Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Palliat Med. 2000 Spring;3(1):27-35.

Paradoxes in cancer patients' advance care planning.

Author information

  • 1Section of the Hematology/Oncology, Robert Wood Johnson Clinical Scholars' Program, The University of Chicago, Chicago, Illinois, USA. elamont@medicine.bsd.uchicago.edu

Abstract

PURPOSE:

To determine the frequency of advance care planning (ACP) in hospitalized cancer patients and to assess their reactions to a proposed policy in which medical housestaff would offer to discuss ACP at the time of hospital admission.

METHODS:

Structured interviews with 111 consecutively admitted cancer patients on the oncology inpatient service of a tertiary care medical center.

RESULTS:

We found that 69% (77/111) of patients had discussed their advance care preferences with someone, usually a family member, and 33% (37/111) had completed at least one formal advance directive (e.g., a living will or durable power of attorney for health care); 32% (36/111) had done both; and 30% (33/111) had done neither. However, only 9% (10/111) of patients reported having discussed their advance care preferences with their clinic oncologists and only 23% (23/101) of the remaining patients stated that they wished to do so. By contrast, 58% (64/110) of patients supported a policy in which medical housestaff would offer to discuss these advance care preferences as a part of the admission history.

CONCLUSIONS:

Our data suggest that while oncology inpatients frequently have ACPs that they discuss with family and/or document in formal advance directives, they rarely discuss or wish to discuss these ACPs with clinic oncologists. We also show that most of the reticent patients would nevertheless consider discussing the same ACPs with admitting housestaff on the day of hospital admission.

Comment in

PMID:
15859719
[PubMed]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Mary Ann Liebert, Inc.
    Loading ...
    Write to the Help Desk