IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i18p6592-d411743.html
   My bibliography  Save this article

Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan, China: A Cross-Sectional Study

Author

Listed:
  • Jing Liao

    (Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
    School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

  • Bei Wu

    (Rory Meyers College of Nursing and NYU Aging Incubator, New York University, New York, NY 10010, USA)

  • Jing Mao

    (School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

  • Ping Ni

    (School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

Abstract

Life-sustaining treatments (LSTs) and end-of-life (EOL) care’s goal for prolonging one’s life are defined as aggressive EOL care among critically ill patients. They have limited effects and add unnecessary financial burden to advanced cancer patients. A questionnaire survey was conducted to collect information on demographics, disease conditions, preference for LSTs, and goal of EOL care among advanced cancer patients of comprehensive grade-A tertiary hospitals in Wuhan, mainland China. Most patients preferred to accept LSTs when they were in a critical condition, including cardiopulmonary resuscitation (89.9%), mechanical ventilation support (85.7%), nasogastric tube feeding (84.1%), blood transfusion (89.8%), general surgery (87.5%), and hemodialysis (85.8%). Most (88%) preferred prolonging life as the goal of EOL care. Logistic regression showed common influencing factors were participants who completed junior high/high school or below and were financially adequate had higher reference for aggressive EOL care. Patients whose physician had accurately disclosed prognosis; however, showed a decrease trend for aggressive EOL care. Most advanced cancer patients preferred to accept aggressive EOL care. Discussions about prognosis disclosure among physicians and patients should be improved. Education about LSTs’ limitations and comfort-oriented care’s benefits should be promoted among the advanced cancer patients in mainland China.

Suggested Citation

  • Jing Liao & Bei Wu & Jing Mao & Ping Ni, 2020. "Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6592-:d:411743
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/18/6592/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/18/6592/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Bowman, Kerry W. & Singer, Peter A., 2001. "Chinese seniors' perspectives on end-of-life decisions," Social Science & Medicine, Elsevier, vol. 53(4), pages 455-464, August.
    2. Qiu Zhang & Chuanbo Xie & Shanghang Xie & Qing Liu, 2016. "The Attitudes of Chinese Cancer Patients and Family Caregivers toward Advance Directives," IJERPH, MDPI, vol. 13(8), pages 1-11, August.
    3. Yong-Bing Liu & Liu Liu & Yan-Fei Li & Yan-Li Chen, 2015. "Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese," IJERPH, MDPI, vol. 12(8), pages 1-12, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tony Lee & Benjamin J. Becerra & Monideepa B. Becerra, 2023. "“ Seems Like There Is No Stopping Point at All Whatsoever ”: A Mixed-Methods Analysis of Public Health Workforce Perception on COVID-19 Pandemic Management and Future Needs," IJERPH, MDPI, vol. 20(14), pages 1-9, July.
    2. Angela Chang & Peter J. Schulz, 2018. "The Measurements and an Elaborated Understanding of Chinese eHealth Literacy (C-eHEALS) in Chronic Patients in China," IJERPH, MDPI, vol. 15(7), pages 1-12, July.
    3. Chengbo Li & Mengyao Liu & Jin Zhou & Mei Zhang & Huanchang Liu & Yuting Wu & Hui Li & George W. Leeson & Tingting Deng, 2022. "Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
    4. Yan Feng & Erpeng Liu & Zhang Yue & Qilin Zhang & Tiankuo Han, 2019. "The Evolutionary Trends of Health Behaviors in Chinese Elderly and the Influencing Factors of These Trends: 2005–2014," IJERPH, MDPI, vol. 16(10), pages 1-17, May.
    5. JinShil Kim & Mi-Seung Shin & Albert Youngwoo Jang & Shinmi Kim & Seongkum Heo & EunSeok Cha & Minjeong An, 2021. "Advance Directives and Factors Associated with the Completion in Patients with Heart Failure," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    6. Jungwon Cho & Seungyeon Kim & Sangyoon Shin & Hyejin Yoo & Gi Hyue Park & Eunha Jeon & Eunsook Lee & Ho-Young Lee & Euni Lee, 2020. "Hospitalized Patients Accessing Information on Prescribed Medications from the Bedside Terminal: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(13), pages 1-10, July.
    7. Dai Su & Zhifang Chen & Jingjing Chang & Guangwen Gong & Dandan Guo & Min Tan & Yunfan Zhang & Yanchen Liu & Xinlan Chen & Xinlin Chen & Yingchun Chen, 2020. "Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China: Evidence from the China Health and Retirement Longitudinal Survey (CHARLS)," IJERPH, MDPI, vol. 17(24), pages 1-15, December.
    8. Amberyce Ang & Loy Liang Meng, 2020. "Using Vignettes to Conduct a Dynamic Value-based Approach to Advance Care Planning," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24291-24297, October.
    9. Lara Lindert & Lukas Kühn & Paulina Kuper & Kyung-Eun (Anna) Choi, 2022. "Organizational Health Literacy in the Context of Employee Health: An Expert-Panel-Guided Scoping Review Protocol," IJERPH, MDPI, vol. 19(7), pages 1-9, April.
    10. Vieri Lastrucci & Chiara Lorini & Marco Del Riccio & Eleonora Gori & Fabrizio Chiesi & Andrea Moscadelli & Beatrice Zanella & Sara Boccalini & Angela Bechini & Francesco Puggelli & Renzo Berti & Paolo, 2021. "The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province o," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    11. Olivia Ibañez-Masero & Inés María Carmona-Rega & María Dolores Ruiz-Fernández & Rocío Ortiz-Amo & José Cabrera-Troya & Ángela María Ortega-Galán, 2019. "Communicating Health Information at the End of Life: The Caregivers’ Perspectives," IJERPH, MDPI, vol. 16(14), pages 1-11, July.
    12. Zijuan Huang & Jien Sze Ho & Qai Ven Yap & Yiong Huak Chan & Swee Yaw Tan & Natalie Koh Si Ya & Lip Ping Low & Huay Cheem Tan & Woon Puay Koh & Terrance Siang Jin Chua & Sungwon Yoon, 2022. "Patterns of motivators and barriers to heart health behaviors among adults with behavior-modifiable cardiovascular risk factors: A population-based survey in Singapore," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-19, January.
    13. Yu Zhang & Xianglai Sang & Yibo Wu & Tuo Liu & Ran Niu & Lu Han & Qi Wang & Xiaocheng Liang, 2022. "Correlation between Frequency of Eating Out of Home and Dietary Intake, Sleep, and Physical Activity: A Survey of Young CDC Employees in China," IJERPH, MDPI, vol. 19(6), pages 1-10, March.
    14. Ewelina Chawłowska & Monika Karasiewicz & Agnieszka Lipiak & Rafał Staszewski & Mateusz Cofta & Maria Biskupska & Bogusz Giernaś & Agnieszka Zawiejska, 2022. "Oral Health Behaviours, Knowledge, and Literacy of Expectant Mothers: A Cross-Sectional Study among Maternity Ward Patients," IJERPH, MDPI, vol. 19(18), pages 1-16, September.
    15. Hu, Wen-Yu & Huang, Chien-Hsun & Chiu, Tai-Yuan & Hung, Shou-Hung & Peng, Jen-Kuei & Chen, Ching-Yu, 2010. "Factors that influence the participation of healthcare professionals in advance care planning for patients with terminal cancer: A nationwide survey in Taiwan," Social Science & Medicine, Elsevier, vol. 70(11), pages 1701-1704, June.
    16. Li-Shan Ke & Hui-Chuan Cheng & Chien-Liang Liu & Yu-Chen Ku & Ming-Ju Lee & Yin-Ling Lin & Hsiu-Ying Huang, 2023. "Taiwanese Older Adults Prefer to Use Antibiotics and Intravenous Infusion at the End of Life based on a Cartoon Version of the Life Support Preferences Questionnaire," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    17. Gabriela Rolova & Beata Gavurova & Benjamin Petruzelka, 2020. "Exploring Health Literacy in Individuals with Alcohol Addiction: A Mixed Methods Clinical Study," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
    18. Carmen W. H. Chan & Martin M. H. Wong & Kai Chow Choi & Helen Y. L. Chan & Amy Y. M. Chow & Raymond S. K. Lo & Michael M. K. Sham, 2019. "Prevalence, Perception, and Predictors of Advance Directives among Hong Kong Chinese: A Population-Based Survey," IJERPH, MDPI, vol. 16(3), pages 1-17, January.
    19. Ya Gao & Chen Chen & Hong Hui & Mingyue Chen & Ning Chen & Hong Chen & Weiming Zeng & Yan Wei & Zhaoxin Wang & Jianwei Shi, 2022. "Improving Health Literacy: Analysis of the Relationship between Residents’ Usage of Information Channels and Health Literacy in Shanghai, China," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    20. Semra Ozdemir, 2015. "Improving the Validity of Stated-Preference Data in Health Research: The Potential of the Time-to-Think Approach," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 8(3), pages 247-255, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6592-:d:411743. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.