End-of-Life Care Preferences of Patients with Advanced Urological Malignancies: An Explorative Survey Study at a Tertiary Referral Center
Abstract
:1. Introduction
2. Methods
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- Demographic data;
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- Preferences regarding the preferred place of death;
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- Existence of a living will and/or health care proxy;
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- Level of knowledge about their disease;
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- Communication about wishes for the last stage of life.
3. Results
3.1. Demographics and Symptoms
3.2. Preferred Place of Death
3.3. Communication about Place of Death
3.4. Living Will/Health Care Proxy
3.5. Discussions about Care Options
4. Discussion
5. Limitations and Strengths
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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n | % | ||
---|---|---|---|
Gender | Male | 76 | |
Prostate cancer | 41 | 54 | |
Renal cell carcinoma | 26 | 34 | |
Urothelial carcinoma | 9 | 12 | |
Female | 12 | ||
Renal cell carcinoma | 9 | 75 | |
Urothelial carcinoma | 3 | 25 | |
Age | <70 | 42 | 48 |
≥70 | 46 | 52 | |
Time since tumor diagnosis | <5 years | 62 | 70 |
Prostate cancer | 29 | 33 | |
Renal cell carcinoma | 21 | 24 | |
Urothelial carcinoma | 12 | 14 | |
≥5 years | 26 | 30 | |
Prostate cancer | 12 | 14 | |
Renal cell carcinoma | 14 | 16 | |
Urothelial carcinoma | 0 | 0 | |
Tumor entity | Prostate cancer | 41 | 47 |
Renal cell carcinoma | 35 | 40 | |
Urothelial carcinoma | 12 | 14 | |
Symptoms | Symptoms | 70 | 80 |
No symptoms | 18 | 20 | |
Number of symptoms | <5 | 72 | 82 |
≥5 | 16 | 18 | |
Symptom burden | Affected | 51 | 58 |
Not affected | 37 | 42 | |
Marital status | In a stable relationship or married/registered partnership | 66 | 75 |
Single/widowed | 22 | 25 | |
Need for care | Care requirements | 33 | 38 |
No need for care | 55 | 63 | |
Education | (Technical) university degree | 12 | 14 |
Vocational training | 69 | 78 | |
No professional training | 7 | 8 |
Tumor Entity | |||||
---|---|---|---|---|---|
Symptoms | Prostate Cancer | Renal Cell Carcinoma | Urothelial Carcinoma | Total | % of Cases |
Pain | 21 | 17 | 5 | 43 | 61.4 |
Shortness of breath | 2 | 10 | 3 | 15 | 21.4 |
Urinary tract infection | 2 | 1 | 2 | 5 | 7.1 |
Visible hematuria | 1 | 0 | 2 | 3 | 4.3 |
Sexual problems/ reduced libido | 15 | 5 | 2 | 22 | 31.4 |
Nausea | 4 | 11 | 2 | 17 | 24.3 |
Diarrhea/constipation | 10 | 14 | 6 | 30 | 42.9 |
Sleep disorders | 15 | 13 | 7 | 35 | 50.0 |
Pronounced daytime tiredness (fatigue) | 4 | 8 | 2 | 14 | 20.0 |
Open wounds | 1 | 5 | 0 | 6 | 8.6 |
Fear | 6 | 4 | 4 | 14 | 20.0 |
Other symptoms | 8 | 12 | 2 | 22 | 31.4 |
Civil Partnership | Number of Symptoms | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Single, Widowed | % of Life Partnership | % of Death Place Request | Stable Relationship, Married/Registered Civil Partnership | % of Life Partnership | % of Death Place Request | <5 Symptoms | % from < 5 Symptoms | ≥5 Symptoms | % from ≥ 5 Symptoms | ||
Preferred place of death | At home | 11 | 50.0 | 17.2 | 53 | 80.3 | 82.8 | 56 | 77.8 | 8 | 50.0 |
Nursing home | 1 | 4.5 | 100.0 | 0 | 0.0 | 9.1 | 1 | 1.4 | 0 | 0.0 | |
Hospital | 0 | 0.0 | 0.0 | 2 | 3.0 | 100.0 | 1 | 1.4 | 1 | 6.3 | |
Hospice | 7 | 31.8 | 77.8 | 2 | 3.0 | 22.2 | 4 | 5.6 | 5 | 31.3 | |
Other place | 1 | 4.5 | 100.0 | 0 | 0.0 | 0.0 | 1 | 1.4 | 0 | 0.0 | |
Not important | 2 | 9.1 | 18.2 | 9 | 13.6 | 81.8 | 9 | 12.5 | 2 | 12.5 | |
Total | 22 | 100 | 25 | 66 | 100 | 75 | 72 | 100 | 16 | 100 |
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Volberg, C.; Urhahn, F.; Pedrosa Carrasco, A.J.; Morin, A.; Gschnell, M.; Huber, J.; Flegar, L.; Heers, H. End-of-Life Care Preferences of Patients with Advanced Urological Malignancies: An Explorative Survey Study at a Tertiary Referral Center. Curr. Oncol. 2024, 31, 462-471. https://doi.org/10.3390/curroncol31010031
Volberg C, Urhahn F, Pedrosa Carrasco AJ, Morin A, Gschnell M, Huber J, Flegar L, Heers H. End-of-Life Care Preferences of Patients with Advanced Urological Malignancies: An Explorative Survey Study at a Tertiary Referral Center. Current Oncology. 2024; 31(1):462-471. https://doi.org/10.3390/curroncol31010031
Chicago/Turabian StyleVolberg, Christian, Fabian Urhahn, Anna J. Pedrosa Carrasco, Astrid Morin, Martin Gschnell, Johannes Huber, Luka Flegar, and Hendrik Heers. 2024. "End-of-Life Care Preferences of Patients with Advanced Urological Malignancies: An Explorative Survey Study at a Tertiary Referral Center" Current Oncology 31, no. 1: 462-471. https://doi.org/10.3390/curroncol31010031
APA StyleVolberg, C., Urhahn, F., Pedrosa Carrasco, A. J., Morin, A., Gschnell, M., Huber, J., Flegar, L., & Heers, H. (2024). End-of-Life Care Preferences of Patients with Advanced Urological Malignancies: An Explorative Survey Study at a Tertiary Referral Center. Current Oncology, 31(1), 462-471. https://doi.org/10.3390/curroncol31010031