Discussing prognosis and the end of life with patients with advanced cancer or COPD: A qualitative study
To explore patients' experiences and recommendations for discussions about their prognosis and end of life with their physicians. During interviews with fourteen patients (median age 64 years), we identified the following themes for discussion about prognosis and the end of life: topics discuss...
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| Veröffentlicht in: | PloS one 2022-09, Vol.17 (9), p.e0274201-e0274201 |
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| creator | Owusuaa, Catherine van Lent, Liza G. G van 't Spijker, Adriaan van der Rijt, Carin C. D van der Heide, Agnes |
| description | To explore patients' experiences and recommendations for discussions about their prognosis and end of life with their physicians. During interviews with fourteen patients (median age 64 years), we identified the following themes for discussion about prognosis and the end of life: topics discussed, the timing, the setting, physician-patient relationship, responsibilities for clinicians, and recommendations. Patients preferred the physician to initiate such discussion, but wanted to decide about its continuation and content. The discussions were facilitated by an established physician-patient relationship or attendance of relatives. Patients with cancer had had discussions about prognosis at rather clear-cut moments of deterioration than patients with COPD. Patients with COPD did not consider end-of-life discussions a responsibility of the pulmonologist. Patients recommended an understandable message, involvement of relatives or other clinicians, sufficient time, and sensitive non-verbal communication. |
| doi_str_mv | 10.1371/journal.pone.0274201 |
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G ; van 't Spijker, Adriaan ; van der Rijt, Carin C. D ; van der Heide, Agnes</creator><contributor>Bongomin, Felix</contributor><creatorcontrib>Owusuaa, Catherine ; van Lent, Liza G. G ; van 't Spijker, Adriaan ; van der Rijt, Carin C. D ; van der Heide, Agnes ; Bongomin, Felix</creatorcontrib><description>To explore patients' experiences and recommendations for discussions about their prognosis and end of life with their physicians. During interviews with fourteen patients (median age 64 years), we identified the following themes for discussion about prognosis and the end of life: topics discussed, the timing, the setting, physician-patient relationship, responsibilities for clinicians, and recommendations. Patients preferred the physician to initiate such discussion, but wanted to decide about its continuation and content. The discussions were facilitated by an established physician-patient relationship or attendance of relatives. Patients with cancer had had discussions about prognosis at rather clear-cut moments of deterioration than patients with COPD. Patients with COPD did not consider end-of-life discussions a responsibility of the pulmonologist. Patients recommended an understandable message, involvement of relatives or other clinicians, sufficient time, and sensitive non-verbal communication.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0274201</identifier><identifier>PMID: 36084060</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Cancer ; Chronic obstructive pulmonary disease ; End of life ; Family physicians ; Illnesses ; Interviews ; Life expectancy ; Lung diseases ; Lung diseases, Obstructive ; Medical prognosis ; Medical research ; Medicine and Health Sciences ; Obstructive lung disease ; Patient outcomes ; Patients ; People and Places ; Physicians ; Prognosis ; Qualitative analysis ; Qualitative research ; R&D ; Research & development ; Verbal communication</subject><ispartof>PloS one, 2022-09, Vol.17 (9), p.e0274201-e0274201</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Owusuaa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Patients with cancer had had discussions about prognosis at rather clear-cut moments of deterioration than patients with COPD. Patients with COPD did not consider end-of-life discussions a responsibility of the pulmonologist. Patients recommended an understandable message, involvement of relatives or other clinicians, sufficient time, and sensitive non-verbal communication.</description><subject>Cancer</subject><subject>Chronic obstructive pulmonary disease</subject><subject>End of life</subject><subject>Family physicians</subject><subject>Illnesses</subject><subject>Interviews</subject><subject>Life expectancy</subject><subject>Lung diseases</subject><subject>Lung diseases, Obstructive</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Obstructive lung disease</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Prognosis</subject><subject>Qualitative analysis</subject><subject>Qualitative research</subject><subject>R&D</subject><subject>Research & development</subject><subject>Verbal communication</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12PEyEUhidG466r_8BEEhOjF60wUJjxwqTp-tFkkxq_bgkDzAwNhS4w1f33UjuaHbMXhovDx8ML54VTFE8RnCPM0OutH4ITdr73Ts9hyUgJ0b3iHNW4nNES4vu3-mfFoxi3EC5wRenD4gxTWBFI4XnRX5oohxiN68A--M75aCIQToHUa6Bz9C2wptXgh0k92ItktEvxNBLqIJzUCshjCMAHsNp8unwDluB6ENakTB80iGlQN4-LB62wUT8Z40Xx7f27r6uPs6vNh_VqeTWTlNZpRoSQFWx1wyjSkhDYCtXSEldMSdzkNEUlm4UqVYVFzmKhGKVKIqRUreu2KfFF8eyku7c-8tGkyEuGSkzqmsJMrE-E8mLL98HsRLjhXhj-e8KHjouQjLSaNyUikLGSYEKzv7BZ1KipGK0QobCpj1pvx9OGZqeVzN4EYSei0xVnet75A68JzVciWeDlKBD89aBj4rv8INpa4bQfTveuCKGYZfT5P-jd2Y1UJ3ICxrU-nyuPonzJEGUQ4kWVqfkdVG5K74zMP6o1eX6y4dVkQ2aS_pk6kf8OX3_5_P_s5vuUfXGL7bWwqY_eDsl4F6cgOYEy-BiDbv-ajCA_FsQfN_ixIPhYEPgXaHX6fQ</recordid><startdate>20220909</startdate><enddate>20220909</enddate><creator>Owusuaa, Catherine</creator><creator>van Lent, Liza G. 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| subjects | Cancer Chronic obstructive pulmonary disease End of life Family physicians Illnesses Interviews Life expectancy Lung diseases Lung diseases, Obstructive Medical prognosis Medical research Medicine and Health Sciences Obstructive lung disease Patient outcomes Patients People and Places Physicians Prognosis Qualitative analysis Qualitative research R&D Research & development Verbal communication |
| title | Discussing prognosis and the end of life with patients with advanced cancer or COPD: A qualitative study |
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