Differences in End-of-life Care Decision Making Between Patients With and Without Cancer

被引：12

作者：

Park, In Ki ^{[1
]}

Jun, Hyun Jung ^{[2
,3
]}

Park, Sung Jae ^{[1
]}

Lim, Ga Jin ^{[1
]}

Cho, Sung-Ja ^{[3
]}

Song, Aeran ^{[3
]}

Oh, So Yeon ^{[2
,3
]}

机构：

[1] Seoul Med Ctr, Dept Internal Med, Seoul, South Korea

[2] Seoul Med Ctr, Div Hematol & Med Oncol, Dept Internal Med, Seoul, South Korea

[3] Seoul Med Ctr, Hospice & Palliat Care Ctr, Seoul, South Korea

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2015年 / 32卷 / 08期

关键词：

advance directives; advance care planning; end-of-life care; palliative care; hospice; cancer; ADVANCE DIRECTIVES; PALLIATIVE CARE; HEART-FAILURE; COMMUNITY; IMPACT; KOREA; POLST;

D O I：

10.1177/1049909114542646

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Most patients and families do not want invasive life-sustaining procedures when recovery is unlikely. We compared the clinical features of advance directives (ADs) of patients with and without cancer. Methods: The ADs were obtained from retrospectively reviewing electronic medical records of 699 consecutive patients who died from April 2011 to July 2012. Results: Patients with cancer were more likely to have written ADs: 265 (85.8%) patients with cancer and 277 (71.0%) noncancer patients (P < .001). Significantly more noncancer patients were in the intensive care unit, indicating that they had received or were receiving invasive treatments. Noncancer patients requested life-sustaining treatment more frequently but symptom control less frequently than patients with cancer. Conclusion: Advance care planning in patients with incurable, noncancer disease is important to guarantee patient autonomy at the end of life.

引用

页码：797 / 801

页数：5

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