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Spirituality and end-of-life care in disadvantaged men dying of prostate cancer
- Source :
- World Journal of Urology, Bergman, Jonathan; Fink, Arlene; Kwan, Lorna; Maliski, Sally; & Litwin, Mark S.(2011). Spirituality and end-of-life care in disadvantaged men dying of prostate cancer. World Journal of Urology, 29(1), pp 43-49. doi: 10.1007/s00345-010-0610-y. Retrieved from: http://www.escholarship.org/uc/item/1kh9r49f
- Publication Year :
- 2010
- Publisher :
- Springer Science and Business Media LLC, 2010.
-
Abstract
- Purpose Despite the positive influence of spiritual coping on the acceptance of a cancer diagnosis, higher spirituality is associated with receipt of more high intensity care at the end of life. The purpose of our study was to assess the association between spirituality and type of end-of-life care received by disadvantaged men with prostate cancer. Methods We studied low-income, uninsured men in IMPACT, a state-funded public assistance program, who had died since its inception in 2001. Of the 60 men who died, we included the 35 who completed a spirituality questionnaire at program enrollment. We abstracted sociodemographic and clinical information as well as treatment within IMPACT, including zolendroic acid, chemotherapy, hospice use, and palliative radiation therapy. We measured spirituality with the Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being questionnaire (FACIT-Sp) and compared end-of-life care received between subjects with low and high FACIT-Sp scores using chi-squared analyses. Results A higher proportion of men with high (33%) versus low (13%) spirituality scores enrolled in hospice, although our analysis was not adequately powered to demonstrate statistical significance. Likewise, we saw a trend toward increased receipt of palliative radiation among those with higher spirituality (37% vs. 25%, P = 0.69). The differences in end-of-life care received among those with low and high spirituality varied little by the FACIT-Sp peace and faith subscales. Conclusions End-of-life care was similar between men with lower and higher spirituality. Men with higher spirituality trended toward greater hospice use, suggesting that they redirected the focus of their care from curative to palliative goals.
- Subjects :
- Male
Gerontology
Coping (psychology)
Palliative care
Hospice care
Palliative Radiation Therapy
Urology
Vulnerable Populations
Nursing
Statistical significance
Spirituality
Medicine & Public Health
Terminal care
Humans
Medicine
Aged
Retrospective Studies
Medically Uninsured
Terminal Care
business.industry
Palliative Care
Prostatic Neoplasms
Retrospective cohort study
Middle Aged
Patient Acceptance of Health Care
Topic Paper
Health Surveys
Disadvantaged
Utilization
Oncology
Nephrology
Prostatic neoplasms
Urology/Andrology
business
End-of-life care
Subjects
Details
- ISSN :
- 14338726 and 07244983
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- World Journal of Urology
- Accession number :
- edsair.doi.dedup.....2ba081de9f93ab2b276bd49d5a609464