AI Article Synopsis
- The study aimed to explore how different quality of life (QoL) aspects impact the level of aggressive medical care received by advanced cancer patients in their final month.
- It involved a cohort of 59 patients and utilized the McGill Quality of Life Questionnaire to assess various QoL domains, revealing that higher interpersonal support was linked to significantly less aggressive end-of-life care.
- The findings suggest that fostering caring relationships might help reduce the intensity of medical interventions for dying patients, highlighting the importance of interpersonal support in enhancing the overall end-of-life experience.
Article Abstract
Purpose: To determine quality of life (QoL) domains in the months leading up to death associated with the receipt of aggressive care in the last month of life among patients with advanced cancer.
Methods: A multisite, prospective cohort study conducted from January 2010 to May 2015 of 59 patients with advanced cancer (distant metastases and/or progression of disease following at least first-line chemotherapy) and poor prognosis (≤ 6 months) followed through death. At baseline, a median of 4 months from death, the McGill Quality of Life Questionnaire measured overall QoL and four QoL domains (i.e., interpersonal support, physical well-being, psychological, and existential). Postmortem data were collected via medical chart review and nurse/caregiver report and combined to capture the aggressiveness of end-of-life (EoL) care in patients' last month of life. Aggressive EoL care was defined as any receipt of care in an intensive care unit, being on a ventilator, or chemotherapy in the last month of life.
Results: Patients with higher interpersonal support domain scores (i.e., rating the world as more "caring and responsive" to their needs and their felt support as more complete) received significantly less aggressive care in their last month of life (odds ratio = 0.39, 95% confidence interval 0.20 to 0.75, p = 0.004).
Conclusion: Perceived interpersonal support is the only QoL domain assessed that was associated with aggressiveness of care in the last month of life for patients with advanced cancer. Prioritizing caring and responsive relationships for patients may decrease receipt of aggressive EoL care.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466437 | PMC |
| http://dx.doi.org/10.1007/s00520-024-08892-7 | DOI Listing |
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