| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2021-12-01 |
| タイトル |
|
|
タイトル |
Palliative care for idiopathic pulmonary fibrosis patients: Pulmonary physicians' view |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
advance care planning |
| キーワード |
|
|
主題 |
end of life care |
| キーワード |
|
|
主題 |
idiopathic pulmonary fibrosis |
| キーワード |
|
|
主題 |
palliative care |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| その他のタイトル |
|
|
その他のタイトル |
Palliative care for idiopathic pulmonary fibrosis patients |
| 著者 |
Akiyama, Norimichi
Fujisawa, Tomoyuki
Morita, Tatsuya
Mori, Kazutaka
Yasui, Hideki
Hozumi, Hironao
Suzuki, Yuzo
Karayama, Masato
Furuhashi, Kazuki
Enomoto, Noriyuki
Nakamura, Yutaro
Inui, Naoki
Suda, Takafumi
|
| 書誌情報 |
Journal of Pain and Symptom Management
巻 60,
号 5,
p. 933-940,
発行日 2020-11
|
| 出版者 |
|
|
出版者 |
Elsevier |
| 権利 |
|
|
権利情報 |
Copyright 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license?http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| 権利 |
|
|
権利情報 |
"""This is the accepted manuscript version. The formal published version is available at """"https://doi.org/10.1016/j.jpainsymman.2020.06.012"""".""" |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
ABSTRACT
Background and objective: Though idiopathic pulmonary fibrosis (IPF) has worse outcomes compared to most malignancies, patients with IPF receive poor access to optimal palliative care. This study aimed to characterise the practice of pulmonologist's regarding palliative care and end of life communication for patients with IPF and identify perceived difficulties and barriers thereto.
Methods: Self-administered questionnaires were sent by mail to representative pulmonologists from Shizuoka prefecture, Japan. Physician-reported practice, difficulties, timing of end of life communication and barriers related to palliative care were investigated.
Results: Among the 135 participants, 130 (96%) completed the questionnaire. Most of the participants reported that patients with IPF complained of dyspnoea and cough. However, less morphine was prescribed for IPF than for lung cancer. The participants experienced greater difficulty in providing palliative care for IPF than for lung cancer. Moreover, actual end of life discussions in patients with IPF were conducted later than the physician-perceived ideal timing. Among the barriers identified, few established treatment and difficulty in predicting prognosis [odds ratio (OR) 2.0; p=0.04], discrepancies in understanding and care goals among patients, family and medical staff (OR 2.2; p=0.03) and inadequate communication about goal of care (OR 2.3; p=0.003) were significantly associated with the physician-perceived difficulties in providing palliative care for patients with IPF.
Conclusions: Pulmonologists experienced greater difficulty in providing palliative care to patients with IPF than to those with lung cancer. Clinical studies on the optimal palliative care for patients with IPF are urgently required. |
| 注記 |
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|
内容記述 |
Key Message: Pulmonologists experienced greater difficulty in providing palliative care to patients with IPF than to those with lung cancer. Clinical studies on the optimal palliative care for patients with IPF are urgently required. |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0885-3924 |
| EISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1873-6513 |
| PubMed番号 |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
PMID |
|
|
関連識別子 |
32569830 |
| 出版社DOI |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.1016/j.jpainsymman.2020.06.012 |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
JPSM-60-933.pdf (882.3 kB)
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