Religion as a determining factor for invasive care among physicians in end-of-life patients
Objective Describe the knowledge of physicians in an Oncology Clinic and a school hospital, of both the private health network, located in Manaus-AM about palliative care (PC), and define the role of religion in medical care of patients with advanced severe illness, with no disease modifying therapy...
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| Veröffentlicht in: | Supportive care in cancer 2020-02, Vol.28 (2), p.525-529 |
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| creator | dos Anjos, Caroline Souza Borges, Rafaela Melo Campos Chaves, Ananda Castro de Souza Lima, Ana Cecília Pereira, Mateus Biola Melo Gasparoto, Maressa Lenguble Barrioso, Paula Damaris Chagas Fuzita, William Hiromi |
| description | Objective
Describe the knowledge of physicians in an Oncology Clinic and a school hospital, of both the private health network, located in Manaus-AM about palliative care (PC), and define the role of religion in medical care of patients with advanced severe illness, with no disease modifying therapy.
Method
This is a cross-sectional, descriptive, and observational study. After signing the Free and Informed Consent Term, the physicians included completed a professional membership record and answered questions about a hypothetical clinical case through multiple choice answers. The clinical case described a patient with advanced chronic disease not a candidate for disease-modifying therapy in the final phase of life. The questions involved aspects related to nutrition, venous access, and hospitalization in the intensive care unit (ICU).
Results
A total of 31 physicians from different specialties were included. About 67.7% consider their knowledge about PC insufficient, and none of the participants is unaware of this modality of care. The prevalence of invasive behaviors related to patient nutrition, venous access, and indication of ICU and cardiopulmonary resuscitation (CPR) was higher among physicians without religion (HR = 1.84; HR = 2.89; HR = 1.04, respectively) than among those who follow a religion.
Conclusion
Absence of religion is associated with higher invasive behaviors on the part of physicians. Further studies are needed to better define this relationship. |
| doi_str_mv | 10.1007/s00520-019-04846-6 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2231955540</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A611053620</galeid><sourcerecordid>A611053620</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-7a615f34f40bac996ba5f115361200521ada02aeb2ad203c0ec524d0472578b33</originalsourceid><addsrcrecordid>eNqNkV1rFDEUhoModl39A17IgDeCpJ58zexclsUvKAiiV16ETOZkTZlJ1mSmpf_eTKe2KCImhEDO8x5O3peQ5wxOGUDzJgMoDhRYS0HuZE3rB2TDpBC0EaJ9SDbQSkalUOqEPMn5AoA1jeKPyYlgULcKxIZ8-4yDP_gYKpMrU_U4YRp98OFQOWOnmCpXjg-XJvtLrKxJWJkxlvLx-3X21puQS7nC0NPo6OAdVkczeQxTfkoeOTNkfHZ7b8nXd2-_7D_Q80_vP-7PzqmVkk-0MTVTTkgnoTO2bevOKMeYEjXjyw-Z6Q1wgx03PQdhAa3isgfZcNXsOiG25NXa95jijxnzpEefLQ6DCRjnrDkXrFVKSSjoyz_QizinUKYrFGeqLqbs7qmDGVD74OKUjF2a6rOaMSij8aXX6V-osnscvY0BnS_vvwn4KrAp5pzQ6WPyo0nXmoFeEtVrorokqm8S1XURvbideO5G7O8kvyIswOsVuMIuumyL9RbvMLhxcOlaVvF0S3b_T-_9VKKMYR_nMBWpWKW54OGA6d67f8z_E9j3yPo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2221565038</pqid></control><display><type>article</type><title>Religion as a determining factor for invasive care among physicians in end-of-life patients</title><source>MEDLINE</source><source>Springer journals</source><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><creator>dos Anjos, Caroline Souza ; Borges, Rafaela Melo Campos ; Chaves, Ananda Castro ; de Souza Lima, Ana Cecília ; Pereira, Mateus Biola Melo ; Gasparoto, Maressa Lenguble ; Barrioso, Paula Damaris Chagas ; Fuzita, William Hiromi</creator><creatorcontrib>dos Anjos, Caroline Souza ; Borges, Rafaela Melo Campos ; Chaves, Ananda Castro ; de Souza Lima, Ana Cecília ; Pereira, Mateus Biola Melo ; Gasparoto, Maressa Lenguble ; Barrioso, Paula Damaris Chagas ; Fuzita, William Hiromi</creatorcontrib><description>Objective
Describe the knowledge of physicians in an Oncology Clinic and a school hospital, of both the private health network, located in Manaus-AM about palliative care (PC), and define the role of religion in medical care of patients with advanced severe illness, with no disease modifying therapy.
Method
This is a cross-sectional, descriptive, and observational study. After signing the Free and Informed Consent Term, the physicians included completed a professional membership record and answered questions about a hypothetical clinical case through multiple choice answers. The clinical case described a patient with advanced chronic disease not a candidate for disease-modifying therapy in the final phase of life. The questions involved aspects related to nutrition, venous access, and hospitalization in the intensive care unit (ICU).
Results
A total of 31 physicians from different specialties were included. About 67.7% consider their knowledge about PC insufficient, and none of the participants is unaware of this modality of care. The prevalence of invasive behaviors related to patient nutrition, venous access, and indication of ICU and cardiopulmonary resuscitation (CPR) was higher among physicians without religion (HR = 1.84; HR = 2.89; HR = 1.04, respectively) than among those who follow a religion.
Conclusion
Absence of religion is associated with higher invasive behaviors on the part of physicians. Further studies are needed to better define this relationship.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-019-04846-6</identifier><identifier>PMID: 31069503</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Chronic diseases ; Communication ; Cross-Sectional Studies ; Ethical aspects ; Female ; Health Care Sciences & Services ; Hospitalization ; Humans ; Informed Consent ; Intensive Care Units ; Life Sciences & Biomedicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Palliative care ; Palliative Care - methods ; Palliative treatment ; Physicians ; Rehabilitation ; Rehabilitation Medicine ; Religion ; Science & Technology ; Spirituality ; Terminal Care - methods ; Terminal Care - psychology</subject><ispartof>Supportive care in cancer, 2020-02, Vol.28 (2), p.525-529</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Supportive Care in Cancer is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000521052000015</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c442t-7a615f34f40bac996ba5f115361200521ada02aeb2ad203c0ec524d0472578b33</citedby><cites>FETCH-LOGICAL-c442t-7a615f34f40bac996ba5f115361200521ada02aeb2ad203c0ec524d0472578b33</cites><orcidid>0000-0003-0937-7659</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-019-04846-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-019-04846-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,28253,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31069503$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>dos Anjos, Caroline Souza</creatorcontrib><creatorcontrib>Borges, Rafaela Melo Campos</creatorcontrib><creatorcontrib>Chaves, Ananda Castro</creatorcontrib><creatorcontrib>de Souza Lima, Ana Cecília</creatorcontrib><creatorcontrib>Pereira, Mateus Biola Melo</creatorcontrib><creatorcontrib>Gasparoto, Maressa Lenguble</creatorcontrib><creatorcontrib>Barrioso, Paula Damaris Chagas</creatorcontrib><creatorcontrib>Fuzita, William Hiromi</creatorcontrib><title>Religion as a determining factor for invasive care among physicians in end-of-life patients</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>SUPPORT CARE CANCER</addtitle><addtitle>Support Care Cancer</addtitle><description>Objective
Describe the knowledge of physicians in an Oncology Clinic and a school hospital, of both the private health network, located in Manaus-AM about palliative care (PC), and define the role of religion in medical care of patients with advanced severe illness, with no disease modifying therapy.
Method
This is a cross-sectional, descriptive, and observational study. After signing the Free and Informed Consent Term, the physicians included completed a professional membership record and answered questions about a hypothetical clinical case through multiple choice answers. The clinical case described a patient with advanced chronic disease not a candidate for disease-modifying therapy in the final phase of life. The questions involved aspects related to nutrition, venous access, and hospitalization in the intensive care unit (ICU).
Results
A total of 31 physicians from different specialties were included. About 67.7% consider their knowledge about PC insufficient, and none of the participants is unaware of this modality of care. The prevalence of invasive behaviors related to patient nutrition, venous access, and indication of ICU and cardiopulmonary resuscitation (CPR) was higher among physicians without religion (HR = 1.84; HR = 2.89; HR = 1.04, respectively) than among those who follow a religion.
Conclusion
Absence of religion is associated with higher invasive behaviors on the part of physicians. Further studies are needed to better define this relationship.</description><subject>Adult</subject><subject>Chronic diseases</subject><subject>Communication</subject><subject>Cross-Sectional Studies</subject><subject>Ethical aspects</subject><subject>Female</subject><subject>Health Care Sciences & Services</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Informed Consent</subject><subject>Intensive Care Units</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative treatment</subject><subject>Physicians</subject><subject>Rehabilitation</subject><subject>Rehabilitation Medicine</subject><subject>Religion</subject><subject>Science & Technology</subject><subject>Spirituality</subject><subject>Terminal Care - 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methods</topic><topic>Palliative treatment</topic><topic>Physicians</topic><topic>Rehabilitation</topic><topic>Rehabilitation Medicine</topic><topic>Religion</topic><topic>Science & Technology</topic><topic>Spirituality</topic><topic>Terminal Care - methods</topic><topic>Terminal Care - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>dos Anjos, Caroline Souza</creatorcontrib><creatorcontrib>Borges, Rafaela Melo Campos</creatorcontrib><creatorcontrib>Chaves, Ananda Castro</creatorcontrib><creatorcontrib>de Souza Lima, Ana Cecília</creatorcontrib><creatorcontrib>Pereira, Mateus Biola Melo</creatorcontrib><creatorcontrib>Gasparoto, Maressa Lenguble</creatorcontrib><creatorcontrib>Barrioso, Paula Damaris Chagas</creatorcontrib><creatorcontrib>Fuzita, William Hiromi</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Social Science Database (ProQuest)</collection><collection>ProQuest Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>dos Anjos, Caroline Souza</au><au>Borges, Rafaela Melo Campos</au><au>Chaves, Ananda Castro</au><au>de Souza Lima, Ana Cecília</au><au>Pereira, Mateus Biola Melo</au><au>Gasparoto, Maressa Lenguble</au><au>Barrioso, Paula Damaris Chagas</au><au>Fuzita, William Hiromi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Religion as a determining factor for invasive care among physicians in end-of-life patients</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><stitle>SUPPORT CARE CANCER</stitle><addtitle>Support Care Cancer</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>28</volume><issue>2</issue><spage>525</spage><epage>529</epage><pages>525-529</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Objective
Describe the knowledge of physicians in an Oncology Clinic and a school hospital, of both the private health network, located in Manaus-AM about palliative care (PC), and define the role of religion in medical care of patients with advanced severe illness, with no disease modifying therapy.
Method
This is a cross-sectional, descriptive, and observational study. After signing the Free and Informed Consent Term, the physicians included completed a professional membership record and answered questions about a hypothetical clinical case through multiple choice answers. The clinical case described a patient with advanced chronic disease not a candidate for disease-modifying therapy in the final phase of life. The questions involved aspects related to nutrition, venous access, and hospitalization in the intensive care unit (ICU).
Results
A total of 31 physicians from different specialties were included. About 67.7% consider their knowledge about PC insufficient, and none of the participants is unaware of this modality of care. The prevalence of invasive behaviors related to patient nutrition, venous access, and indication of ICU and cardiopulmonary resuscitation (CPR) was higher among physicians without religion (HR = 1.84; HR = 2.89; HR = 1.04, respectively) than among those who follow a religion.
Conclusion
Absence of religion is associated with higher invasive behaviors on the part of physicians. Further studies are needed to better define this relationship.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31069503</pmid><doi>10.1007/s00520-019-04846-6</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-0937-7659</orcidid></addata></record> |
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| ispartof | Supportive care in cancer, 2020-02, Vol.28 (2), p.525-529 |
| issn | 0941-4355 1433-7339 |
| language | eng |
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| source | MEDLINE; Springer journals; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /> |
| subjects | Adult Chronic diseases Communication Cross-Sectional Studies Ethical aspects Female Health Care Sciences & Services Hospitalization Humans Informed Consent Intensive Care Units Life Sciences & Biomedicine Male Medicine Medicine & Public Health Middle Aged Nursing Nursing Research Oncology Original Article Pain Medicine Palliative care Palliative Care - methods Palliative treatment Physicians Rehabilitation Rehabilitation Medicine Religion Science & Technology Spirituality Terminal Care - methods Terminal Care - psychology |
| title | Religion as a determining factor for invasive care among physicians in end-of-life patients |
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