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Surrogate decision-making in Korean patients with advanced cancer: a longitudinal study
DC Field | Value | Language |
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dc.contributor.author | Lee, June Koo | - |
dc.contributor.author | Keam, Bhumsuk | - |
dc.contributor.author | An, Ah Reum | - |
dc.contributor.author | Kim, Tae Min | - |
dc.contributor.author | Lee, Se-Hoon | - |
dc.contributor.author | Kim, Dong-Wan | - |
dc.contributor.author | Heo, Dae Seog | - |
dc.date.accessioned | 2020-04-27T11:27:52Z | - |
dc.date.available | 2020-04-27T11:27:52Z | - |
dc.date.created | 2020-02-19 | - |
dc.date.issued | 2013-01 | - |
dc.identifier.citation | Supportive Care in Cancer, Vol.21 No.1, pp.183-190 | - |
dc.identifier.issn | 0941-4355 | - |
dc.identifier.other | 91794 | - |
dc.identifier.uri | https://hdl.handle.net/10371/165442 | - |
dc.description.abstract | Although surrogate decision-making in cancer patients is well-known, few studies investigating the prevalence of surrogate decision-making over time have been reported. The objectives of this study were to investigate the level of surrogate decision-making in advanced cancer patients over time and the impact of demographic and clinical variables on surrogate decision-making. The level of surrogate decision-making was measured in 572 consecutive cancer patients who died between January 1 and December 31, 2009. We reviewed 8,639 informed consent forms of these patients, calculated the proportion of decisions made by a surrogate (PDS) for each patient, and analyzed the association of PDS with demographic and clinical variables. Surrogates completed 40.3 % of all consent forms. The prevalence of surrogate decision-making was higher in the end-of-life period (death < 7 days, OR = 29.05; reference, > 365 days). Surrogates signed consent forms more frequently for do-not-resuscitate directives, intensive care unit admission, emergency hemodialysis, surgery and invasive interventions compared with chemotherapy, radiotherapy, and diagnostic tests (OR = 3.88, P < 0.001). Patients of older age (P = 0.036) and those with a shorter duration of management (P < 0.001) were independently associated with greater PDS. Surrogate decision-making was frequently observed among Korean cancer patients in this study, especially when the patient's death was imminent, and for decisions related to end-of-life care. Surrogates were also frequently involved in decisions for elderly or rapidly deteriorating patients. Healthcare professionals should consider the significant role of familial surrogates in the end-of-life period; comprehensive approaches are needed to preserve the best interest of the patients. | - |
dc.language | 영어 | - |
dc.publisher | Springer Verlag | - |
dc.title | Surrogate decision-making in Korean patients with advanced cancer: a longitudinal study | - |
dc.type | Article | - |
dc.contributor.AlternativeAuthor | 김동완 | - |
dc.contributor.AlternativeAuthor | 허대석 | - |
dc.identifier.doi | 10.1007/s00520-012-1509-5 | - |
dc.citation.journaltitle | Supportive Care in Cancer | - |
dc.identifier.wosid | 000312088900023 | - |
dc.identifier.scopusid | 2-s2.0-84874105691 | - |
dc.citation.endpage | 190 | - |
dc.citation.number | 1 | - |
dc.citation.startpage | 183 | - |
dc.citation.volume | 21 | - |
dc.identifier.sci | 000312088900023 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Kim, Dong-Wan | - |
dc.contributor.affiliatedAuthor | Heo, Dae Seog | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | OF-LIFE CARE | - |
dc.subject.keywordPlus | TERMINALLY-ILL PATIENTS | - |
dc.subject.keywordPlus | PHYSICIAN PERCEPTIONS | - |
dc.subject.keywordPlus | INFORMATION-SEEKING | - |
dc.subject.keywordPlus | FAMILY CAREGIVERS | - |
dc.subject.keywordPlus | PREFERENCES | - |
dc.subject.keywordPlus | END | - |
dc.subject.keywordPlus | DIRECTIVES | - |
dc.subject.keywordPlus | ATTITUDES | - |
dc.subject.keywordPlus | AUTONOMY | - |
dc.subject.keywordAuthor | Decision-making | - |
dc.subject.keywordAuthor | Shared | - |
dc.subject.keywordAuthor | Surrogate decision-making | - |
dc.subject.keywordAuthor | Advanced cancer patients | - |
dc.subject.keywordAuthor | End of life care | - |
dc.subject.keywordAuthor | Do-not-resuscitate orders | - |
dc.subject.keywordAuthor | Family caregiver | - |
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