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Variability in the perception of palliative care and end-of-life care among hematology professionals from the same reference center in Bahia, Brazil: A descriptive cross-sectional study
Paim Miranda, Diego Lopes; Orathes Ponte Silva, Alini Maria; Pereira Ferreira, David; Teixeira da Silva, Laís; Lins-Kusterer, Liliane; Queiroz Crusoé, Edvan de; Vieira Lima, Marianna Batista; Aurélio Salvino, Marco.
  • Paim Miranda, Diego Lopes; Medical School, Universidade Federal da Bahia (UFBA). Postgraduate Program in Medicine and Health. Professor Edgard Santos University Hospital. Salvador. BR
  • Orathes Ponte Silva, Alini Maria; Medical School, Universidade Federal da Bahia (UFBA). Postgraduate Program in Medicine and Health. Professor Edgard Santos University Hospital. Salvador. BR
  • Pereira Ferreira, David; Universidade Federal da Bahia (UFBA). Medicine Student, Medical School. Salvador. BR
  • Teixeira da Silva, Laís; Medical School, Universidade Federal da Bahia (UFBA). Postgraduate Program in Medicine and Health. Professor Edgard Santos University Hospital. Salvador. BR
  • Lins-Kusterer, Liliane; Universidade Federal da Bahia (UFBA). Professor, Postgraduate Program in Medicine and Health. Department of Preventive and Social Medicine Medical School. Salvador. BR
  • Queiroz Crusoé, Edvan de; Universidade Federal da Bahia (UFBA). Hospital Universitário Professor Edgard Santos (HUPES). Salvador. BR
  • Vieira Lima, Marianna Batista; Universidade Federal da Bahia (UFBA). Hospital Universitário Professor Edgard Santos (HUPES). Salvador. BR
  • Aurélio Salvino, Marco; Medical School, Universidade Federal da Bahia (UFBA). Associate Professor, Postgraduate Program in Medicine and Health. Professor Edgard Santos University Hospital. Salvador. BR
São Paulo med. j ; 142(4): e2023225, 2024. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1536905
ABSTRACT
ABSTRACT

BACKGROUND:

There are several illness-specific cultural and system-based barriers to palliative care (PC) integration and end-of-life (EOL) care in the field of oncohematology.

OBJECTIVES:

This study aimed to investigate the variability in the perceptions of PC and EOL care. DESIGN AND

SETTING:

A cross-sectional study was conducted in the Hematology Division of our University Hospital in Salvador, Bahia, Brazil.

METHODS:

Twenty physicians responded to a sociodemographic questionnaire and an adaptation of clinical questionnaires used in previous studies from October to December 2022.

RESULTS:

The median age of the participants was 44 years, 80% of the participants identified as female, and 75% were hematologists. Participants faced a hypothetical scenario involving the treatment of a 65-year-old female with a poor prognosis acute myeloid leukemia refractory to first-line treatment. Sixty percent of the participants chose to follow other chemotherapy regimens, whereas 40% opted for PC. Next, participants considered case salvage for the patient who developed septic shock following chemotherapy and were prompted to choose their most probable conduct, and the conduct they thought would be better for the patient. Even though participants were from the same center, we found a divergence from the most probable conduct among 40% of the participants, which was due to personal convictions, legal aspects, and other physicians' reactions.

CONCLUSIONS:

We found considerable differences in the perception of PC and EOL care among professionals, despite following the same protocols. The study also demonstrated variations between healthcare professionals' beliefs and practices and persistent historical tendencies to prioritize aggressive interventions.


Texto completo: Disponible Índice: LILACS (Américas) País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2024 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Medical School, Universidade Federal da Bahia (UFBA)/BR

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Texto completo: Disponible Índice: LILACS (Américas) País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2024 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Medical School, Universidade Federal da Bahia (UFBA)/BR