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Caregivers' Perspective and Burden of the End-of-Life Phase of Patients with Glioblastoma: A Multicenter Retrospective Study. | LitMetric

Caregivers' Perspective and Burden of the End-of-Life Phase of Patients with Glioblastoma: A Multicenter Retrospective Study.

World Neurosurg

Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, University of Palermo, Palermo, Italy.

Published: December 2024

AI Article Synopsis

  • - Glioblastoma, an aggressive brain tumor common in adults, leads to significant challenges for both patients and caregivers, affecting cognition, behavior, and the caregiving experience.
  • - A study involving 45 glioblastoma patients revealed that caregivers reported high levels of fatigue, sadness, and low quality of life during the patients' end-of-life phase, alongside feelings of burnout and lack of information.
  • - There is a critical need for psychological support and training for caregivers, as well as a multidisciplinary support program to help manage and reduce caregiver burden during this challenging time.

Article Abstract

Background: Glioblastoma is the most common aggressive primary brain tumor in adults. Changes in cognition, personality, and behavior of patients as well as side effects of treatments cause unique challenges for providing care and may impact caregiver burden in different ways.

Methods: This retrospective study included 45 patients with a diagnosis of glioblastoma treated between January 2022 and June 2023 in 2 neurosurgical departments. We investigated the quality of life and the experiences of patients with glioblastoma and caregivers in the end-of-life phase using a validated questionnaire consisting of 38 questions related to the caregiver's view of the patient's terminal phase and another 26 questions regarding caregiver's experiences and emotions during the last 3 months of the patient's life.

Results: Fatigue, reduced consciousness, and sadness were the most common patient symptoms reported by their caregivers. The reported quality of life of caregivers was low and in accordance with the quality of life that they attributed to the patient. Symptoms of burnout and feelings of insufficient information emphasize the urgent need for psychological support and training dedicated to caregivers.

Conclusions: The end-of-life phases of patients with glioblastoma represent a critical factor that significantly affects not only the patient but also the caregiver's burden, caregiving tasks, and time. A multidisciplinary support program is needed to address and improve caregivers' burden.

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Source
http://dx.doi.org/10.1016/j.wneu.2024.08.114DOI Listing

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