Publicação
Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life?
| Resumo: | Objective: This study aimed to analyse older people`s end-of-life care priorities and to identify factors associated with these priorities. Methods: A cross-sectional face-to-face survey with 400 individuals aged ≥60 living in the city of Belo Horizonte, Brazil was conducted. Participants were asked their treatment priorities if faced with a serious illness with limited time to live. Multinomial logistic regressions were used to identify the associated factors. The possible instability of the factors in the final multivariable model were assessed by bootstrap resampling. Results: Most participants (65.3%) chose the option ‘improve quality of life for the time they had left’. Only 4% said extending life was the most important priority while the option ‘both equally important’ (quality and extension) was chosen by 30.8 of respondents. Participants in the age group 60-69 years were more likely to choose both quality and life extension than choose to extend life alone (AOR=0.18, 95% CI:0.05-0.72; ref: 80+ years). The group comprised of single + widowers is more likely to prioritize both quality and extension than to prioritize just extending life (AOR=0.28, 95% CI:0.09- 0.89; ref: the others marital status) and or just improving the quality of life (AOR=0.62, 95% CI:0.40-0.95; ref: the others marital status). Conclusion: The findings indicated that treatment for improving the quality of life was the most important priority. Two factors influenced the priorities (age group and marital status). To meet people's treatment priorities at end of life, policies need to be formulated to develop palliative care services, train health-care professionals, and educate patients |
|---|---|
| Autores principais: | Jorge, Rafaela |
| Outros Autores: | Freitas, Adelaide; Sousa, Liliana |
| Assunto: | Aged Life extension Quality of life Palliative care Public health |
| Ano: | 2020 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Aveiro |
| Idioma: | inglês |
| Origem: | RIA - Repositório Institucional da Universidade de Aveiro |
| _version_ | 1866172966836895744 |
|---|---|
| author | Jorge, Rafaela |
| author2 | Freitas, Adelaide Sousa, Liliana |
| author2_role | author author |
| author_facet | Jorge, Rafaela Freitas, Adelaide Sousa, Liliana |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Jorge, Rafaela\"},{\"Person.name\":\"Freitas, Adelaide\"},{\"Person.name\":\"Sousa, Liliana\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Jorge, Rafaela Freitas, Adelaide Sousa, Liliana |
| datacite.date.Accepted.fl_str_mv | 2020-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2021-01-11T19:39:23Z |
| datacite.date.embargoed.fl_str_mv | 2021-01-11T19:39:23Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Aged Life extension Quality of life Palliative care Public health |
| datacite.titles.title.fl_str_mv | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| dc.creator.none.fl_str_mv | Jorge, Rafaela Freitas, Adelaide Sousa, Liliana |
| dc.date.Accepted.fl_str_mv | 2020-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2021-01-11T19:39:23Z |
| dc.date.embargoed.fl_str_mv | 2021-01-11T19:39:23Z |
| dc.description.none.fl_str_mv | Objetivo: O objetivo deste estudo foi analisar as prioridades de cuidados em fim de vida de pessoas idosas e identificar os fatores associados com as prioridades. Métodos: Foi realizado um estudo transversal com 400 indivíduos com idade ≥60 anos residentes na cidade de Belo Horizonte, Brasil. Foi perguntado aos participantes qual a prioridade de tratamento numa situação de doença grave com tempo de vida limitado. Os dados foram analisados por meio de regressão logística multinominal para identificar os fatores associados. Técnicas de reamostragem bootstrap foram consideradas para avaliar a existência de instabilidade dos fatores no modelo final. Resultados: A maioria dos participantes (65.3%) escolheu a opção “melhorar a qualidade de vida do tempo que lhe restasse”. Apenas 4% responderam que “prolongar a vida” é mais importante, enquanto a opção “ambos são igualmente importantes” (prolongar e melhorar) foi escolhida por 30.8% dos participantes. Os participantes do grupo etário 60- 69 anos foram mais propensos a escolher a opção “ambos são igualmente importantes” do que somente “prolongar a vida” (AOR=0.18, 95% CI:0.05-0.72; ref: 80+ anos). O grupo dos solteiros + viúvos são mais propensos a priorizar a opção “ambos igualmente importante” do que priorizar somente a opção prolongar a vida (AOR=0.28, 95% CI:0.09-0.89; ref: casados/união estável + divorciados/separados) e somente “melhorar a qualidade de vida” (AOR=0.62, 95% CI:0.40-0.95; ref: casados/união estável + divorciados/separados). Conclusão: Os resultados mostraram que os tratamentos que melhoram a qualidade de vida foi a prioridade de cuidado mais importante. Foram encontrados dois fatores que influenciaram as prioridades (grupo etário e estado civil). Para atender às prioridades de tratamentos das pessoas no fim da vida é preciso formular políticas para desenvolver serviços de cuidados paliativos, treinar profissionais de saúde e educar os pacientes. |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10773/30282 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Universidade de Aveiro; Centro Hospitalar do Baixo Vouga |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Aged Life extension Quality of life Palliative care Public health |
| dc.title.fl_str_mv | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Objective: This study aimed to analyse older people`s end-of-life care priorities and to identify factors associated with these priorities. Methods: A cross-sectional face-to-face survey with 400 individuals aged ≥60 living in the city of Belo Horizonte, Brazil was conducted. Participants were asked their treatment priorities if faced with a serious illness with limited time to live. Multinomial logistic regressions were used to identify the associated factors. The possible instability of the factors in the final multivariable model were assessed by bootstrap resampling. Results: Most participants (65.3%) chose the option ‘improve quality of life for the time they had left’. Only 4% said extending life was the most important priority while the option ‘both equally important’ (quality and extension) was chosen by 30.8 of respondents. Participants in the age group 60-69 years were more likely to choose both quality and life extension than choose to extend life alone (AOR=0.18, 95% CI:0.05-0.72; ref: 80+ years). The group comprised of single + widowers is more likely to prioritize both quality and extension than to prioritize just extending life (AOR=0.28, 95% CI:0.09- 0.89; ref: the others marital status) and or just improving the quality of life (AOR=0.62, 95% CI:0.40-0.95; ref: the others marital status). Conclusion: The findings indicated that treatment for improving the quality of life was the most important priority. Two factors influenced the priorities (age group and marital status). To meet people's treatment priorities at end of life, policies need to be formulated to develop palliative care services, train health-care professionals, and educate patients |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ria_b0b2b7be512287c3d3ed61d5b6b56b21 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10773/30282 |
| instacron_str | ua |
| institution | Universidade de Aveiro |
| instname_str | Universidade de Aveiro |
| language | eng |
| network_acronym_str | ria |
| network_name_str | RIA - Repositório Institucional da Universidade de Aveiro |
| oai_identifier_str | oai:ria.ua.pt:10773/30282 |
| organization_str_mv | urn:organizationAcronym:ua |
| person_str_mv | Jorge, Rafaela Freitas, Adelaide Sousa, Liliana |
| publishDate | 2020 |
| publisher.none.fl_str_mv | Universidade de Aveiro; Centro Hospitalar do Baixo Vouga |
| reponame_str | RIA - Repositório Institucional da Universidade de Aveiro |
| repository_id_str | urn:repositoryAcronym:ria |
| service_str_mv | urn:repositoryAcronym:ria |
| spelling | pt_PTObjective: This study aimed to analyse older people`s end-of-life care priorities and to identify factors associated with these priorities. Methods: A cross-sectional face-to-face survey with 400 individuals aged ≥60 living in the city of Belo Horizonte, Brazil was conducted. Participants were asked their treatment priorities if faced with a serious illness with limited time to live. Multinomial logistic regressions were used to identify the associated factors. The possible instability of the factors in the final multivariable model were assessed by bootstrap resampling. Results: Most participants (65.3%) chose the option ‘improve quality of life for the time they had left’. Only 4% said extending life was the most important priority while the option ‘both equally important’ (quality and extension) was chosen by 30.8 of respondents. Participants in the age group 60-69 years were more likely to choose both quality and life extension than choose to extend life alone (AOR=0.18, 95% CI:0.05-0.72; ref: 80+ years). The group comprised of single + widowers is more likely to prioritize both quality and extension than to prioritize just extending life (AOR=0.28, 95% CI:0.09- 0.89; ref: the others marital status) and or just improving the quality of life (AOR=0.62, 95% CI:0.40-0.95; ref: the others marital status). Conclusion: The findings indicated that treatment for improving the quality of life was the most important priority. Two factors influenced the priorities (age group and marital status). To meet people's treatment priorities at end of life, policies need to be formulated to develop palliative care services, train health-care professionals, and educate patientspt_PTObjetivo: O objetivo deste estudo foi analisar as prioridades de cuidados em fim de vida de pessoas idosas e identificar os fatores associados com as prioridades. Métodos: Foi realizado um estudo transversal com 400 indivíduos com idade ≥60 anos residentes na cidade de Belo Horizonte, Brasil. Foi perguntado aos participantes qual a prioridade de tratamento numa situação de doença grave com tempo de vida limitado. Os dados foram analisados por meio de regressão logística multinominal para identificar os fatores associados. Técnicas de reamostragem bootstrap foram consideradas para avaliar a existência de instabilidade dos fatores no modelo final. Resultados: A maioria dos participantes (65.3%) escolheu a opção “melhorar a qualidade de vida do tempo que lhe restasse”. Apenas 4% responderam que “prolongar a vida” é mais importante, enquanto a opção “ambos são igualmente importantes” (prolongar e melhorar) foi escolhida por 30.8% dos participantes. Os participantes do grupo etário 60- 69 anos foram mais propensos a escolher a opção “ambos são igualmente importantes” do que somente “prolongar a vida” (AOR=0.18, 95% CI:0.05-0.72; ref: 80+ anos). O grupo dos solteiros + viúvos são mais propensos a priorizar a opção “ambos igualmente importante” do que priorizar somente a opção prolongar a vida (AOR=0.28, 95% CI:0.09-0.89; ref: casados/união estável + divorciados/separados) e somente “melhorar a qualidade de vida” (AOR=0.62, 95% CI:0.40-0.95; ref: casados/união estável + divorciados/separados). Conclusão: Os resultados mostraram que os tratamentos que melhoram a qualidade de vida foi a prioridade de cuidado mais importante. Foram encontrados dois fatores que influenciaram as prioridades (grupo etário e estado civil). Para atender às prioridades de tratamentos das pessoas no fim da vida é preciso formular políticas para desenvolver serviços de cuidados paliativos, treinar profissionais de saúde e educar os pacientes.application/pdfengUniversidade de Aveiro; Centro Hospitalar do Baixo Vougapt_PTTreatment priorities among older people if faced with serious illness: improving the quality of life or extending life?Jorge, RafaelaFreitas, AdelaideSousa, LilianaHandlehttp://hdl.handle.net/10773/30282DOIIsPartOf10.34624/jshd.v2i1.82021-01-11T19:39:23Z2020-01-01T00:00:00Z2020-01http://purl.org/coar/access_right/c_abf2open accesspt_PTAgedpt_PTLife extensionpt_PTQuality of lifept_PTPalliative carept_PTPublic health1216105 byteshttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://ria.ua.pt/bitstream/10773/30282/1/2020JorgeEtAl_Treatment%20priorities%20among%20older%20people%20if%20faced%20with%20serious%20illness%20improving%20the%20quality%20of%20life%20or%20extending%20life.pdfliteraturehttp://purl.org/coar/resource_type/c_6501journal article |
| spellingShingle | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? Jorge, Rafaela Aged Life extension Quality of life Palliative care Public health |
| status | SINGLETON |
| subject.fl_str_mv | Aged Life extension Quality of life Palliative care Public health |
| title | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| title_full | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| title_fullStr | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| title_full_unstemmed | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| title_short | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| title_sort | Treatment priorities among older people if faced with serious illness: improving the quality of life or extending life? |
| topic | Aged Life extension Quality of life Palliative care Public health |
| topic_facet | Aged Life extension Quality of life Palliative care Public health |
| url | http://hdl.handle.net/10773/30282 |
| visible | 1 |