Palliative care use and utilization determinants among patients treated for advanced stage lung cancer care in the community and academic medical setting.

Humans Palliative Care Lung Neoplasms / therapy Hospice and Palliative Care Nursing Hospices Pain
Advanced stage lung cancer Barriers Facilitators Palliative care

Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
27 Feb 2023
Historique:
received: 01 08 2022
accepted: 18 02 2023
entrez: 27 2 2023
pubmed: 28 2 2023
medline: 3 3 2023
Statut: epublish

Résumé

Despite clinical guidelines, palliative care is underutilized during advanced stage lung cancer treatment. To inform interventions to increase its use, patient-level barriers and facilitators (i.e., determinants) need to be characterized, especially among patients living in rural areas or those receiving treatment outside academic medical centers. Between 2020 and 2021, advanced stage lung cancer patients (n = 77; 62% rural; 58% receiving care in the community) completed a one-time survey assessing palliative care use and its determinants. Univariate and bivariate analyses described palliative care use and determinants and compared scores by patient demographic (e.g., rural vs. urban) and treatment setting (e.g., community vs. academic medical center) factors. Roughly half said they had never met with a palliative care doctor (49.4%) or nurse (58.4%) as part of cancer care. Only 18% said they knew what palliative care was and could explain it; 17% thought it was the same as hospice. After palliative care was distinguished from hospice, the most frequently cited reasons patients stated they would not seek palliative care were uncertainty about what it would offer (65%), concerns about insurance coverage (63%), difficulty attending multiple appointments (60%), and lack of discussion with an oncologist (59%). The most common reasons patients stated they would seek palliative care were a desire to control pain (62%), oncologist recommendation (58%), and coping support for family and friends (55%). Interventions should address knowledge and misconceptions, assess care needs, and facilitate communication between patients and oncologists about palliative care.

Identifiants

DOI: 10.1007/s00520-023-07649-y PMID: 36847880 PMC: PMC9969037
pubmed: 36847880
doi: 10.1007/s00520-023-07649-y
pii: 10.1007/s00520-023-07649-y
pmc: PMC9969037
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

190

Subventions

Organisme : NCI NIH HHS
ID : P30CA177558
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA177558
Pays : United States
Organisme : NCATS NIH HHS
ID : 2KL2TR001996-05A1
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR001996
Pays : United States

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Siegel RL, Miller KD, Fuchs HE, Jemal A (2022) Cancer statistics, 2022. CA Cancer J Clin 72(1):7–33
doi: 10.3322/caac.21708 pubmed: 35020204
Vijayvergia N, Shah PC, Denlinger CS (2015) “Survivorship in Non-Small Cell Lung Cancer: Challenges Faced and Steps Forward,” (in eng). J Natl Compr Cancer Netw JNCCN 13(9):1151–1161
doi: 10.6004/jnccn.2015.0140 pubmed: 26358799
LeBlanc TW, Nickolich M, Rushing CN, Samsa GP, Locke SC, Abernethy AP (2015) What bothers lung cancer patients the most? A prospective, longitudinal electronic patient-reported outcomes study in advanced non-small cell lung cancer. Support Care Cancer J Article 23(12):3455–3463. https://doi.org/10.1007/s00520-015-2699-4
doi: 10.1007/s00520-015-2699-4
Bakitas MA et al (2015) Early versus delayed initiation of concurrent palliative oncology care: patient outcomes in the ENABLE III randomized controlled trial. J Clin Oncol 33(13):1438
doi: 10.1200/JCO.2014.58.6362 pubmed: 25800768 pmcid: 4404422
Bakitas M et al (2009) Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA 302(7):741–749
doi: 10.1001/jama.2009.1198 pubmed: 19690306 pmcid: 3657724
Temel JS et al (2010) Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer. N Engl J Med 363(8):733–742. https://doi.org/10.1056/NEJMoa1000678
doi: 10.1056/NEJMoa1000678 pubmed: 20818875
Ferrell BR et al (2017) “Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update,” (in eng). J Clin Oncol 35(1):96–112. https://doi.org/10.1200/jco.2016.70.1474
doi: 10.1200/jco.2016.70.1474 pubmed: 28034065
Huo J, Hong YR, Turner K, Bian J, Grewal R, Wilkie DJ (2019) “Utilization pattern and service settings of palliative care for patients with metastatic non-small cell lung cancer,” (in eng). Cancer 125(24):4481–4489. https://doi.org/10.1002/cncr.32478
doi: 10.1002/cncr.32478 pubmed: 31449674
Huo J et al (2021) “Geographic variation in palliative care delivery among patients diagnosed with metastatic lung cancer in the USA: Medicare population-based study,” (in eng). Support Care Cancer 29(2):813–821. https://doi.org/10.1007/s00520-020-05549-z
doi: 10.1007/s00520-020-05549-z pubmed: 32495033
Feld E, Singhi EK, Phillips S, Huang LC, Shyr Y, Horn L (2019) “Palliative Care Referrals for Advanced Non-small-cell Lung Cancer (NSCLC): Patient and Provider Attitudes and Practices,” (in eng). Clin Lung Cancer 20(3):e291–e298. https://doi.org/10.1016/j.cllc.2019.02.002
doi: 10.1016/j.cllc.2019.02.002 pubmed: 30862422
Atkins GT, Kim T, Munson J (2017) “Residence in Rural Areas of the United States and Lung Cancer Mortality. Disease Incidence, Treatment Disparities, and Stage-Specific Survival,” (in eng). Ann Am Thorac Soc 14(3):403–411. https://doi.org/10.1513/AnnalsATS.201606-469OC
doi: 10.1513/AnnalsATS.201606-469OC pubmed: 28118039
Green LA, Fryer GE Jr, Yawn BP, Lanier D, Dovey SM (2001) “The ecology of medical care revisited,” (in eng). N Engl J Med 344(26):2021–2025. https://doi.org/10.1056/nejm200106283442611
doi: 10.1056/nejm200106283442611 pubmed: 11430334
Clauser SB, Johnson MR, O’Brien DM, Beveridge JM, Fennell ML, Kaluzny AD (2009) “Improving clinical research and cancer care delivery in community settings: evaluating the NCI community cancer centers program,” (in eng). Implement Sci 4:63. https://doi.org/10.1186/1748-5908-4-63
doi: 10.1186/1748-5908-4-63 pubmed: 19781094 pmcid: 2764567
Andrykowski MA, Burris JL (2010) “Use of formal and informal mental health resources by cancer survivors: differences between rural and nonrural survivors and a preliminary test of the theory of planned behavior,” (in eng). Psychooncology 19(11):1148–1155. https://doi.org/10.1002/pon.1669
doi: 10.1002/pon.1669 pubmed: 20017114 pmcid: 2889207
O’Neill J et al (2014) “Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health,” (in eng). J Clin Epidemiol 67(1):56–64. https://doi.org/10.1016/j.jclinepi.2013.08.005
doi: 10.1016/j.jclinepi.2013.08.005 pubmed: 24189091
Mackenzie CS, Gekoski WL, Knox VJ (2006) “Age, gender, and the underutilization of mental health services: the influence of help-seeking attitudes,” (in eng). Aging Ment Health 10(6):574–582. https://doi.org/10.1080/13607860600641200
doi: 10.1080/13607860600641200 pubmed: 17050086
Land SR et al (2016) “Cognitive testing of tobacco use items for administration to patients with cancer and cancer survivors in clinical research,” (in eng). Cancer 122(11):1728–1734. https://doi.org/10.1002/cncr.29964
doi: 10.1002/cncr.29964 pubmed: 27019325
Nelson DE et al (2004) “The Health Information National Trends Survey (HINTS): development, design, and dissemination,” (in eng). J Health Commun 9(5):443–60. https://doi.org/10.1080/10810730490504233 . (discussion 81-4)
doi: 10.1080/10810730490504233 pubmed: 15513791
Perry LM, Hoerger M, Malhotra S, Gerhart JI, Mohile S, Duberstein PR (2020) “Development and Validation of the Palliative Care Attitudes Scale (PCAS-9): A Measure of Patient Attitudes Toward Palliative Care,” (in eng). J Pain Symptom Manage 59(2):293-301.e8. https://doi.org/10.1016/j.jpainsymman.2019.09.008
doi: 10.1016/j.jpainsymman.2019.09.008 pubmed: 31539604
Kelley AS, Meier DE (2010) Palliative Care — A Shifting Paradigm. N Engl J Med 363(8):781–782. https://doi.org/10.1056/NEJMe1004139
doi: 10.1056/NEJMe1004139 pubmed: 20818881
Beasley A, Bakitas MA, Edwards R, Kavalieratos D (2018) Models of non-hospice palliative care: a review. Ann Palliat Med 8(Suppl 1):S15–S21
pubmed: 29860852
Chaudhuri S, Le T, White C, Thompson H, Demiris G (2013) “Examining health information-seeking behaviors of older adults,” (in eng). Comput Inform Nurs 31(11):547–553. https://doi.org/10.1097/01.NCN.0000432131.92020.42
doi: 10.1097/01.NCN.0000432131.92020.42 pubmed: 23974574 pmcid: 4062544
N. A. f. C. Caregiving (2016) Cancer Caregiving in the U.S.: An Intense, Episodic, and Challenging Care Experience. Bethesda, MD. Available: https://www.caregiving.org/wp-content/uploads/2020/05/CancerCaregivingReport_FINAL_June-17-2016.pdf
Saeed F, Hoerger M, Norton SA, Guancial E, Epstein RM, Duberstein PR (2018) Preference for Palliative Care in Cancer Patients: Are Men and Women Alike? J Pain Symptom Manag 56(1):1-6.e1. https://doi.org/10.1016/j.jpainsymman.2018.03.014
doi: 10.1016/j.jpainsymman.2018.03.014
Nipp RD et al (2016) “Age and Gender Moderate the Impact of Early Palliative Care in Metastatic Non-Small Cell Lung Cancer,” (in eng). Oncologist 21(1):119–126. https://doi.org/10.1634/theoncologist.2015-0232
doi: 10.1634/theoncologist.2015-0232 pubmed: 26621041
Trivedi N, Peterson EB, Ellis EM, Ferrer RA, Kent EE, Chou WS (2019) “Awareness of Palliative Care among a Nationally Representative Sample of U.S. Adults,” (in eng). J Palliat Med 22(12):1578–1582. https://doi.org/10.1089/jpm.2018.0656
doi: 10.1089/jpm.2018.0656 pubmed: 31038384 pmcid: 6998043
Zhu Y, Enguídanos S (2019) “When Patients Say They Know About Palliative Care, How Much Do They Really Understand?,” (in eng). J Pain Symptom Manage 58(3):460–464. https://doi.org/10.1016/j.jpainsymman.2019.05.008
doi: 10.1016/j.jpainsymman.2019.05.008 pubmed: 31128230
Flieger SP, Chui K, Koch-Weser S (2020) “Lack of Awareness and Common Misconceptions About Palliative Care Among Adults: Insights from a National Survey,” (in eng). J Gen Intern Med 35(7):2059–2064. https://doi.org/10.1007/s11606-020-05730-4
doi: 10.1007/s11606-020-05730-4 pubmed: 32157652 pmcid: 7351936
Shen MJ, Wellman JD (2019) “Evidence of palliative care stigma: The role of negative stereotypes in preventing willingness to use palliative care,” (in eng). Palliat Support Care 17(4):374–380. https://doi.org/10.1017/s1478951518000834
doi: 10.1017/s1478951518000834 pubmed: 30520405 pmcid: 6551309
Zimmermann C et al (2016) “Perceptions of palliative care among patients with advanced cancer and their caregivers,” (in eng). CMAJ 188(10):E217-e227. https://doi.org/10.1503/cmaj.151171
doi: 10.1503/cmaj.151171 pubmed: 27091801 pmcid: 4938707
Kumar P et al (2012) “Utilization of supportive and palliative care services among oncology outpatients at one academic cancer center: determinants of use and barriers to access,” (in eng). J Palliat Med 15(8):923–930. https://doi.org/10.1089/jpm.2011.0217
doi: 10.1089/jpm.2011.0217 pubmed: 22731514 pmcid: 3396135
Schenker Y, Park SY, Maciasz R, Arnold RM (2014) “Do patients with advanced cancer and unmet palliative care needs have an interest in receiving palliative care services?,” (in eng). J Palliat Med 17(6):667–672. https://doi.org/10.1089/jpm.2013.0537
doi: 10.1089/jpm.2013.0537 pubmed: 24673544 pmcid: 4039000
Finlay E, Newport K, Sivendran S, Kilpatrick L, Owens M, Buss MK (2019) Models of Outpatient Palliative Care Clinics for Patients With Cancer. J Oncol Pract 15(4):187–193. https://doi.org/10.1200/jop.18.00634
doi: 10.1200/jop.18.00634 pubmed: 30908140
Haverfield MC, Singer AE, Gray C, Shelley A, Nash A, Lorenz KA (2020) Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers. Support Care Cancer 28(9):4255–4262. https://doi.org/10.1007/s00520-019-05274-2
doi: 10.1007/s00520-019-05274-2 pubmed: 31900612
Johnson KS (2013) “Racial and ethnic disparities in palliative care,” (in eng). J Palliat Med 16(11):1329–1334. https://doi.org/10.1089/jpm.2013.9468
doi: 10.1089/jpm.2013.9468 pubmed: 24073685 pmcid: 3822363
Steffen L et al (2018) Prognostic understanding and barriers to palliative care in patients with metastatic lung cancer on immunotherapy. J Clin Oncol 36(34_suppl):36–36. https://doi.org/10.1200/JCO.2018.36.34_suppl.36
doi: 10.1200/JCO.2018.36.34_suppl.36

Auteurs

Laurie E McLouth (LE)

Department of Behavioral Science, College of Medicine, University of Kentucky, 760 Press Avenue, 467 Healthy Kentucky Research Building, Lexington, KY, 40536, USA. Laurie.mclouth@uky.edu.
Center for Health Equity Transformation, University of Kentucky, Lexington, KY, USA. Laurie.mclouth@uky.edu.
Markey Cancer Center, University of Kentucky, Lexington, KY, USA. Laurie.mclouth@uky.edu.

Tia Borger (T)

Department of Psychology, College of Arts and Sciences, University of Kentucky, Lexington, KY, USA.

Vilma Bursac (V)

Department of Behavioral Science, College of Medicine, University of Kentucky, 760 Press Avenue, 467 Healthy Kentucky Research Building, Lexington, KY, 40536, USA.
Center for Health Equity Transformation, University of Kentucky, Lexington, KY, USA.

Michael Hoerger (M)

Departments of Psychology, Psychiatry, and Medicine, Freeman School of Business and Tulane Cancer Center, Tulane University, New Orleans, LA, USA.
Department of Palliative Medicine and Supportive Care, University Medical Center of New Orleans, New Orleans, LA, USA.

Jessica McFarlin (J)

Department of Neurology, College of Medicine, University of Kentucky, Lexington, KY, USA.

Shaylla Shelton (S)

Lincoln Memorial University- DeBusk College of Osteopathic Medicine, Harrogate, TN, USA.

Brent Shelton (B)

Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
Departmental of Internal Medicine, Division of Cancer Biostatistics, College of Medicine, University of Kentucky, Lexington, KY, USA.

Andrew Shearer (A)

Departmental of Internal Medicine, Division of Cancer Biostatistics, College of Medicine, University of Kentucky, Lexington, KY, USA.

Marc T Kiviniemi (MT)

Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
Department of Health, Behavior and Society, College of Public Health, University of Kentucky, Lexington, KY, USA.

Jerod L Stapleton (JL)

Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
Department of Health, Behavior and Society, College of Public Health, University of Kentucky, Lexington, KY, USA.

Timothy Mullett (T)

Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
Department of Surgery, College of Medicine, University of Kentucky, Lexington, KY, USA.

Jamie L Studts (JL)

Department of Medicine, University of Colorado School of Medicine, University of Colorado Cancer Center, Aurora, CO, USA.

David Goebel (D)

King's Daughters Health System, Ashland, KY, USA.

Ravneet Thind (R)

St. Claire Healthcare, Morehead, KY, USA.

Laura Trice (L)

St. Elizabeth Healthcare, Edgewood, KY, USA.

Nancy E Schoenberg (NE)

Department of Behavioral Science, College of Medicine, University of Kentucky, 760 Press Avenue, 467 Healthy Kentucky Research Building, Lexington, KY, 40536, USA.
Center for Health Equity Transformation, University of Kentucky, Lexington, KY, USA.
Markey Cancer Center, University of Kentucky, Lexington, KY, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Palliative care use and utilization...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins palliatifs › Palliative care use and utilization...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Tumeurs de l'appareil respiratoire › Tumeurs du poumon › Palliative care use and utilization...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins infirmiers › Soins infirmiers en centre de soins palliatifs › Palliative care use and utilization...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de santé communautaires › Établissements de soins palliatifs › Palliative care use and utilization...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Palliative care use and utilization...