Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study

Background: Some evidence suggests the wish to hasten death is related to poor health-related quality of life. Deficits in perceived dignity and self-efficacy are risk factors for wish to hasten death that also impact health-related quality of life. Aim: To compare perceived health-related quality o...

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Autores: Crespo, Iris, Rodríguez Prat, Andrea, Monforte-Royo, Cristina, Wilson, Keith, Porta-Sales, Josep, Balaguer, Albert
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::174873afb53e7a1acf173d47d1330e9b
Acceso en línea:https://hdl.handle.net/20.500.12328/5343
https://dx.doi.org/10.1177/0269216320904607
Access Level:acceso embargado
Palabra clave:Advanced cancer
Desire to die
Dignity
Health-related quality of life
Life-threatening illness
Palliative care
Quality of life
Self-efficacy
Wish to hasten death
Càncer avançat
Desig de morir
Dignitat
Qualitat de vida relacionada amb la salut
Malaltia greu
Cures pal·liatives
Qualitat de vida
Autoeficàcia
Desig d'acelerar la mort
Cáncer avanzado
Deseo de morir
Dignidad
Calidad de vida relacionada con la salud
Enfermedad que pone en peligro la vida
Calidad de vida
Autoeficacia
616
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spelling Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative studyCrespo, IrisRodríguez Prat, AndreaMonforte-Royo, CristinaWilson, KeithPorta-Sales, JosepBalaguer, AlbertAdvanced cancerDesire to dieDignityHealth-related quality of lifeLife-threatening illnessPalliative careQuality of lifeSelf-efficacyWish to hasten deathCàncer avançatDesig de morirDignitatQualitat de vida relacionada amb la salutMalaltia greuCures pal·liativesQualitat de vidaAutoeficàciaDesig d'acelerar la mortCáncer avanzadoDeseo de morirDignidadCalidad de vida relacionada con la saludEnfermedad que pone en peligro la vidaCalidad de vidaAutoeficaciaAutoeficacia616Background: Some evidence suggests the wish to hasten death is related to poor health-related quality of life. Deficits in perceived dignity and self-efficacy are risk factors for wish to hasten death that also impact health-related quality of life. Aim: To compare perceived health-related quality of life, dignity and self-efficacy in patients with advanced cancer who either do (case group) or do not (control group) express a wish to hasten death. Cases and controls were matched on sociodemographic and functional characteristics. Design: A comparative cross-sectional study. Participants: A total of 153 adult patients with advanced cancer were assessed for wish to hasten death using the Desire for Death Rating Scale. Scores ⩾1 indicate some degree of wish to hasten death (case group, n = 51), and score = 0 implies no wish to hasten death (control group, n = 102). Assessments included health-related quality of life using the European Organization for Research and Treatment of Cancer Quality-of-Life Core 15-Item Palliative Questionnaire, perceived loss of dignity using the Patient Dignity Inventory and self-efficacy using the General Self-Efficacy Scale. Results: Patients with a wish to hasten death had worse emotional functioning (p < 0.001), greater perceived loss of dignity (p < 0.001) and lower self-efficacy (p = 0.001). There was no difference in most physical symptoms. Perceived overall health-related quality of life was significantly worse for those with a clinically relevant wish to hasten death (p = 0.023) and marginally worse for the case group than the control group (p = 0.052). Conclusion: Patients with wish to hasten death showed lower perceived dignity, self-efficacy and emotional quality of life than patients without wish to hasten death without necessarily perceiving worse physical symptoms.info:eu-repo/semantics/publishedVersionSage2020info:eu-repo/semantics/articleDesconocidohttps://hdl.handle.net/20.500.12328/5343https://dx.doi.org/10.1177/0269216320904607reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésPalliative Medicine© 2020, Sage Publicationsinfo:eu-repo/semantics/embargoedAccessoai:dnet:recercat____::174873afb53e7a1acf173d47d1330e9b2026-05-29T05:05:01Z
dc.title.none.fl_str_mv Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
title Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
spellingShingle Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
Crespo, Iris
Advanced cancer
Desire to die
Dignity
Health-related quality of life
Life-threatening illness
Palliative care
Quality of life
Self-efficacy
Wish to hasten death
Càncer avançat
Desig de morir
Dignitat
Qualitat de vida relacionada amb la salut
Malaltia greu
Cures pal·liatives
Qualitat de vida
Autoeficàcia
Desig d'acelerar la mort
Cáncer avanzado
Deseo de morir
Dignidad
Calidad de vida relacionada con la salud
Enfermedad que pone en peligro la vida
Calidad de vida
Autoeficacia
Autoeficacia
616
title_short Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
title_full Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
title_fullStr Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
title_full_unstemmed Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
title_sort Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study
dc.creator.none.fl_str_mv Crespo, Iris
Rodríguez Prat, Andrea
Monforte-Royo, Cristina
Wilson, Keith
Porta-Sales, Josep
Balaguer, Albert
author Crespo, Iris
author_facet Crespo, Iris
Rodríguez Prat, Andrea
Monforte-Royo, Cristina
Wilson, Keith
Porta-Sales, Josep
Balaguer, Albert
author_role author
author2 Rodríguez Prat, Andrea
Monforte-Royo, Cristina
Wilson, Keith
Porta-Sales, Josep
Balaguer, Albert
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Advanced cancer
Desire to die
Dignity
Health-related quality of life
Life-threatening illness
Palliative care
Quality of life
Self-efficacy
Wish to hasten death
Càncer avançat
Desig de morir
Dignitat
Qualitat de vida relacionada amb la salut
Malaltia greu
Cures pal·liatives
Qualitat de vida
Autoeficàcia
Desig d'acelerar la mort
Cáncer avanzado
Deseo de morir
Dignidad
Calidad de vida relacionada con la salud
Enfermedad que pone en peligro la vida
Calidad de vida
Autoeficacia
Autoeficacia
616
topic Advanced cancer
Desire to die
Dignity
Health-related quality of life
Life-threatening illness
Palliative care
Quality of life
Self-efficacy
Wish to hasten death
Càncer avançat
Desig de morir
Dignitat
Qualitat de vida relacionada amb la salut
Malaltia greu
Cures pal·liatives
Qualitat de vida
Autoeficàcia
Desig d'acelerar la mort
Cáncer avanzado
Deseo de morir
Dignidad
Calidad de vida relacionada con la salud
Enfermedad que pone en peligro la vida
Calidad de vida
Autoeficacia
Autoeficacia
616
description Background: Some evidence suggests the wish to hasten death is related to poor health-related quality of life. Deficits in perceived dignity and self-efficacy are risk factors for wish to hasten death that also impact health-related quality of life. Aim: To compare perceived health-related quality of life, dignity and self-efficacy in patients with advanced cancer who either do (case group) or do not (control group) express a wish to hasten death. Cases and controls were matched on sociodemographic and functional characteristics. Design: A comparative cross-sectional study. Participants: A total of 153 adult patients with advanced cancer were assessed for wish to hasten death using the Desire for Death Rating Scale. Scores ⩾1 indicate some degree of wish to hasten death (case group, n = 51), and score = 0 implies no wish to hasten death (control group, n = 102). Assessments included health-related quality of life using the European Organization for Research and Treatment of Cancer Quality-of-Life Core 15-Item Palliative Questionnaire, perceived loss of dignity using the Patient Dignity Inventory and self-efficacy using the General Self-Efficacy Scale. Results: Patients with a wish to hasten death had worse emotional functioning (p < 0.001), greater perceived loss of dignity (p < 0.001) and lower self-efficacy (p = 0.001). There was no difference in most physical symptoms. Perceived overall health-related quality of life was significantly worse for those with a clinically relevant wish to hasten death (p = 0.023) and marginally worse for the case group than the control group (p = 0.052). Conclusion: Patients with wish to hasten death showed lower perceived dignity, self-efficacy and emotional quality of life than patients without wish to hasten death without necessarily perceiving worse physical symptoms.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12328/5343
https://dx.doi.org/10.1177/0269216320904607
url https://hdl.handle.net/20.500.12328/5343
https://dx.doi.org/10.1177/0269216320904607
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Palliative Medicine
dc.rights.none.fl_str_mv © 2020, Sage Publications
info:eu-repo/semantics/embargoedAccess
rights_invalid_str_mv © 2020, Sage Publications
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv Desconocido
dc.publisher.none.fl_str_mv Sage
publisher.none.fl_str_mv Sage
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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