Potentially inappropriate end-of-life care and its association with relatives' well-being: a systematic review

被引:4
作者
Ham, Laurien [1 ,2 ]
Slotman, Ellis [1 ]
Burghout, Carolien [3 ,4 ,5 ]
Raijmakers, Natasja J. H. [1 ]
van de Poll-Franse, Lonneke, V [1 ,6 ,7 ]
van Zuylen, Lia [8 ]
Fransen, Heidi P. [1 ]
机构
[1] Netherlands Comprehens Canc Org IKNL, Dept Res & Dev, POB 19079, NL-3501 DB Utrecht, Netherlands
[2] Netherlands Assoc Palliat Care PZNL, Utrecht, Netherlands
[3] Jeroen Bosch Hosp, Dept Hematooncol, Den Bosch, Netherlands
[4] Jeroen Bosch Hosp, Jeroen Bosch Acad Res, Den Bosch, Netherlands
[5] Tilburg Univ, Sch Social & Behav Sci, Dept Tranzo, Tilburg, Netherlands
[6] Tilburg Univ, CoRPS Ctr Res Psychol Somat Dis, Dept Med & Clin Psychol, Tilburg, Netherlands
[7] Netherlands Canc Inst, Div Psychosocial Res & Epidemiol, Amsterdam, Netherlands
[8] Univ Amsterdam, Med Ctr, Canc Ctr Amsterdam, Dept Med Oncol, Amsterdam, Netherlands
关键词
Cancer; End-of-life; Potentially inappropriate care; Relatives; Systematic review; Well-being; FAMILY CAREGIVERS; PALLIATIVE CARE; CANCER-PATIENTS; MENTAL-HEALTH; AGGRESSIVE CARE; QUALITY; DEATH; INDICATORS; PATIENT; PHASE;
D O I
10.1007/s00520-023-08198-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PurposePotentially inappropriate end-of-life cancer care (e.g., frequent hospital admission and emergency room visits in the last month of life) is known to be associated with a poorer quality of life of patients, but research on its association with the well-being of relatives is scarce. The aim of this systematic literature review was to evaluate the association between potentially inappropriate end-of-life cancer care and relatives' well-being.MethodsWe conducted a systematic search and review, and reported according to the PRISMA guideline, on the association between potentially inappropriate end-of-life cancer care and well-being of relatives before and after the death of their loved one. Pubmed, PsycInfo, Embase, and CINAHL were searched for studies published from January 2000 to July 2022. Studies' quality was assessed using the Critical Appraisal Checklists from the Joanne Briggs Institute (JBI).ResultsWe identified eight studies including 10,062 relatives (59-79% female, mean age 46-61 years, 29-72% partner). Potentially inappropriate end-of-life cancer care was associated with poorer well-being of relatives including lower quality of life, higher burden of depressive symptoms, more regret, and more feelings of unpreparedness for the patient's death.ConclusionPotentially inappropriate cancer care at the end-of-life is associated with poorer well-being of relatives before and after the death of their loved one. This emphasizes the importance of avoiding potentially inappropriate end-of-life cancer care, as it is both associated with poorer outcomes for relatives and patients. However, the number of studies examining this association is small, and more research is needed in this area.
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页数:9
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