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40
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Dublin Core
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Title
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2019 Oncology List
Text
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Citation List Month
Oncology 2019 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2019.04.033" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2019.04.033</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Preferences regarding end-of-life care among adolescents and young adults with cancer: results from a comprehensive multicenter survey in Japan
Publisher
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Journal of Pain and Symptom Management
Date
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2019
Subject
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Adolescent and young adult; adult; adverse drug reaction; anxiety; article; cancer; cancer prognosis; cancer survival; cancer survivor; cancer therapy; chemotherapy; child; controlled study; end-of-life care; female; health care personnel; human; Japan; major clinical study; male; multicenter study; palliative therapy; patient history of chemotherapy; preference; prognostic disclosure; questionnaire; side effect; terminal care; young adult
Creator
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Hirano H; Shimizu C; Kawachi A; Ozawa M; Higuchi A; Yoshida S; Shimizu K; Tatara R; Horibe K
Description
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CONTEXT: Patient preferences influence end-of-life (EOL) care which patients receive. However, preferences regarding EOL care among adolescent and young adult (AYA) cancer population remain unclear. OBJECTIVE(S): The objective of the study was to evaluate preferences regarding EOL care among AYA cancer population. METHOD(S): We evaluated preferences regarding EOL care as a part of a comprehensive multicenter questionnaire study investigating the experience and needs of Japanese AYA cancer population. RESULT(S): A total of 349 AYA cancer population (213 AYA cancer patients and 136 AYA cancer survivors) were evaluated. Eighteen six percent (296/344), 53% (180/338), 88% (301/341) and 61% (207/342) of participants with valid response preferred to have prognostic disclosure, receive palliative chemotherapy for incurable cancer with limited efficacy at the expense of considerable toxicity, actively use palliative care and stay home at EOL, respectively. In multivariate analysis, the preference regarding prognostic disclosure was associated positively with no child status (OR = 3.05, p = 0.003) and negatively with history of chemotherapy (OR = 0.23, p = 0.009), the preference regarding palliative chemotherapy for incurable cancer with limited efficacy at the expense of considerable toxicity was associated positively with status under active cancer treatment (OR = 1.74, p = 0.03) and the preference of staying home at EOL was positively associated with anxiety (OR = 1.72, p = 0.04). CONCLUSION(S): This study elucidated preferences regarding EOL care among Japanese AYA cancer population. These findings may help health care practitioners to have better understanding of preferences regarding EOL care among this population. Copyright © 2019. Published by Elsevier Inc.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2019.04.033" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2019.04.033</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
adolescent and young adult
Adult
Adverse Drug Reaction
anxiety
Article
Cancer
Cancer Prognosis
Cancer Survival
cancer survivor
Cancer Therapy
Chemotherapy
Child
Controlled Study
End-of-life Care
Female
Health Care Personnel
Higuchi A
Hirano H
Horibe K
Human
Japan
Journal of Pain and Symptom Management
Kawachi A
Major Clinical Study
Male
Multicenter Study
Oncology 2019 List
Ozawa M
Palliative Therapy
patient history of chemotherapy
preference
Prognostic Disclosure
Questionnaire
Shimizu C
Shimizu K
Side Effect
Tatara R
Terminal Care
Yoshida S
Young Adult
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
2018 Oncology List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Oncology 2018 List
URL Address
<a href="http://doi.org/10.1007/s00520-018-4254-6" target="_blank" rel="noreferrer noopener">http://doi.o
rg/10.1007/s00520-018-4254-6</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Japanese physicians' attitudes toward end-of-life discussion with pediatric patients with cancer
Publisher
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Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
Subject
The topic of the resource
adolescent; death; palliative therapy; cancer patient; anxiety; multicenter study; malignant neoplasm; pediatrician; human; article; child; controlled study; adult; questionnaire; pediatric patient
Creator
An entity primarily responsible for making the resource
Yoshida S; Ogawa C; Shimizu K; Kobayashi M; Inoguchi H; Oshima Y; Dotani C; Nakahara R; Kato M
Description
An account of the resource
PURPOSE: We explored pediatricians' practices and attitudes concerning end-of-life discussions (EOLds) with pediatric patients with cancer, and identified the determinants of pediatricians' positive attitude toward having EOLds with pediatric patients. METHODS: A multicenter questionnaire survey was conducted with 127 pediatricians specializing in the treatment of pediatric cancer. RESULTS: Forty-two percent of participants reported that EOLds should be held with the young group of children (6-9 years old), 68% with the middle group (10-15 years old), and 93% with the old group (16-18 years old). Meanwhile, 6, 20, and 35% of participants answered that they "always" or "usually" discussed the incurability of the disease with the young, middle, and old groups, respectively; for the patient's imminent death, the rates were 2, 11, and 24%. Pediatricians' attitude that they "should have" EOLds with the young group was predicted by more clinical experience (odds ratio [OR] 1.077; p=0.007), more confidence in addressing children's anxiety after EOLd (OR 1.756; p=0.050), weaker belief in the demand for EOLd (OR 0.456; p=0.015), weaker belief in the necessity of the EOLd for children to enjoy their time until death (OR, 0.506; p=0.021), and weaker belief in the importance of maintaining a good relationship with the parents (OR 0.381; p=0.025). CONCLUSIONS: While pediatricians nearly reached consensus on EOLds for the old group, EOLds with the young group remain a controversial subject. While pediatricians who supported EOLds believed in their effectiveness or necessity, those who were against EOLds tended to consider the benefits of not engaging in them.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/%2010.1007/s00520-018-4254-6" target="_blank" rel="noreferrer noopener">10.1007/s00520-018-4254-6</a>
2018
Adolescent
Adult
anxiety
Article
Cancer Patient
Child
Controlled Study
Death
Dotani C
Human
Inoguchi H
Kato M
Kobayashi M
Malignant Neoplasm
Multicenter Study
Nakahara R
Ogawa C
Oncology 2018 List
Oshima Y
Palliative Therapy
pediatric patient
Pediatrician
Questionnaire
Shimizu K
Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer
Yoshida S