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dc.creatorKierner, Katharina Aen
dc.creatorHladschik-Kermer, Birgiten
dc.creatorGartner, Verenaen
dc.creatorWatzke, Herbert Hen
dc.date.accessioned2016-01-09T00:42:08Zen
dc.date.available2016-01-09T00:42:08Zen
dc.date.created2010-03en
dc.date.issued2010-03en
dc.identifierdoi:10.1007/s00520-009-0667-6en
dc.identifier.bibliographicCitationSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 2010 Mar ; 18(3): 367-72en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Attitudes+of+patients+with+malignancies+towards+completion+of+advance+directives.&title=Supportive+care+in+cancer+:+official+journal+of+the+Multinational+Association+of+Supportive+Care+in+Cancer+&volume=18&issue=3&date=2010-03&au=Kierner,+Katharina+A;+Hladschik-Kermer,+Birgit;+Gartner,+Verena;+Watzke,+Herbert+Hen
dc.identifier.urihttp://dx.doi.org/10.1007/s00520-009-0667-6en
dc.identifier.urihttp://hdl.handle.net/10822/1024092en
dc.description.abstractAIM: The purpose of advance directives (AD) is to preserve the patient's autonomy at the end of his/her life. In a cohort study, we investigated attitudes towards AD in hospitalized patients with malignant disease. MATERIALS AND METHODS: All patients were informed about the basic features of AD in a standardized manner by a single independent physician. One hundred and eight (39 women, 69 men; mean age 56.6 +/- 14.9 years) of 140 invited patients completed the study. MAIN RESULTS: Five percent of patients (5/108) already had an AD; 85% (92/108) did not wish to issue an AD. "Full confidence in physicians" (22%) and "not important for me at the moment" (15%) were the most frequently stated reasons for not issuing an AD. Only 10% (11/108) of patients decided to complete an AD. Their decision was not related to a specific diagnosis or a number of socio-demographic variables that were studied. Patients who decided in favor of an AD had significantly higher Hospital Anxiety and Depression Scale (HADS-D) score than those who decided against it (HADS-D, 8.3 +/- 5.0 vs.5.8 +/- 4.1, p = 0.035). The patients' HADS depression score was negatively associated with their Karnofsky index (r = -0.232, p = 0.017). CONCLUSIONS: Our data reveal a scarce demand for AD in our population of hospitalized cancer patients. Patients who wanted to issue an AD had a high HADS-D, which is associated with a low performance status.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:330905en
dc.subjectAdvance Directivesen
dc.subjectAttitudesen
dc.subjectAutonomyen
dc.subjectCanceren
dc.subjectDiagnosisen
dc.subjectDiseaseen
dc.subjectLifeen
dc.subjectMethodsen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subject.classificationLiving Wills / Advance Directivesen
dc.subject.classificationHealth Care for Particular Diseases or Groupsen
dc.titleAttitudes of Patients With Malignancies Towards Completion of Advance Directivesen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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