Depressive symptoms in the last days of life of patients with cancer: a nationwide retrospective mortality study
| Autor: | Sarah Grace Brearley, Irene Julie Higginson, Bregje Onwuteaka-Philipsen, Sophie Pautex, Lieve Van den Block, Sheila Payne, Guido Miccinesi, Sandra Martins Pereira, Augusto Caraceni, Elene Janberidze, Richard Harding |
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| Přispěvatelé: | Public Health, Family Medicine and Chronic Care, End-of-life Care Research Group, Faculty of Medicine and Pharmacy, Clinical sciences, Public and occupational health, EMGO - Quality of care, CCA - Quality of Life |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Palliative care Medicine (miscellaneous) 03 medical and health sciences 0302 clinical medicine Quality of life SDG 3 - Good Health and Well-being Neoplasms medicine Humans Terminally Ill 030212 general & internal medicine Psychiatry Depressive symptoms Depression (differential diagnoses) Retrospective Studies Response rate (survey) Aged 80 and over Oncology (nursing) business.industry Depression Cancer General Medicine medicine.disease Medical–Surgical Nursing Distress 030220 oncology & carcinogenesis Anxiety Female medicine.symptom business |
| Zdroj: | BMJ Supportive & Palliative Care, 6(2), 201-209. BMJ Publishing Group Janberidze, E, Pereira, S M, Hjermstad, M J, Knudsen, A K, Kaasa, S, van der Heide, A & Onwuteaka-Philipsen, B 2016, ' Depressive symptoms in the last days of life of patients with cancer: a nationwide retrospective mortality study ', BMJ Supportive & Palliative Care, vol. 6, no. 2, pp. 201-209 . https://doi.org/10.1136/bmjspcare-2014-000722 |
| ISSN: | 2045-435X |
| Popis: | Objectives Depressive symptoms are common in patients with cancer and tend to increase as death approaches. The study aims were to examine the prevalence of depressive symptoms in patients with cancer in their final 24 h, and their association with other symptoms, sociodemographic and care characteristics. Methods A stratified sample of deaths was drawn by Statistics Netherlands. Questionnaires on patient and care characteristics were sent to the physicians (N=6860) who signed the death certificates (response rate 77.8%). Adult patients with cancer with non-sudden death were included (n=1363). Symptoms during the final 24 h of life were assessed on a 1–5 scale and categorised as 1=no, 2–3=mild/moderate and 4–5=severe/very severe. Results Depressive symptoms were registered in 37.6% of the patients. Patients aged 80 years or more had a reduced risk of having mild/moderate depressive symptoms compared with those aged 17–65 years (OR 0.70; 95% CI 0.50 to 0.99). Elderly care physicians were more likely to assess patients with severe/very severe depressive symptoms than patients with no depressive symptoms (OR 4.18; 95% CI 1.48 to 11.76). Involvement of pain specialists/palliative care consultants and psychiatrists/psychologists was associated with more ratings of severe/very severe depressive symptoms. Fatigue and confusion were significantly associated with mild/moderate depressive symptoms and anxiety with severe/very severe symptoms. Conclusions More than one-third of the patients were categorised with depressive symptoms during the last 24 h of life. We recommend greater awareness of depression earlier in the disease trajectory to improve care. |
| Databáze: | OpenAIRE |
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