End of life experiences of patients with advanced cancer in Myanmar: Results from the APPROACH study.

Autor: Mon SW; Clinical Research Division, Department of Medical Research, Yangon, Myanmar., Ozdemir S; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore., Zu WWM; Department of Radiotherapy, Yangon General Hospital, Yangon, Myanmar., Win H; Clinical Research Division, Department of Medical Research, Yangon, Myanmar., Maw MM; Department of Medical Oncology, Yangon General Hospital, Yangon, Myanmar., Win KC; Department of Radiotherapy, Yangon General Hospital, Yangon, Myanmar., Thant KZ; Clinical Research Division, Department of Medical Research, Yangon, Myanmar., Teo I; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore., Krishnan A; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore., Goh CR; Department of Palliative Medicine, National Cancer Centre, Singapore, Singapore., Finkelstein EA; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore., Malhotra C; Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.
Jazyk: angličtina
Zdroj: Asia-Pacific journal of clinical oncology [Asia Pac J Clin Oncol] 2020 Dec; Vol. 16 (6), pp. 333-339. Date of Electronic Publication: 2020 Jun 23.
DOI: 10.1111/ajco.13373
Abstrakt: Background: Access to palliative care services is essential for attaining universal health coverage for patients with a terminal cancer. Despite this, many patients with advanced cancer in low-income countries, such as Myanmar, suffer at the end of life (EOL) due to little or no access to palliative care. However, actual evidence on EOL experiences of cancer patients in Myanmar is lacking. This paper aims to describe various dimensions of EOL experiences among patients with an advanced cancer from the largest public hospital in Myanmar.
Methods: We surveyed 195 patients with stage IV cancer seeking care from outpatient oncology clinics to assess their quality of life, pain severity, pain medications taken, quality of communication with doctors, nursing care and health care coordination, and desire to end life sooner. We assessed socioeconomic status (SES) differences in each patient outcome using separate multivariate linear/logistic regressions.
Results: Forty-one percent of the patients in our sample reported that they wish their life would end sooner. Low SES cancer patients had significantly worse quality of life, reported poor health care coordination and were more likely to report severe pain compared to high SES cancer patients visiting the same hospital.
Conclusion: To improve quality of life and pain management and to reduce EOL distress among patients with advanced cancer, there is a pressing need to develop and invest in hospital and community-level palliative care services in Myanmar.
(© 2020 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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