Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers
Q2
- Autores:
-
Arango Gutiérrez, Angélica María
Moreno, Socorro
Rondon, Martin
Arroyo Castillo, Lucía Inés
Ardila Rodriguez, Liliana Sandra
Leal Arenas, Fabián Alexander
Calvache, José A.
de Vries, Esther
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2023
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/65362
- Acceso en línea:
- https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-023-01148-x#citeas
http://hdl.handle.net/10554/65362
https://doi.org/10.1186/s12904-023-01148-x
- Palabra clave:
- Suffering
Neoplasms
Caregivers
Medical futility
Palliative care
End of life
Communication
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
| id |
JAVERIANA2_ebdc744070ed27a07b17c0f5ce08665b |
|---|---|
| oai_identifier_str |
oai:repository.javeriana.edu.co:10554/65362 |
| network_acronym_str |
JAVERIANA2 |
| network_name_str |
Repositorio Universidad Javeriana |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| title |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| spellingShingle |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers Suffering Neoplasms Caregivers Medical futility Palliative care End of life Communication |
| title_short |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| title_full |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| title_fullStr |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| title_full_unstemmed |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| title_sort |
Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers |
| dc.creator.fl_str_mv |
Arango Gutiérrez, Angélica María Moreno, Socorro Rondon, Martin Arroyo Castillo, Lucía Inés Ardila Rodriguez, Liliana Sandra Leal Arenas, Fabián Alexander Calvache, José A. de Vries, Esther |
| dc.contributor.author.none.fl_str_mv |
Arango Gutiérrez, Angélica María Moreno, Socorro Rondon, Martin Arroyo Castillo, Lucía Inés Ardila Rodriguez, Liliana Sandra Leal Arenas, Fabián Alexander Calvache, José A. de Vries, Esther |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística |
| dc.contributor.javerianateacher.none.fl_str_mv |
Moreno, Socorro Rondon, Martin de Vries, Esther |
| dc.subject.keyword.spa.fl_str_mv |
Suffering Neoplasms Caregivers Medical futility Palliative care End of life Communication |
| topic |
Suffering Neoplasms Caregivers Medical futility Palliative care End of life Communication |
| description |
Q2 |
| publishDate |
2023 |
| dc.date.accessioned.none.fl_str_mv |
2023-08-31T14:52:48Z |
| dc.date.available.none.fl_str_mv |
2023-08-31T14:52:48Z |
| dc.date.created.none.fl_str_mv |
2023-04-21 |
| dc.type.local.spa.fl_str_mv |
Artículo de revista |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.identifier.spa.fl_str_mv |
https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-023-01148-x#citeas |
| dc.identifier.issn.spa.fl_str_mv |
1472-684X |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/65362 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1186/s12904-023-01148-x |
| dc.identifier.instname.spa.fl_str_mv |
instname:Pontificia Universidad Javeriana |
| dc.identifier.reponame.spa.fl_str_mv |
reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
| dc.identifier.repourl.spa.fl_str_mv |
repourl:https://repository.javeriana.edu.co |
| url |
https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-023-01148-x#citeas http://hdl.handle.net/10554/65362 https://doi.org/10.1186/s12904-023-01148-x |
| identifier_str_mv |
1472-684X instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
1 |
| dc.relation.citationendpage.spa.fl_str_mv |
12 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
BMC Palliative Care |
| dc.relation.citationvolume.spa.fl_str_mv |
22 |
| dc.rights.licence.*.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
| dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
| dc.rights.coar.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| rights_invalid_str_mv |
Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
| dc.format.spa.fl_str_mv |
PDF |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.coverage.spatial.spa.fl_str_mv |
Colombia |
| dc.coverage.temporal.spa.fl_str_mv |
2019-2020 |
| dc.coverage.city.spa.fl_str_mv |
Bogotá (Colombia) Popayán (Colombia) |
| institution |
Pontificia Universidad Javeriana |
| bitstream.url.fl_str_mv |
http://repository.javeriana.edu.co/bitstream/10554/65362/1/Factors%20associated%20with%20suffering%20from%20dying%20in%20patients%20with%20cancer%20a%20cross-sectional%20analytical%20study%20among%20bereaved%20c.pdf http://repository.javeriana.edu.co/bitstream/10554/65362/2/license.txt http://repository.javeriana.edu.co/bitstream/10554/65362/3/Factors%20associated%20with%20suffering%20from%20dying%20in%20patients%20with%20cancer%20a%20cross-sectional%20analytical%20study%20among%20bereaved%20c.pdf.jpg |
| bitstream.checksum.fl_str_mv |
589f5db22b8359cd44b7d6c81dc223f9 2070d280cc89439d983d9eee1b17df53 e4fe3bad462a6c79f3a703a2a366f099 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Institucional - Pontificia Universidad Javeriana |
| repository.mail.fl_str_mv |
repositorio@javeriana.edu.co |
| _version_ |
1811670714961362944 |
| spelling |
Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Arango Gutiérrez, Angélica MaríaMoreno, SocorroRondon, MartinArroyo Castillo, Lucía InésArdila Rodriguez, Liliana SandraLeal Arenas, Fabián AlexanderCalvache, José A.de Vries, EstherPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y BioestadísticaMoreno, SocorroRondon, Martinde Vries, EstherColombia2019-2020Bogotá (Colombia)Popayán (Colombia)2023-08-31T14:52:48Z2023-08-31T14:52:48Z2023-04-21https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-023-01148-x#citeas1472-684Xhttp://hdl.handle.net/10554/65362https://doi.org/10.1186/s12904-023-01148-xinstname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengFactors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregiversArtículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1Q2Q1Pacientes con CáncerCuidadores de pacientes con CáncerBackground: In Colombia, cancer incidence is increasing, as is the demand for end-of-life care. Understanding how patients who die from cancer experience this phase will allow the identification of factors associated with greater suffering and actions to improve end-of-life care. We aimed to explore associations between the level of suffering of patients who died from cancer and were cared for in three Colombian hospitals with patient, tumor, treatment, and care characteristics and provided information. Methods: Data on the last week of life and level of suffering were collected through proxies: Bereaved caregivers of patients who died from cancer in three participating Colombian hospitals. Bereaved caregivers participated in a phone interview and answered a series of questions regarding the last week of the patient’s life. An ordinal logistic regression model explored the relationship between the level of suffering reported by bereaved caregivers with the patient’s demographic and clinical characteristics, the bereaved caregivers, and the care received. Multivariate analyses were adjusted for place of death, treatments to prolong of life, prolongation of life during the dying process, suffering due to prolongation of life, type of cancer, age, if patient had partner, rural/urban residence of patient, importance of religion for the caregiver, caregivers´ relationship with the patient, and co-living with the patient. Results: A total of 174 interviews were included. Median age of the deceased patients was 64 years (IQR 52–72 years), and 93 patients were women (53.4%). Most caregivers had rated the level of suffering of their relative as “moderately to extremely” (n = 139, 80%). In multivariate analyses, factors associated with a higher level of suffering were: unclear information about the treatment and the process before death Odds Ratio (OR) 2.26 (90% CI 1.21–4.19), outpatient palliative care versus home care OR 3.05 (90% CI 1.05–8.88), procedures inconsistent with the patient’s wishes OR 2.92 (90% CI 1.28–6.70), and a younger age (18–44 years) at death versus the oldest age group (75–93 years) OR 3.80 (90% CI 1.33–10.84, p = 0.04). Conclusion: End-of-life care for cancer patients should be aligned as much as possible with patients´ wishes, needs, and capacities. A better dialogue between doctors, family members, and patients is necessary to achieve this.https://orcid.org/0000-0002-2980-6847https://orcid.org/0000-0002-4119-4409https://orcid.org/0000-0002-3885-5448https://orcid.org/0000-0002-1261-6297https://orcid.org/0000-0002-3686-7269https://orcid.org/0000-0003-0284-2423https://orcid.org/0000-0002-5560-2258Revista Internacional - IndexadaA1NoSufferingNeoplasmsCaregiversMedical futilityPalliative careEnd of lifeCommunication112BMC Palliative Care22ORIGINALFactors associated with suffering from dying in patients with cancer a cross-sectional analytical study among bereaved c.pdfFactors associated with suffering from dying in patients with cancer a cross-sectional analytical study among bereaved c.pdfArtículoapplication/pdf1348707http://repository.javeriana.edu.co/bitstream/10554/65362/1/Factors%20associated%20with%20suffering%20from%20dying%20in%20patients%20with%20cancer%20a%20cross-sectional%20analytical%20study%20among%20bereaved%20c.pdf589f5db22b8359cd44b7d6c81dc223f9MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/65362/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILFactors associated with suffering from dying in patients with cancer a cross-sectional analytical study among bereaved c.pdf.jpgFactors associated with suffering from dying in patients with cancer a cross-sectional analytical study among bereaved c.pdf.jpgIM Thumbnailimage/jpeg9613http://repository.javeriana.edu.co/bitstream/10554/65362/3/Factors%20associated%20with%20suffering%20from%20dying%20in%20patients%20with%20cancer%20a%20cross-sectional%20analytical%20study%20among%20bereaved%20c.pdf.jpge4fe3bad462a6c79f3a703a2a366f099MD53open access10554/65362oai:repository.javeriana.edu.co:10554/653622023-09-01 03:03:54.067Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |