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Advance Directives for Advanced Cancer Patients in Oncology Department: Single Center Experience일개 종합병원 종양내과에서 완치목적의 치료가 어려운 암환자를 대상으로 적용한 사전의료의향서의 경험

Issue Date
2016
Keywords
Advance directives; Terminal care; Chemotherapy
Citation
The Ewha Medical Journal, v.39, no.4, pp 104 - 109
Pages
6
Journal Title
The Ewha Medical Journal
Volume
39
Number
4
Start Page
104
End Page
109
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/73920
DOI
10.12771/emj.2016.39.4.104
ISSN
2234-3180
2234-2591
Abstract
Objectives: Advance directives (AD) are designed to protect patients’ autonomy and self-determination, which mean the end of life care planning should precede before loss of their decision ability. We aimed to analyze our experience of AD at field of oncology, focusing on preference of end-of-life care and outcome in advanced cancer patients. Methods: A retrospective review was conducted on advanced cancer patients who underwent AD at the department of Oncology of Hanil General Hospital, between April 2013 and January 2014. AD are composed of decision about end of life care (resuscitation, ventilator, artificial tube feeding) and determination of proxy. Results: Among 23 patients who were recommended AD during study period, 19 patients (83%) successfully underwent AD. The median age was 67 years (range, 50 to 95 years) and male was predominance (84%) was observed. Most of them (90%) have not heard of AD in the past. With regard to decision of end-of-life care, decision for resuscitation and ventilator were selected only by 1 patient (5%), respectively, while 10 patients (52%) decided to receive tube feeding. Among 5 patients who underwent AD during chemotherapy, there was neither transfer to other hospital for anti-cancer treatment nor follow up loss. Conclusion: AD might be applicable in advanced cancer patients at field of oncology, including also patients treated with palliative chemotherapy.
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