TY - JOUR
T1 - Perceptions of involvement in advance care planning and emotional functioning in patients with advanced cancer
AU - Kroon, Lente L.
AU - van Roij, Janneke
AU - Korfage, Ida J.
AU - Reyners, An K. L.
AU - van den Beuken-van Everdingen, Marieke H. J.
AU - den Boer, Marien O.
AU - Creemers, Geert-Jan
AU - de Graeff, Alexander
AU - Hendiks, Mathijs P.
AU - Hunting, Jarmo C. B.
AU - de Jong, Wouter K.
AU - Kuip, Evelien J. M.
AU - van Laarhoven, Hanneke W. M.
AU - van Leeuwen, Lobke
AU - van Lindert, Anne S. R.
AU - Mandigers, Caroline M. P. W.
AU - Nieboer, Peter
AU - van der Padt-Pruijsten, Annemieke
AU - Smilde, Tineke J.
AU - Sommeijer, Dirkje W.
AU - Thijs, Martine F.
AU - Tiemessen, Marian A.
AU - Vos, Allert H.
AU - Vreugdenhil, Art
AU - Werner, Philo T.
AU - van Zuylen, Lia
AU - on behalf of the eQuiPe study group
AU - van de Poll-Franse, Lonneke V.
AU - Raijmakers, Natasja J. H.
N1 - Funding Information: The eQuiPe study is funded by the Roparun Foundation. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/6/1
Y1 - 2021/6/1
N2 - Purpose: Advance Care Planning (ACP) is positively associated with the quality of care, but its impact on emotional functioning is ambiguous. This study investigated the association between perceptions of ACP involvement and emotional functioning in patients with advanced cancer. Methods: This study analyzed baseline data of 1,001 patients of the eQuiPe study, a prospective, longitudinal, multicenter, observational study on quality of care and quality of life in patients with advanced cancer in the Netherlands. Patients with metastatic solid cancer were asked to participate between November 2017 and January 2020. Patients’ perceptions of ACP involvement were measured by three self-administered statements. Emotional functioning was measured by the EORTC-QLQ-C30. A linear multivariable regression analysis was performed while taking gender, age, migrant background, education, marital status, and symptom burden into account. Results: The majority of patients (87%) reported that they were as much involved as they wanted to be in decisions about their future medical treatment and care. Most patients felt that their relatives (81%) and physicians (75%) were familiar with their preferences for future medical treatment and care. A positive association was found between patients’ perceptions of ACP involvement and their emotional functioning (b=0.162, p<0.001, 95%CI[0.095;0.229]) while controlling for relevant confounders. Conclusions: Perceptions of involvement in ACP are positively associated with emotional functioning in patients with advanced cancer. Future studies are needed to further investigate the effect of ACP on emotional functioning. Trial registration number: NTR6584 Date of registration: 30 June 2017 Implications for Cancer Survivors: Patients’ emotional functioning might improve from routine discussions regarding goals of future care. Therefore, integration of ACP into palliative might be promising.
AB - Purpose: Advance Care Planning (ACP) is positively associated with the quality of care, but its impact on emotional functioning is ambiguous. This study investigated the association between perceptions of ACP involvement and emotional functioning in patients with advanced cancer. Methods: This study analyzed baseline data of 1,001 patients of the eQuiPe study, a prospective, longitudinal, multicenter, observational study on quality of care and quality of life in patients with advanced cancer in the Netherlands. Patients with metastatic solid cancer were asked to participate between November 2017 and January 2020. Patients’ perceptions of ACP involvement were measured by three self-administered statements. Emotional functioning was measured by the EORTC-QLQ-C30. A linear multivariable regression analysis was performed while taking gender, age, migrant background, education, marital status, and symptom burden into account. Results: The majority of patients (87%) reported that they were as much involved as they wanted to be in decisions about their future medical treatment and care. Most patients felt that their relatives (81%) and physicians (75%) were familiar with their preferences for future medical treatment and care. A positive association was found between patients’ perceptions of ACP involvement and their emotional functioning (b=0.162, p<0.001, 95%CI[0.095;0.229]) while controlling for relevant confounders. Conclusions: Perceptions of involvement in ACP are positively associated with emotional functioning in patients with advanced cancer. Future studies are needed to further investigate the effect of ACP on emotional functioning. Trial registration number: NTR6584 Date of registration: 30 June 2017 Implications for Cancer Survivors: Patients’ emotional functioning might improve from routine discussions regarding goals of future care. Therefore, integration of ACP into palliative might be promising.
KW - Advance care planning
KW - Advanced cancer
KW - Palliative care
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85104286757&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s11764-021-01020-y
DO - https://doi.org/10.1007/s11764-021-01020-y
M3 - Article
C2 - 33840000
SN - 1932-2259
VL - 15
SP - 380
EP - 385
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
IS - 3
ER -