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Information of imminent death or not: does it make a difference?
Umeå universitet, Medicinska fakulteten, Institutionen för strålningsvetenskaper, Onkologi.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för strålningsvetenskaper, Onkologi.
2011 (Engelska)Ingår i: Journal of Clinical Oncology, ISSN 0732-183X, E-ISSN 1527-7755, Vol. 29, nr 29, s. 3927-3931Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: This study examines whether end-of-life care for patients with cancer who were informed about imminent death differs from care for those patients with cancer who were not informed.

Patients and Methods: This study included all cancer deaths between 2006 and 2008 for which the patient did not lose his or her decision-making capacities until hours or days before death (N=13,818). These patients were taken from a national quality register for end-of-life care. The majority of the patients—91% (n=12,609) —had been given information about imminent death; 9% (n=1,209) had not been informed. Because of the difference in sample size, a matching procedure was performed to minimize bias. This resulted in a comparison of 1,191 informed and 1,191 uniformed patients. Nonparametric methods were used for statistical analyses.

Results: Informed patients significantly more often had parenteral drugs prescribed as needed (ie, PRN), had his or her family informed, died in his or her preferred place, and had family who were offered bereavement support. There was no difference in symptom control (ie, pain, anxiety, confusion, nausea, and respiratory tract secretions) between the groups.

Conclusion: Providing information of imminent death to a patient with cancer at the end of life does not seem to increase pain or anxiety, but it does seem to be associated with improved care and to increase the likelihood of fulfilling the principles of a good death.

Ort, förlag, år, upplaga, sidor
Orlando, FL: Grune & Stratton , 2011. Vol. 29, nr 29, s. 3927-3931
Nationell ämneskategori
Cancer och onkologi
Identifikatorer
URN: urn:nbn:se:umu:diva-48715DOI: 10.1200/JCO.2011.34.6247PubMedID: 21911715OAI: oai:DiVA.org:umu-48715DiVA, id: diva2:451878
Tillgänglig från: 2011-10-27 Skapad: 2011-10-27 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
Ingår i avhandling
1. Breakpoint communication about transition to end-of-life care: context, content and consequences
Öppna denna publikation i ny flik eller fönster >>Breakpoint communication about transition to end-of-life care: context, content and consequences
2013 (Engelska)Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Umeå: Umeå Universitet, 2013. s. 68
Nyckelord
communication, end-of-life care, cancer, transition, medical record study, register study
Nationell ämneskategori
Cancer och onkologi
Forskningsämne
onkologi
Identifikatorer
urn:nbn:se:umu:diva-79471 (URN)978-91-7459-620-5 (ISBN)
Presentation
2013-05-24, Skiffersalen, Norrlands Universitetssjukhus, Umeå, 07:29 (Svenska)
Opponent
Handledare
Tillgänglig från: 2013-08-26 Skapad: 2013-08-20 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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Lundquist, GunillaRasmussen Holritz, BirgitAxelsson, Bertil

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Journal of Clinical Oncology
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