Variability in the perception of palliative care and end-of-life care among hematology professionals from the same reference center in Bahia, Brazil : A descriptive cross-sectional study
BACKGROUND: There are several illness-specific cultural and system-based barriers to palliative care (PC) integration and end-of-life (EOL) care in the field of oncohematology.
OBJECTIVES: This study aimed to investigate the variability in the perceptions of PC and EOL care.
DESIGN AND SETTING: A cross-sectional study was conducted in the Hematology Division of our University Hospital in Salvador, Bahia, Brazil.
METHODS: Twenty physicians responded to a sociodemographic questionnaire and an adaptation of clinical questionnaires used in previous studies from October to December 2022.
RESULTS: The median age of the participants was 44 years, 80% of the participants identified as female, and 75% were hematologists. Participants faced a hypothetical scenario involving the treatment of a 65-year-old female with a poor prognosis acute myeloid leukemia refractory to first-line treatment. Sixty percent of the participants chose to follow other chemotherapy regimens, whereas 40% opted for PC. Next, participants considered case salvage for the patient who developed septic shock following chemotherapy and were prompted to choose their most probable conduct, and the conduct they thought would be better for the patient. Even though participants were from the same center, we found a divergence from the most probable conduct among 40% of the participants, which was due to personal convictions, legal aspects, and other physicians' reactions.
CONCLUSIONS: We found considerable differences in the perception of PC and EOL care among professionals, despite following the same protocols. The study also demonstrated variations between healthcare professionals' beliefs and practices and persistent historical tendencies to prioritize aggressive interventions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:142 |
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| Enthalten in: |
Sao Paulo medical journal = Revista paulista de medicina - 142(2024), 4 vom: 01., Seite e2023225 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Paim Miranda, Diego Lopes [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 04.03.2024 Date Revised 12.03.2024 published: Electronic-eCollection Citation Status MEDLINE |
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| doi: |
10.1590/1516-3180.2023.0255.R1.29112023 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369121457 |
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| 100 | 1 | |a Paim Miranda, Diego Lopes |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Variability in the perception of palliative care and end-of-life care among hematology professionals from the same reference center in Bahia, Brazil |b A descriptive cross-sectional study |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Completed 04.03.2024 | ||
| 500 | |a Date Revised 12.03.2024 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: There are several illness-specific cultural and system-based barriers to palliative care (PC) integration and end-of-life (EOL) care in the field of oncohematology | ||
| 520 | |a OBJECTIVES: This study aimed to investigate the variability in the perceptions of PC and EOL care | ||
| 520 | |a DESIGN AND SETTING: A cross-sectional study was conducted in the Hematology Division of our University Hospital in Salvador, Bahia, Brazil | ||
| 520 | |a METHODS: Twenty physicians responded to a sociodemographic questionnaire and an adaptation of clinical questionnaires used in previous studies from October to December 2022 | ||
| 520 | |a RESULTS: The median age of the participants was 44 years, 80% of the participants identified as female, and 75% were hematologists. Participants faced a hypothetical scenario involving the treatment of a 65-year-old female with a poor prognosis acute myeloid leukemia refractory to first-line treatment. Sixty percent of the participants chose to follow other chemotherapy regimens, whereas 40% opted for PC. Next, participants considered case salvage for the patient who developed septic shock following chemotherapy and were prompted to choose their most probable conduct, and the conduct they thought would be better for the patient. Even though participants were from the same center, we found a divergence from the most probable conduct among 40% of the participants, which was due to personal convictions, legal aspects, and other physicians' reactions | ||
| 520 | |a CONCLUSIONS: We found considerable differences in the perception of PC and EOL care among professionals, despite following the same protocols. The study also demonstrated variations between healthcare professionals' beliefs and practices and persistent historical tendencies to prioritize aggressive interventions | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Orathes Ponte Silva, Alini Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Pereira Ferreira, David |e verfasserin |4 aut | |
| 700 | 1 | |a Teixeira da Silva, Laís |e verfasserin |4 aut | |
| 700 | 1 | |a Lins-Kusterer, Liliane |e verfasserin |4 aut | |
| 700 | 1 | |a Queiroz Crusoé, Edvan de |e verfasserin |4 aut | |
| 700 | 1 | |a Vieira Lima, Marianna Batista |e verfasserin |4 aut | |
| 700 | 1 | |a Aurélio Salvino, Marco |e verfasserin |4 aut | |
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