Impact of Oncologists' Attitudes Toward End-of-Life Care on Patients' Access to Palliative Care

The Oncologist
David HuiEduardo Bruera

Abstract

It is unclear how oncologists' attitudes toward end-of-life (EOL) care affect the delivery of care. The present study examined the association between oncologists' EOL care attitudes and (a) timely specialist palliative care referral, (b) provision of supportive care, and (c) EOL cancer treatment decisions. We randomly surveyed 240 oncology specialists at our tertiary care cancer center to assess their attitudes toward EOL care using a score derived from the Jackson et al. qualitative conceptual framework (0 = uncomfortable and 8 = highly comfortable with EOL care). We determined the association between this score and clinicians' report of specialist palliative care referral, provision of supportive care, and EOL cancer treatment decisions. Of the 182 respondents (response rate of 76%), the median composite EOL care score was 6 (interquartile range, 5-7). A higher EOL score was significantly associated with solid tumor oncology (median 7 vs. 6 for hematologic oncology; p = .003), a greater willingness to refer patients with newly diagnosed cancer to specialist palliative care (median, 7 vs. 6; p = .01), greater comfort with symptom management (median, 6 vs. 5; p = .01), and provision of counseling (median, 7 vs. 4; p < .001) bu...Continue Reading

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Citations

Jan 7, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Talita Caroline de Oliveira ValentinoCarlos Eduardo Paiva
Sep 26, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Andrea L ChevilleJeffrey R Basford
Nov 21, 2018·Journal of Palliative Medicine·Brendan R DillonPasithorn A Suwanabol
Feb 12, 2019·Current Treatment Options in Oncology·David Hui
Jan 27, 2018·The Oncologist·David HuiEduardo Bruera
Jul 26, 2017·The Oncologist·Zhenyu YinDavid Hui
Oct 3, 2018·CA: a Cancer Journal for Clinicians·David HuiEduardo Bruera
Apr 25, 2020·Current Treatment Options in Oncology·Neha Kayastha, Thomas W LeBlanc
Jan 3, 2020·Journal of Palliative Medicine·Eric NolleyYael Schenker
Nov 14, 2018·Current Oncology Reports·Marieberta VidalEduardo Bruera
Dec 16, 2019·Journal of Pain and Symptom Management·Andrea CuvielloRenee D Boss
Aug 22, 2020·Journal of Pain and Symptom Management·Yvonne HeungEduardo Bruera
Dec 10, 2017·Journal of Pain and Symptom Management·Pasithorn A SuwanabolArden M Morris
Apr 18, 2021·Current Hematologic Malignancy Reports·Thomas M Kuczmarski, Oreofe O Odejide
May 3, 2021·Journal of Pain and Symptom Management·Wil L SantivasiJacob J Strand
Mar 16, 2021·Current Opinion in Oncology·David HuiEduardo Bruera
Jun 29, 2021·Journal of Pain and Symptom Management·May HuaDouglas B White
Sep 16, 2017·Annals of Oncology : Official Journal of the European Society for Medical Oncology·D HuiF Strasser

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