The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives

Bhumsuk Keam, Young Ho Yun, Dae Seog Heo, Byeong Woo Park, Chi Heum Cho, Sung Kim, Dae Ho Lee, Soon Nam Lee, Eun Sook Lee, Jung Hun Kang, Si Young Kim, Jung Lim Lee, Chang Geol Lee, Yeun Keun Lim, Sam Yong Kim, Jong Soo Choi, Hyun Sik Jeong, Mison Chun

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to investigate Korean attitudes toward advance directives (ADs) among cancer patients, family caregivers, oncologists, and the general public. Methods: A multicenter survey study explored the attitudes of participants to ADs, and hospice-palliative care (HPC) was conducted. A total of 1,242 cancer patients, 1,289 family caregivers, 303 oncologists, and 1,006 members of the general public participated in the survey. Results: The majority of patients, family caregivers, oncologists, and general public agreed with the necessity of ADs. However, oncologists regard "when became terminal status" as an optimal timing for completion of ADs (52.2 %), while other groups regard earlier periods as it. More than 95 % oncologist answered that cardiopulmonary resuscitation and mechanical ventilator are necessity items for ADs form, while around 70 % of other groups answered so. Multivariate analysis revealed that several factors including agreement with terminal disclosures and a positive attitude toward HPC were independently associated with necessity of ADs. Conclusions: We found that attitudes toward ADs among cancer patients, family caregivers, oncologists, and the general public were significantly different. Our study also suggests that favorable attitudes toward comfort end-of-life care and HPC are keys that influence the perceived need for ADs.

Original languageEnglish
Pages (from-to)1437-1444
Number of pages8
JournalSupportive Care in Cancer
Volume21
Issue number5
DOIs
Publication statusPublished - 2013 May 1

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Advance Directives
Caregivers
Hospice Care
Neoplasms
Palliative Care
Terminal Care
Oncologists
Cardiopulmonary Resuscitation
Disclosure
Mechanical Ventilators
Multicenter Studies
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Oncology

Cite this

Keam, Bhumsuk ; Yun, Young Ho ; Heo, Dae Seog ; Park, Byeong Woo ; Cho, Chi Heum ; Kim, Sung ; Lee, Dae Ho ; Lee, Soon Nam ; Lee, Eun Sook ; Kang, Jung Hun ; Kim, Si Young ; Lee, Jung Lim ; Lee, Chang Geol ; Lim, Yeun Keun ; Kim, Sam Yong ; Choi, Jong Soo ; Jeong, Hyun Sik ; Chun, Mison. / The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives. In: Supportive Care in Cancer. 2013 ; Vol. 21, No. 5. pp. 1437-1444.
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abstract = "Purpose: The purpose of this study was to investigate Korean attitudes toward advance directives (ADs) among cancer patients, family caregivers, oncologists, and the general public. Methods: A multicenter survey study explored the attitudes of participants to ADs, and hospice-palliative care (HPC) was conducted. A total of 1,242 cancer patients, 1,289 family caregivers, 303 oncologists, and 1,006 members of the general public participated in the survey. Results: The majority of patients, family caregivers, oncologists, and general public agreed with the necessity of ADs. However, oncologists regard {"}when became terminal status{"} as an optimal timing for completion of ADs (52.2 {\%}), while other groups regard earlier periods as it. More than 95 {\%} oncologist answered that cardiopulmonary resuscitation and mechanical ventilator are necessity items for ADs form, while around 70 {\%} of other groups answered so. Multivariate analysis revealed that several factors including agreement with terminal disclosures and a positive attitude toward HPC were independently associated with necessity of ADs. Conclusions: We found that attitudes toward ADs among cancer patients, family caregivers, oncologists, and the general public were significantly different. Our study also suggests that favorable attitudes toward comfort end-of-life care and HPC are keys that influence the perceived need for ADs.",
author = "Bhumsuk Keam and Yun, {Young Ho} and Heo, {Dae Seog} and Park, {Byeong Woo} and Cho, {Chi Heum} and Sung Kim and Lee, {Dae Ho} and Lee, {Soon Nam} and Lee, {Eun Sook} and Kang, {Jung Hun} and Kim, {Si Young} and Lee, {Jung Lim} and Lee, {Chang Geol} and Lim, {Yeun Keun} and Kim, {Sam Yong} and Choi, {Jong Soo} and Jeong, {Hyun Sik} and Mison Chun",
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Keam, B, Yun, YH, Heo, DS, Park, BW, Cho, CH, Kim, S, Lee, DH, Lee, SN, Lee, ES, Kang, JH, Kim, SY, Lee, JL, Lee, CG, Lim, YK, Kim, SY, Choi, JS, Jeong, HS & Chun, M 2013, 'The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives', Supportive Care in Cancer, vol. 21, no. 5, pp. 1437-1444. https://doi.org/10.1007/s00520-012-1689-z

The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives. / Keam, Bhumsuk; Yun, Young Ho; Heo, Dae Seog; Park, Byeong Woo; Cho, Chi Heum; Kim, Sung; Lee, Dae Ho; Lee, Soon Nam; Lee, Eun Sook; Kang, Jung Hun; Kim, Si Young; Lee, Jung Lim; Lee, Chang Geol; Lim, Yeun Keun; Kim, Sam Yong; Choi, Jong Soo; Jeong, Hyun Sik; Chun, Mison.

In: Supportive Care in Cancer, Vol. 21, No. 5, 01.05.2013, p. 1437-1444.

Research output: Contribution to journalArticle

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T1 - The attitudes of Korean cancer patients, family caregivers, oncologists, and members of the general public toward advance directives

AU - Keam, Bhumsuk

AU - Yun, Young Ho

AU - Heo, Dae Seog

AU - Park, Byeong Woo

AU - Cho, Chi Heum

AU - Kim, Sung

AU - Lee, Dae Ho

AU - Lee, Soon Nam

AU - Lee, Eun Sook

AU - Kang, Jung Hun

AU - Kim, Si Young

AU - Lee, Jung Lim

AU - Lee, Chang Geol

AU - Lim, Yeun Keun

AU - Kim, Sam Yong

AU - Choi, Jong Soo

AU - Jeong, Hyun Sik

AU - Chun, Mison

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Purpose: The purpose of this study was to investigate Korean attitudes toward advance directives (ADs) among cancer patients, family caregivers, oncologists, and the general public. Methods: A multicenter survey study explored the attitudes of participants to ADs, and hospice-palliative care (HPC) was conducted. A total of 1,242 cancer patients, 1,289 family caregivers, 303 oncologists, and 1,006 members of the general public participated in the survey. Results: The majority of patients, family caregivers, oncologists, and general public agreed with the necessity of ADs. However, oncologists regard "when became terminal status" as an optimal timing for completion of ADs (52.2 %), while other groups regard earlier periods as it. More than 95 % oncologist answered that cardiopulmonary resuscitation and mechanical ventilator are necessity items for ADs form, while around 70 % of other groups answered so. Multivariate analysis revealed that several factors including agreement with terminal disclosures and a positive attitude toward HPC were independently associated with necessity of ADs. Conclusions: We found that attitudes toward ADs among cancer patients, family caregivers, oncologists, and the general public were significantly different. Our study also suggests that favorable attitudes toward comfort end-of-life care and HPC are keys that influence the perceived need for ADs.

AB - Purpose: The purpose of this study was to investigate Korean attitudes toward advance directives (ADs) among cancer patients, family caregivers, oncologists, and the general public. Methods: A multicenter survey study explored the attitudes of participants to ADs, and hospice-palliative care (HPC) was conducted. A total of 1,242 cancer patients, 1,289 family caregivers, 303 oncologists, and 1,006 members of the general public participated in the survey. Results: The majority of patients, family caregivers, oncologists, and general public agreed with the necessity of ADs. However, oncologists regard "when became terminal status" as an optimal timing for completion of ADs (52.2 %), while other groups regard earlier periods as it. More than 95 % oncologist answered that cardiopulmonary resuscitation and mechanical ventilator are necessity items for ADs form, while around 70 % of other groups answered so. Multivariate analysis revealed that several factors including agreement with terminal disclosures and a positive attitude toward HPC were independently associated with necessity of ADs. Conclusions: We found that attitudes toward ADs among cancer patients, family caregivers, oncologists, and the general public were significantly different. Our study also suggests that favorable attitudes toward comfort end-of-life care and HPC are keys that influence the perceived need for ADs.

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