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Factors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers

dc.contributorPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
dc.contributorMoreno, Socorro
dc.contributorRondon, Martin
dc.contributorde Vries, Esther
dc.creatorArango Gutiérrez, Angélica María
dc.creatorMoreno, Socorro
dc.creatorRondon, Martin
dc.creatorArroyo Castillo, Lucía Inés
dc.creatorArdila Rodriguez, Liliana Sandra
dc.creatorLeal Arenas, Fabián Alexander
dc.creatorCalvache, José A.
dc.creatorde Vries, Esther
dc.date2023-08-31T14:52:48Z
dc.date2023-08-31T14:52:48Z
dc.date2023-04-21
dc.date.accessioned2025-10-30T14:07:37Z
dc.date.available2025-10-30T14:07:37Z
dc.identifierhttps://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-023-01148-x#citeas
dc.identifier1472-684X
dc.identifierhttp://hdl.handle.net/10554/65362
dc.identifierhttps://doi.org/10.1186/s12904-023-01148-x
dc.identifierinstname:Pontificia Universidad Javeriana
dc.identifierreponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifierrepourl:https://repository.javeriana.edu.co
dc.identifier.urihttp://test.repositoriodigital.com:8080/handle/123456789/194401
dc.descriptionQ2
dc.descriptionQ1
dc.descriptionPacientes con Cáncer
dc.descriptionCuidadores de pacientes con Cáncer
dc.descriptionBackground: In Colombia, cancer incidence is increasing, as is the demand for end-of-life care. Understanding how patients who die from cancer experience this phase will allow the identification of factors associated with greater suffering and actions to improve end-of-life care. We aimed to explore associations between the level of suffering of patients who died from cancer and were cared for in three Colombian hospitals with patient, tumor, treatment, and care characteristics and provided information. Methods: Data on the last week of life and level of suffering were collected through proxies: Bereaved caregivers of patients who died from cancer in three participating Colombian hospitals. Bereaved caregivers participated in a phone interview and answered a series of questions regarding the last week of the patient’s life. An ordinal logistic regression model explored the relationship between the level of suffering reported by bereaved caregivers with the patient’s demographic and clinical characteristics, the bereaved caregivers, and the care received. Multivariate analyses were adjusted for place of death, treatments to prolong of life, prolongation of life during the dying process, suffering due to prolongation of life, type of cancer, age, if patient had partner, rural/urban residence of patient, importance of religion for the caregiver, caregivers´ relationship with the patient, and co-living with the patient. Results: A total of 174 interviews were included. Median age of the deceased patients was 64 years (IQR 52–72 years), and 93 patients were women (53.4%). Most caregivers had rated the level of suffering of their relative as “moderately to extremely” (n = 139, 80%). In multivariate analyses, factors associated with a higher level of suffering were: unclear information about the treatment and the process before death Odds Ratio (OR) 2.26 (90% CI 1.21–4.19), outpatient palliative care versus home care OR 3.05 (90% CI 1.05–8.88), procedures inconsistent with the patient’s wishes OR 2.92 (90% CI 1.28–6.70), and a younger age (18–44 years) at death versus the oldest age group (75–93 years) OR 3.80 (90% CI 1.33–10.84, p = 0.04). Conclusion: End-of-life care for cancer patients should be aligned as much as possible with patients´ wishes, needs, and capacities. A better dialogue between doctors, family members, and patients is necessary to achieve this.
dc.descriptionhttps://orcid.org/0000-0002-2980-6847
dc.descriptionhttps://orcid.org/0000-0002-4119-4409
dc.descriptionhttps://orcid.org/0000-0002-3885-5448
dc.descriptionhttps://orcid.org/0000-0002-1261-6297
dc.descriptionhttps://orcid.org/0000-0002-3686-7269
dc.descriptionhttps://orcid.org/0000-0003-0284-2423
dc.descriptionhttps://orcid.org/0000-0002-5560-2258
dc.descriptionRevista Internacional - Indexada
dc.descriptionA1
dc.descriptionNo
dc.formatPDF
dc.formatapplication/pdf
dc.formatapplication/pdf
dc.languageeng
dc.relation1
dc.relation12
dc.relationBMC Palliative Care
dc.relation22
dc.rightsAtribución-NoComercial 4.0 Internacional
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0/
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectSuffering
dc.subjectNeoplasms
dc.subjectCaregivers
dc.subjectMedical futility
dc.subjectPalliative care
dc.subjectEnd of life
dc.subjectCommunication
dc.titleFactors associated with suffering from dying in patients with cancer : a cross-sectional analytical study among bereaved caregivers
dc.typehttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.typeArtículo de revista
dc.typehttp://purl.org/coar/resource_type/c_2df8fbb1
dc.coverageColombia
dc.coverage2019-2020
dc.coverageBogotá (Colombia)
dc.coveragePopayán (Colombia)


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