shen

et al. 2019

Cancer

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“…The ''Experienced at home'' group included those respondents who chose ''at home'' and ''at home and at a nursing home and/or a hospital.'' We paid particular attention to home as a place of death as it has been the focus of several studies and is distinguished from other places of death in several respects, namely, quality of death, 20 mental health of the family caregivers, 20 and caregiver burden. 21 Participants were classified in the same manner for caring.…”

Section: Independent Variablesmentioning

confidence: 99%

Caregiving Experience and Other Factors Associated With Having End-Of-Life Discussions: A Cross-Sectional Study of a General Japanese Population

Hanari

Sugiyama

Inoue

et al. 2021

Journal of Pain and Symptom Management

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Context. The factors associated with end-of-life discussion (EOLD) are not well elucidated; an understanding of these factors may help facilitate EOLD. Objectives. To investigate the associations between EOLD and experiences of the death of and/or care for a loved one and other factors. Methods. Data from a nationwide anonymous questionnaire survey of public attitudes toward end-of-life medical care, conducted in December 2017 in Japan, were used. Participants were randomly selected from the general population (age $ 20 years), and respondents who completed the questionnaire were analyzed (respondents: n ¼ 836; effective response rate: 13.9%). Respondents were divided into two groups based on their experience of EOLD: those who had engaged in EOLD and those who had not. The main predictors were the experiences of the death of and care for a loved one. Multivariable logistic regression analyses were performed. Results. Of the 836 respondents (male: 55.6%, aged 65 and over: 43.5%), 43.7% reported their engagement in EOLD. In the analyses, ''having experience of caring for a loved one'' was associated with EOLD compared with never having experience (odds ratio 1.88, 95% confidence interval 1.35e2.64). However, having experience of the death of a loved one had no association. Conclusion. For health-care providers, it may be worth recognizing that the care experience of their patient's caregiver might affect the caregiver's own EOLD in the future.

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Preferences for End-of-Life Care Among Patients With Terminal Cancer in China

et al. 2022

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The relationship between cancer patients' place of death and bereaved caregivers' mental health status

Abstract: The place where a cancer patient dies influences not only their quality of dying and death but also the mental health of their family caregivers. However, the absolute difference is not large after adjustment of multiple variables.

Cited by 26 publications

References 30 publications

Association between advanced cancer patient‐caregiver agreement regarding prognosis and hospice enrollment

Association between advanced cancer patient‐caregiver agreement regarding prognosis and hospice enrollment

Caregiving Experience and Other Factors Associated With Having End-Of-Life Discussions: A Cross-Sectional Study of a General Japanese Population

Preferences for End-of-Life Care Among Patients With Terminal Cancer in China

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