The cancer specific advance directive
| العنوان: | The cancer specific advance directive |
|---|---|
| المؤلفون: | Peter Singer, Scott R. Berry |
| المصدر: | Cancer. 82:1570-1577 |
| بيانات النشر: | Wiley, 1998. |
| سنة النشر: | 1998 |
| مصطلحات موضوعية: | Disease specific, Cancer Research, medicine.medical_specialty, business.industry, Cancer, Bioethics, Directive, medicine.disease, Focus group, Surgery, Oncology, Key informants, Family medicine, medicine, Content validity, business, End-of-life care |
| الوصف: | BACKGROUND Advance directives are an important part of end of life care, but current advance directive documents do not address the specific issues facing cancer patients. The authors' purpose was: 1) to develop a cancer specific advance directive, 2) determine whether oncology outpatients find this directive more acceptable than a generic advance directive, and 3) describe oncology outpatient preferences for life-sustaining treatment. METHODS A cancer specific advance directive ("The Cancer Living Will"; the full text of the updated version is available at the University of Toronto Joint Centre for Bioethics website [URL: www.utoronto.ca/jcb]) was developed in four steps: 1) literature search, 2) key informant interviews, 3) focus groups, and 4) evaluation of face and content validity. Subsequently, 91 volunteer oncology patients were given copies of the cancer specific advance directive and the generic advance directive ("The University of Toronto Centre for Bioethics Living Will") from which it was adapted. Acceptability of the advance directive was measured by determining the participants' preferred directive. Participants recorded their treatment preferences in both the cancer specific and generic advance directives. RESULTS Of 60 patients who returned their questionnaires, 50 expressed a preference for the advance directive. Thirty-two patients (64%; 95% confidence interval (CI), 49-77%) preferred the disease specific Cancer Living Will and 18 patients (36%; 95% CI, 23-51%) preferred the generic Centre for Bioethics Living Will. Most participants who preferred the Cancer Living Will did so because it was more specific and relevant to their situation. CONCLUSIONS The authors have developed and evaluated a cancer specific advance directive that they believe can be recommended for clinical use with cancer patients. Cancer 1998;82:1570-7. © 1998 American Cancer Society. |
| تدمد: | 1097-0142 0008-543X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::f3fe1c995c8223a609bcb95b0fd47b44Test https://doi.org/10.1002Test/(sici)1097-0142(19980415)82:8<1570::aid-cncr20>3.0.co;2-0 |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........f3fe1c995c8223a609bcb95b0fd47b44 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10970142 0008543X |
|---|