지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 419 - 425 (7page)
이용수
초록· 키워드
오류제보하기
Purpose In Korea, hospice palliative care (HPC) provision for cancer patients has increased recently. However, whether end of life (EoL) care practices have improved along with the development of HPC is unclear. We intended to investigate the changes in EoL care practices and their association with HPC referral. Materials and Methods Retrospective medical record review of adult cancer patients who died at National Cancer Center Korea from 1 January 2009 to 31 December 2014 was performed. Changes of EoL practices including chemotherapy within 2 weeks from death, death in intensive care unit (ICU), documentation of “do not resuscitate (DNR)” within 7 days from death and referral to HPC from 2009 to 2014 were analyzed as well as the association between referral to HPC and other practices. Results A total of 2,377 cases were included in the analysis. Between 2009 and 2014, referral to HPC increased and DNR documentation within 7 days from death decreased significantly. Cases for chemotherapy within 2 weeks from death and death in ICU didn’t change over the study period. Patients referred to HPC were less likely to receive chemotherapy within 2 weeks from death, die in ICU and document DNR within 7 days from death. Conclusion During the study period, EoL practices among cancer patients partly changed toward less aggressive in our institution. HPC referral was associated with less aggressive cancer care at the EoL. Policies to promote EoL discussion are necessary to improve the EoL practices of cancer patients.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Economist Intelligence Unit / 2015 / The 2015 Quality of Death Index:ranking palliative care across the world / Lien Foundation
Woitha K / 2016 / Policy on palliative care in the WHO European region : an overview of progress since the Council of Europe's(2003)recommendation 24 / Eur J Public Health 26:230~235
Earle CC / 2008 / Ayanian JZ. Aggressiveness of cancer care near the end of life:is it a quality-of-care issue? / J Clin Oncol 26:3860~3866
Ho TH / 2011 / Trends in the aggressiveness of end of life cancer care in the universal health care system of Ontario, Canada / J Clin Oncol 29:1587~1591
Jang RW / 2015 / Palliative care and the aggressiveness of end-oflife care in patients with advanced pancreatic cancer / J Natl Cancer Inst 107:dju424
Woitha K / 2016 / Policy on palliative care in the WHO European region : an overview of progress since the Council of Europe's(2003)recommendation 24 / Eur J Public Health 26:230~235
Earle CC / 2008 / Ayanian JZ. Aggressiveness of cancer care near the end of life:is it a quality-of-care issue? / J Clin Oncol 26:3860~3866
Ho TH / 2011 / Trends in the aggressiveness of end of life cancer care in the universal health care system of Ontario, Canada / J Clin Oncol 29:1587~1591
Jang RW / 2015 / Palliative care and the aggressiveness of end-oflife care in patients with advanced pancreatic cancer / J Natl Cancer Inst 107:dju424
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
우리나라 의과대학의 호스피스 완화의료 교육
의학교육논단
2020 .01
-
Hospice Palliative Care in South Korea: Past, Present, and Future
한국호스피스·완화의료학회지
2016 .01
-
중환자실 간호사의 죽음에 대한 인식, 임종간호 스트레스 및임종간호 태도에 관한 연구
임상간호연구
2018 .01
-
End-of-Life Care for End-stage Heart Failure Patients
Korean Circulation Journal
2022 .09
-
Cancer Treatment near the End-of-Life Becomes More Aggressive: Changes in Trend during 10 Years at a Single Institute
Cancer Research and Treatment
2015 .01
-
심폐소생술 금지 동의 후 사망한 환자의 현황과 연명의료 실태 조사: 단일 의료기관 경험
한국호스피스·완화의료학회지
2018 .01
-
임종돌봄에 대한 교육의 필요성: 2개 대학병원의 인턴을 대상으로 예비 분석
한국호스피스·완화의료학회지
2017 .01
-
호스피스⋅완화의료 발전사와 한의학 참여의 필요성
대한한방내과학회지
2018 .01
-
The Effect of Hospice Consultation on Aggressive Treatment of Lung Cancer
Cancer Research and Treatment
2018 .01
-
Attitudes and Opinions of Elderly Patients and Family Caregivers on End-of-Life Care Discussion
Annals of geriatric medicine and research
2017 .01
-
Do Korean Doctors Think a Palliative Consultation Team Would Be Helpful to Their Terminal Cancer Patients?
Cancer Research and Treatment
2017 .01
-
가정형 호스피스에서 사물인터넷 이용에 따른 의료 이용과 의료 비용 비교
임상노인의학회지
2021 .12
-
Adopting Advance Directives Reinforces Patient Participation in End-of-Life Care Discussion
Cancer Research and Treatment
2016 .01
-
Different Protein Expression between Human Eosinophilic Leukemia Cells, EoL-1 and Imatinib-resistant EoL-1 Cells, EoL-1-IR
대한의생명과학회지
2018 .12
-
Experiences and Opinions Related to End-of-Life Discussion: From Oncologists' and Resident Physicians' Perspectives
Cancer Research and Treatment
2018 .01
-
암환자와 비-암환자의 임종기 치료 강도 비교: 단일 연구기관 자료
한국호스피스·완화의료학회지
2015 .01
-
Location of Death and End-of-Life Care
한국호스피스·완화의료학회지
2016 .01
-
Effect of Timing of Do-Not-Resuscitate Orders on the Clinical Outcome of Critically Ill Patients
Acute and Critical Care
2016 .01
-
The Association between End-of-Life Care and the Time Interval between Provision of a Do-Not-Resuscitate Consent and Death in Cancer Patients in Korea
Cancer Research and Treatment
2017 .01
-
한국의 호스피스완화의료정책
한국호스피스·완화의료학회지
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0