Paradoxes in advance care planning: the complex relationship of oncology patients, their physicians, and advance medical directives.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Lindsay A DowThomas J Smith

Abstract

Many seriously ill patients with cancer do not discuss prognosis or advance directives (ADs), which may lead to inappropriate and/or unwanted aggressive care at the end of life. Ten years ago, patients with cancer said they would not like to discuss ADs with their oncologist but would be willing to discuss them with an admitting physician. We assessed whether this point of view still held. Semi-structured interviews were conducted with 75 consecutively admitted patients with cancer in the cancer inpatient service. Of those enrolled, 41% (31 of 75) had an AD. Nearly all (87%, 65 of 75) thought it acceptable to discuss ADs with the admitting physician with whom they had no prior relationship, and 95% (62 of 65) thought that discussing AD issues was very or somewhat important. Only 7% (5 of 75) had discussed ADs with their oncologist, and only 23% (16 of 70) would like to discuss ADs with their oncologist. When specifically asked which physician they would choose, 48% (36 of 75) of patients would prefer their oncologist, and 35% (26 of 75) would prefer their primary care physician. Fewer than half of seriously ill patients with cancer admitted to an oncology service have an AD. Only 23% (16 of 70) would like to discuss their ADs w...Continue Reading

References

Aug 1, 1995·Journal of General Internal Medicine·J A TulskyB Lo
Nov 1, 1996·Journal of General Internal Medicine·E D McKinleyM Danis
Sep 12, 1998·Annals of Internal Medicine·J A TulskyR M Arnold
Mar 31, 2000·BMJ : British Medical Journal·G M LeydonK McPherson
May 16, 2000·Journal of the American Geriatrics Society·E P McCarthyJ Lynn
Jun 8, 2001·Journal of Behavioral Medicine·J T PtacekN M Ellison
Oct 17, 2001·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·S Kaasa, F De Conno
Dec 26, 2001·JAMA : the Journal of the American Medical Association·D E MeierR S Morrison
Apr 25, 2003·Journal of Palliative Medicine·Charles E SchwartzPeter A Selwyn
Sep 3, 2003·Journal of General Internal Medicine·Amy M SullivanSusan D Block
May 1, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Rebecca G HagertyMartin H N Tattersall
Jul 21, 2004·Annals of Internal Medicine·Joan M Teno
Apr 30, 2005·Journal of Palliative Medicine·I J Higginson, G J Sen-Gupta
Apr 30, 2005·Journal of Palliative Medicine·E B Lamont, M Siegler
Jun 27, 2007·Journal of Palliative Medicine·Susan DesHarnaisCindy Carter
Sep 7, 2007·Journal of Palliative Medicine·Amy M SullivanSusan D Block
Dec 11, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Apar Kishor GantiFausto R Loberiza
Jun 12, 2008·JAMA : the Journal of the American Medical Association·Sarah Elizabeth Harrington, Thomas J Smith
Aug 22, 2008·Journal of Palliative Medicine·Vicki A JacksonSusan D Block
Sep 2, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alexander K SmithHolly G Prigerson
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Alexi A WrightHolly G Prigerson
Mar 11, 2009·Archives of Internal Medicine·Baohui ZhangHolly G Prigerson

❮ Previous
Next ❯

Citations

Feb 9, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Birgitt van OorschotMichael Flentje
Aug 9, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lena SaltbaekDorte L Nielsen
May 27, 2011·The New England Journal of Medicine·Thomas J Smith, Bruce E Hillner
Jun 1, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A S Epstein, R S Morrison
Oct 5, 2012·Qualitative Health Research·Wendy G AndersonAudrey Lyndon
Jul 30, 2014·Bone Marrow Transplantation·E T LoggersF R Loberiza
Dec 25, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Bhumsuk KeamMison Chun
Mar 16, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Natasha MichaelDavid Ball
Nov 26, 2015·Nature Reviews. Clinical Oncology·David Hui, Eduardo Bruera
Sep 12, 2013·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·M PérezM Velasco
Oct 1, 2013·International Journal of Radiation Oncology, Biology, Physics·Susannah EllsworthStephen Lutz
Jan 23, 2016·Clinical Journal of Oncology Nursing·Janette N EvansCamille P Wicher
Feb 20, 2013·Revue des maladies respiratoires·A Vergnenègre, G Terrier
Nov 20, 2012·Journal of Pain and Symptom Management·Arif H KamalAmy P Abernethy
Aug 10, 2012·Blood Reviews·Andrew S EpsteinDiane E Meier
Jun 2, 2011·Primary Care·Danielle N KoCraig D Blinderman
Jul 12, 2013·The Hastings Center Report·Nicole M Piemonte, Laura Hermer
Sep 21, 2015·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Carole A RobinsonMichael McKenzie
Oct 1, 2011·Journal of Critical Care·Andre Carlos Kajdacsy-Balla Amaral
May 28, 2013·Gynecologic Oncology·Ritu Salani
Jun 16, 2012·Journal of Korean Academy of Nursing·Eun Sook Choi, Keum Soon Kim
Sep 29, 2011·Clinical Journal of Oncology Nursing·Abigail Cohen, Anita Nirenberg
May 23, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Ru-Jun ZhengJun-Ying Li
Oct 9, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Julie C McDonaldCamilla Zimmermann
Dec 28, 2016·Palliative & Supportive Care·Elissa KozlovThomas L Rodebaugh
Mar 7, 2014·Journal of Oncology Practice·Jonathan C YehThomas J Smith
Jan 4, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer S TemelWilliam F Pirl
Oct 13, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Koen MeeussenLuc Deliens
Dec 29, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig C Earle
Aug 15, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alisha Kassam, Joanne Wolfe
Sep 8, 2016·Journal of Oncology Practice·Julie M WaldfogelSydney M Dy
Apr 5, 2017·Nature Reviews. Clinical Oncology·Devan Stahl, Tom Tomlinson
Jun 7, 2017·Journal of Oncology Practice·Christine M Bestvina, Blase N Polite

❮ Previous
Next ❯

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