Publication: Perspective and conception of Thai gynecologic oncologists in palliative care
Issued Date
2021-10-01
Resource Type
ISSN
22245839
22245820
22245820
Other identifier(s)
2-s2.0-85121957821
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Annals of Palliative Medicine. Vol.10, No.10 (2021), 10293-10312
Suggested Citation
Panida Mathaveechotikul, Chuenkamon Charakorn, Arb Aroon Lertkhachonsuk, Navamol Lekskul, Sarikapan Wilailak, Kittiphon Nagaviroj Perspective and conception of Thai gynecologic oncologists in palliative care. Annals of Palliative Medicine. Vol.10, No.10 (2021), 10293-10312. doi:10.21037/apm-21-1418 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77776
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Perspective and conception of Thai gynecologic oncologists in palliative care
Other Contributor(s)
Abstract
Background: Palliative care evidently increases the quality of life among the patients with advanced cancer. However, there are very few studies on the aspects of the physicians’ ideas, conceptions, or the effects of their ideas in palliative care quality, especially in Asian countries. This study aimed to evaluate the conception and perspective on palliative care in Thai gynecologic oncologists. Methods: The online survey was distributed to all certificated Thai gynecologic oncologists. The survey could be accessed via working email address, hyperlink, or QR code during May 2020 and January 2021. A 5-point Likert scale captured the perspectives and concepts of palliative care. The association between respondents’ characteristics and their choices of content in palliative care, together with their decision making in specified clinical scenarios was analyzed. Results: A total of 207 completed surveys from 320 Thai gynecologic oncologists were received (64.69% participation rate). They prospected a willingness to give the advices to both patients and their families (85.50%), and strongly agreed to introduce palliative care in any stage of cancer at the time of diagnosis (75.80%). The numbers of their palliative cases per year were 5–20 (57.97%) and the palliative care teams were available in their hospitals. They decided to offer early palliative care and do-not-resuscitate, especially for the elders, or patients with advance stages, or recurrent disease. We found that gynecologic oncologists who previously experienced a palliative care training did not show any difference in decision making in specified clinical scenarios, compared with who did not. Conclusions: Thai gynecologic oncologists responded to the conceptions and perspectives in palliative care. Their concepts of early and willingness to offer a palliative care especially in the elders, advanced stage, or recurrent patients were proven, regardless of the experience in palliative care training.