Understanding Disparities in Aggressive Care Preferences Between Patients with Terminal Illness and Their Family Members
We examined the factors associated with the disparity in aggressive care preferences between patients with terminal cancer and their family members. Two hundred forty-four consecutive pairs recruited from three university hospitals participated in this study. Each pair completed questionnaires that...
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| Veröffentlicht in: | Journal of pain and symptom management 2006-06, Vol.31 (6), p.513-521 |
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| container_title | Journal of pain and symptom management |
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| creator | Yun, Young Ho You, Chang Hoon Lee, Jung Suk Park, Sang Min Lee, Kyung Sik Lee, Chang Geol Kim, Susie |
| description | We examined the factors associated with the disparity in aggressive care preferences between patients with terminal cancer and their family members. Two hundred forty-four consecutive pairs recruited from three university hospitals participated in this study. Each pair completed questionnaires that measured two major aggressive care preferences—admission to the intensive care unit (ICU) and the use of cardiopulmonary resuscitation (CPR). Sixty-eight percent of patients and their family members were in agreement regarding admission to the ICU and 71% agreed regarding CPR. Regarding admission to the ICU, younger, unmarried patients and patients who preferred to die in an institution were more likely to have a different preference from their family caregivers. Regarding CPR, younger patients and patients from severely dysfunctional families were more likely to have a different preference from their family caregivers. Elucidation of the factors associated with such disparities should help reduce them. |
| doi_str_mv | 10.1016/j.jpainsymman.2005.11.009 |
| format | Article |
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Two hundred forty-four consecutive pairs recruited from three university hospitals participated in this study. Each pair completed questionnaires that measured two major aggressive care preferences—admission to the intensive care unit (ICU) and the use of cardiopulmonary resuscitation (CPR). Sixty-eight percent of patients and their family members were in agreement regarding admission to the ICU and 71% agreed regarding CPR. Regarding admission to the ICU, younger, unmarried patients and patients who preferred to die in an institution were more likely to have a different preference from their family caregivers. Regarding CPR, younger patients and patients from severely dysfunctional families were more likely to have a different preference from their family caregivers. Elucidation of the factors associated with such disparities should help reduce them.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2005.11.009</identifier><identifier>PMID: 16793491</identifier><identifier>CODEN: JSPME2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; aggressive care ; Biological and medical sciences ; Cardiopulmonary Resuscitation ; Caregivers - psychology ; Critical Care ; Disparity ; Family Relations ; Female ; Health care ; Health inequalities ; Humans ; Male ; Medical sciences ; Middle Aged ; Neoplasms - psychology ; Neoplasms - therapy ; Patient Satisfaction ; Pharmacology. Drug treatments ; preference ; Terminal Care ; terminal illness ; Terminally ill people</subject><ispartof>Journal of pain and symptom management, 2006-06, Vol.31 (6), p.513-521</ispartof><rights>2006 U.S. Cancer Pain Relief Committee</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-acaeaee82b3ea8ed3c78614e519d53c28cd79b1f3e923edf0c3928c2fd5d92923</citedby><cites>FETCH-LOGICAL-c487t-acaeaee82b3ea8ed3c78614e519d53c28cd79b1f3e923edf0c3928c2fd5d92923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpainsymman.2005.11.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17944675$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16793491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yun, Young Ho</creatorcontrib><creatorcontrib>You, Chang Hoon</creatorcontrib><creatorcontrib>Lee, Jung Suk</creatorcontrib><creatorcontrib>Park, Sang Min</creatorcontrib><creatorcontrib>Lee, Kyung Sik</creatorcontrib><creatorcontrib>Lee, Chang Geol</creatorcontrib><creatorcontrib>Kim, Susie</creatorcontrib><title>Understanding Disparities in Aggressive Care Preferences Between Patients with Terminal Illness and Their Family Members</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>We examined the factors associated with the disparity in aggressive care preferences between patients with terminal cancer and their family members. Two hundred forty-four consecutive pairs recruited from three university hospitals participated in this study. Each pair completed questionnaires that measured two major aggressive care preferences—admission to the intensive care unit (ICU) and the use of cardiopulmonary resuscitation (CPR). Sixty-eight percent of patients and their family members were in agreement regarding admission to the ICU and 71% agreed regarding CPR. Regarding admission to the ICU, younger, unmarried patients and patients who preferred to die in an institution were more likely to have a different preference from their family caregivers. Regarding CPR, younger patients and patients from severely dysfunctional families were more likely to have a different preference from their family caregivers. Elucidation of the factors associated with such disparities should help reduce them.</description><subject>Adult</subject><subject>Aged</subject><subject>aggressive care</subject><subject>Biological and medical sciences</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Caregivers - psychology</subject><subject>Critical Care</subject><subject>Disparity</subject><subject>Family Relations</subject><subject>Female</subject><subject>Health care</subject><subject>Health inequalities</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Patient Satisfaction</subject><subject>Pharmacology. Drug treatments</subject><subject>preference</subject><subject>Terminal Care</subject><subject>terminal illness</subject><subject>Terminally ill people</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkcFOGzEQhi1UVFLaV0Duob3tYq_Xu_aRBihIoHIIZ8uxZ8NEu05qb6B5exwlEr3ByZL9_TPj-Qj5zlnJGW_Ol-VybTGk7TDYUFaMyZLzkjF9RCZctaJoJBefyIQpJQuhq_qEfElpyTIoGvGZnPCm1aLWfEL-PQYPMY02eAwLeolpbSOOCIlioBeLRYSU8Bno1EagDxE6iBBcfv4F4wtAoA8202FM9AXHJzqDOGCwPb3t-5CjNBemsyfASK_tgP2W3sMwzx2_kuPO9gm-Hc5T8nh9NZveFHd_ft9OL-4KV6t2LKyzYAFUNRdgFXjhWtXwGiTXXgpXKedbPeedAF0J8B1z-b_KVZ2XXlf57pT83Nddx9XfDaTRDJgc9L0NsNok0yjZaFG9D8qWCSVknUG9B11cpZQ3YtYRBxu3hjOz82OW5j8_ZufHcG6yn5w9OzTZzAfwb8mDkAz8OAA2Odt30QaH6Y1rdV03rczcdM9B3t0zQjTJ4U6MxwhuNH6FHxjnFZUAt1k</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Yun, Young Ho</creator><creator>You, Chang Hoon</creator><creator>Lee, Jung Suk</creator><creator>Park, Sang Min</creator><creator>Lee, Kyung Sik</creator><creator>Lee, Chang Geol</creator><creator>Kim, Susie</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20060601</creationdate><title>Understanding Disparities in Aggressive Care Preferences Between Patients with Terminal Illness and Their Family Members</title><author>Yun, Young Ho ; You, Chang Hoon ; Lee, Jung Suk ; Park, Sang Min ; Lee, Kyung Sik ; Lee, Chang Geol ; Kim, Susie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-acaeaee82b3ea8ed3c78614e519d53c28cd79b1f3e923edf0c3928c2fd5d92923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>aggressive care</topic><topic>Biological and medical sciences</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Caregivers - psychology</topic><topic>Critical Care</topic><topic>Disparity</topic><topic>Family Relations</topic><topic>Female</topic><topic>Health care</topic><topic>Health inequalities</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Patient Satisfaction</topic><topic>Pharmacology. Drug treatments</topic><topic>preference</topic><topic>Terminal Care</topic><topic>terminal illness</topic><topic>Terminally ill people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yun, Young Ho</creatorcontrib><creatorcontrib>You, Chang Hoon</creatorcontrib><creatorcontrib>Lee, Jung Suk</creatorcontrib><creatorcontrib>Park, Sang Min</creatorcontrib><creatorcontrib>Lee, Kyung Sik</creatorcontrib><creatorcontrib>Lee, Chang Geol</creatorcontrib><creatorcontrib>Kim, Susie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yun, Young Ho</au><au>You, Chang Hoon</au><au>Lee, Jung Suk</au><au>Park, Sang Min</au><au>Lee, Kyung Sik</au><au>Lee, Chang Geol</au><au>Kim, Susie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding Disparities in Aggressive Care Preferences Between Patients with Terminal Illness and Their Family Members</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>31</volume><issue>6</issue><spage>513</spage><epage>521</epage><pages>513-521</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><coden>JSPME2</coden><abstract>We examined the factors associated with the disparity in aggressive care preferences between patients with terminal cancer and their family members. 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Elucidation of the factors associated with such disparities should help reduce them.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16793491</pmid><doi>10.1016/j.jpainsymman.2005.11.009</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged aggressive care Biological and medical sciences Cardiopulmonary Resuscitation Caregivers - psychology Critical Care Disparity Family Relations Female Health care Health inequalities Humans Male Medical sciences Middle Aged Neoplasms - psychology Neoplasms - therapy Patient Satisfaction Pharmacology. Drug treatments preference Terminal Care terminal illness Terminally ill people |
| title | Understanding Disparities in Aggressive Care Preferences Between Patients with Terminal Illness and Their Family Members |
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