Current Status of Advance Care Planning and End-of-life Communication for Patients with Advanced and Metastatic Breast Cancer.
Yasuaki SagaraMasanori MoriSena YamamotoKeiko EguchiTsuguo IwataniYoichi NaitoTakahiro KogawaKiyo TanakaHaruru KotaniHiroyuki YasojimaYukinori OzakiEmi NoguchiMinoru MiyasitaNaoto KondoNaoki NiikuraMasakazu ToiTadahiko ShienHiroji IwataPublished in: The oncologist (2021)
This study found that the opportunity to improve end-of-life (EOL) communication skills promoted physicians' engagement in advance care planning (ACP) among patients with metastatic/advanced breast cancer. All oncologists who treat said patients are encouraged to participate in effective education programs concerning EOL communication skills. In clinical practice, there are substantial variabilities in the method, frequency, and timing of ACP and EOL communication among oncologists. As recommended in several clinical guidelines, the authors suggest a system that identifies patients who require conversations about their care goals, a structured format to facilitate the conversations, and continuous measurement for improving EOL care and treatment.
Keyphrases
- advance care planning
- healthcare
- clinical practice
- metastatic breast cancer
- end stage renal disease
- quality improvement
- current status
- palliative care
- newly diagnosed
- chronic kidney disease
- primary care
- ejection fraction
- peritoneal dialysis
- public health
- affordable care act
- medical students
- pain management
- prognostic factors
- social media
- genome wide
- patient reported outcomes
- chronic pain
- combination therapy
- global health