2017 Fiscal Year Final Research Report
End-of-life discussion between advanced cancer patients and physicians.
| Project/Area Number |
15K15161
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical sociology
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| Research Institution | Tohoku University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
石岡 千加史 東北大学, 加齢医学研究所, 教授 (60241577)
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Keywords | 緩和ケア / がん / 終末期医療 / 化学療法 / 医師 / コミュニケーション / 病状認識 |
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| Outline of Final Research Achievements |
This survey aimed to evaluate the association between patients’ perceptions of curability and physicians’ disclosures of incurability. In this cross-sectional, multicenter, observational study in Japan, we asked patients with unresectable/recurrent solid cancers about their perceptions of incurability.
Among 135 included and surveyed patients, 39%, 33%, and 23% responded that their cancer was incurable, curable, or “I don’t know” or “I don’t wish to answer,” respectively. No significant association was observed between patients' perceptions of curability and physician-reported disclosures of incurability. In this Japanese population, many patients with unresectable/recurrent solid cancers perceived that their cancers were incurable. However, such perceptions did not appear to be significantly affected by physician-reported disclosures. We recommend additional research to determine the best disclosure method to ensure that patients truly understand their disease status.
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| Free Research Field |
緩和ケア
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