End-of-life communication in advanced cancer: international trends (2009–2014)
Rattachement africain : be, ch, us, nl, it, is. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: To examine trends in end-of-life communication with people with cancer in general practice. METHODS: Mortality follow-back survey among general practitioners (GPs) in representative epidemiological surveillance networks in Belgium (BE), the Netherlands (NL) and Spain (ES) in 2009-2010 (ES: 2010-2011) and 2013-2014. Using a standardised form, GPs registered all deceased adult patients in their practice and reported for five end-of-life care topics whether they had been discussed with the patient. Non-sudden cancer deaths were included (n=2306; BE: 1233; NL: 729; ES: 344). RESULTS: A statistically significant increase was found between 2009/2010 and 2014 in the prevalence of communication about diagnosis (from 84% to 94%) and options for end-of-life care (from 73% to 90%) in BE, and in GPs' awareness of patients' preferences for medical treatment and a proxy decision-maker in BE (from 41% and 20% up to 53% and 28%) and the NL (from 62% and 32% up to 70% and 52%). Communication about options for end-of-life care and psychosocial problems decreased in the NL (from 88% and 91% down to 73%) and ES (from 76% and 77% down to 26% and 39%). CONCLUSION: Considerable change in GP-patient communication seems possible in a relatively short time span, but communication cannot be assumed to increase over time. Increasing specialisation of care and task differentiation may lead to new roles in communication for healthcare providers in primary and secondary care. Improved information sharing between GPs and other healthcare providers may be necessary to ensure that patients have the chance to discuss important end-of-life topics.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- End-of-life communication in advanced cancer: international trends (2009–2014)
- Date Crossref
- 27/04/2020
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Vrije Universiteit Brussel Department of Family Medicine and Chronic Care pays non établi dans la noticeUniversité ou école supérieure
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Ghent University Department of Public Health and Primary Care pays non établi dans la noticeUniversité ou école supérieure
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University of Zurich Biostatistics and Prevention Institute pays non établi dans la noticeUniversité ou école supérieure
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Prevention Institute Epidemiology pays non établi dans la noticeOrganisation à but non lucratif
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Amsterdam University Medical Centers pays non établi dans la noticeÉtablissement de santé
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Vrije Universiteit Amsterdam Department of Public and Occupational Health pays non établi dans la noticeUniversité ou école supérieure
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Sciensano (Belgium) pays non établi dans la noticeEntreprise
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Netherlands Institute for Health Services Research NIVEL Primary Care Database - Sentinel Practices pays non établi dans la noticeOrganisme public
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Ministero della Salute pays non établi dans la noticeOrganisme public
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Directorate of Health pays non établi dans la noticeOrganisme public
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Ghent University Hospital pays non établi dans la noticeÉtablissement de santé
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Department of Family Medicine and Chronic Care pays non établi dans la noticeInstitution
Department of Family Medicine and Chronic Care — Vrije Universiteit Brussel, Department of Public Health and Primary Care — Ghent University et Biostatistics and Prevention Institute — University of Zurich, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.