A Comparison of Palliative Care Perceptions Across Metastatic Spine Patients and the General Population.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of palliative medicine Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI:10.1089/jpm.2024.0082
Tara Dalton, Harrison Hockenberry, Kelly Murphy, Meghan Price, Brandon Bishop, Edwin Owolo, Jacob Sperber, Antionette Charles, Dana Rowe, Eli Johnson, Elise Fricklas, Margaret O Johnson, C Rory Goodwin
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Abstract

Background: Palliative care (PC) has been shown to benefit patients with metastatic cancer by managing symptoms, improving quality of life, and facilitating advance care planning. Despite this, PC is often misunderstood and underutilized. Objective: To deepen our understanding of PC barriers seen among the spine metastasis population. Design/Setting: Between March 2021 and August 2022, people with metastatic spine tumors (MSTs) at a multidisciplinary oncology clinic were administered a survey on PC prior to their scheduled appointment. These responses were compared with the Health Information National Trends Survey 5 (HINTS 5), which is a validated survey created by the National Cancer Institute between February and June of 2020. Chi-squared statistical analysis was used. Results: Fifty-six people with MST were compared with 3795 patients from the HINTS 5 database. People with MST reported a significantly higher baseline understanding of PC when compared with the general population (GP) (chi-squared = 34.4, p = <0.0001). People with MST had a higher frequency of disagreement with the statement "PC is equivalent with death" when compared with the GP (chi-squared = 12.8, p = 0.0124). Over 25% of the MST group reported no understanding of PC. Conclusion: MST patients are often referred to PC services due to the extreme symptom burden of their disease. Based on this study, in comparison to the GP, people with MST tended to have a more accurate and well-adjusted perception of the goals and functions of PC. Although reassuring, there remains a high proportion of patients who have no knowledge of PC, and groups erroneously associated PC with hospice status.

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转移性脊柱病患者与普通人群对姑息治疗认知的比较。
背景:事实证明,姑息治疗(PC)可通过控制症状、改善生活质量和促进预先护理计划,使转移性癌症患者受益。尽管如此,姑息治疗常常被误解,利用率也不高。目的:加深我们对脊柱转移人群中存在的 PC 障碍的了解。设计/设置:2021 年 3 月至 2022 年 8 月期间,在一家多学科肿瘤诊所就诊的脊柱转移性肿瘤(MSTs)患者在预约就诊前接受了有关个人护理规划的调查。这些回答将与美国国家癌症研究所于 2020 年 2 月至 6 月进行的第 5 次全国健康信息趋势调查(HINTS 5)进行比较。采用了卡方统计分析。结果56 名 MST 患者与 HINTS 5 数据库中的 3795 名患者进行了比较。与普通人群(GP)相比,MST 患者对 PC 的基线了解程度明显更高(chi-squared = 34.4,p = p = 0.0124)。超过 25% 的 MST 群体表示不了解 PC。结论:尖锐湿疣患者由于其疾病的症状极为严重,通常会被转介到 PC 服务机构。根据这项研究,与全科医生相比,MST 患者往往对 PC 的目标和功能有更准确、更全面的认识。尽管令人欣慰的是,仍有很大一部分患者对 PC 一无所知,他们错误地将 PC 与临终关怀联系在一起。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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