“What do I need to know about you?”: The Patient Dignity Question, age, and proximity to death among patients with cancer Journal Article
| Authors: | Hadler, R. A.; Goldshore, M.; Rosa, W. E.; Nelson, J. |
| Article Title: | “What do I need to know about you?”: The Patient Dignity Question, age, and proximity to death among patients with cancer |
| Abstract: | Purpose: The Patient Dignity Question (PDQ), “What do I need to know about you as a person to give you the best care possible?” is a validated instrument designed to assess patient priorities and stressors. Administration of the PDQ has been demonstrated to improve patient-provider relationships. The PDQ has been evaluated in multiple settings, but never as a standard component of palliative care consultation. The primary objectives of this study were to determine the feasibility of PDQ screening in palliative care consultation and to characterize responses. The secondary objective was to determine patient and disease factors associated with PDQ response among patients diagnosed with cancer. Methods: PDQ responses were collected from 2015 to 2017, and patient survival data collected through 2018. A codebook was developed to categorize responses using literature review and template analysis; coding was performed until thematic saturation was achieved. We descriptively analyzed thematic distribution among responders and performed multivariable multinomial regression to determine the association between patient characteristics and PDQ response. Results: Response to the PDQ was documented in 2053/5002 consultations (41.1%); 1877 patient responses were included in final analysis. A total of 544 (29.5%) patients referenced illness-related concerns, 879 (46.8%) shared personal insights, and 283 (15.1%) cited interpersonal relationships. Younger patients frequently reported illness-related concerns; older respondents (age > 65) often responded with insights into their identity. Patients’ responses evaluated less than 1 year before death were more likely to focus upon identity and interpersonal relationships than illness-related concerns. Conclusion: The PDQ can be used as a means of eliciting values among patients with cancer. Variations in response pattern suggest that approaches to distress may be tailored to age and proximity to death. © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. |
| Keywords: | adult; cancer survival; controlled study; aged; major clinical study; cancer patient; neoplasm; neoplasms; cancer palliative therapy; palliative care; quality of life; palliative therapy; prevalence; cohort analysis; cancer screening; motivation; retrospective study; risk factor; cancer mortality; feasibility study; feasibility studies; quantitative analysis; patient coding; communication; referral and consultation; consultation; coping behavior; anxiety; fear; personal experience; human relation; religion; patient referral; qualitative analysis; introspection; content analysis; human dignity; identity; dignity; family structure; humans; human; male; female; article; respect; goals of care; social structure; religious identity |
| Journal Title: | Supportive Care in Cancer |
| Volume: | 30 |
| Issue: | 6 |
| ISSN: | 0941-4355 |
| Publisher: | Springer Verlag |
| Date Published: | 2022-06-01 |
| Start Page: | 5175 |
| End Page: | 5186 |
| Language: | English |
| DOI: | 10.1007/s00520-022-06938-2 |
| PUBMED: | 35246729 |
| PROVIDER: | scopus |
| PMCID: | PMC8896848 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 June 2022 -- Source: Scopus |
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