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Sources of Palliative Care Knowledge Among Patients With Advanced or Metastatic Gynecologic Cancer
Authors:Katherine Hicks-Courant  Ashley Graul  Emily Ko  Robert Giuntoli  Lainie Martin  Mark Morgan  Ashley Haggerty
Affiliation:1. University of Pennsylvania, Philadelphia, Pennsylvania, USA;2. St. Luke''s University Health Network, Bethlehem, Pennsylvania, USA;1. Department of Medicine, McMaster University, Hamilton, Ontario, Canada;2. Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada;3. Hamilton Health Sciences, Hamilton, Ontario, Canada;4. School of Nursing, McMaster University, Hamilton, Ontario, Canada;5. Vancouver Island Health Authority, Victoria, British Columbia, Canada;6. Department of Clinical and Organizational Ethics, The Ottawa Hospital, Ottawa, Ontario, Canada;7. The Ottawa Hospital, Ottawa, Ontario, Canada;8. Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada;9. London School of Hygiene and Tropical Medicine, London, England;10. Department of Family Medicine, University of British Columbia, Vancouver, British Columbia, Canada;11. Q Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands;12. Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada;1. Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA;2. Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts, USA;3. Hope Hospice and Palliative Care Rhode Island, Providence, Rhode Island, USA;1. Doctoral Programs in Medical Sciences, Department of Health Services Research, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan;2. Health Services Research & Development Center, University of Tsukuba, Tsukuba, Ibaraki, Japan;3. Faculty of Medicine, Department of Health Services Research, University of Tsukuba, Tsukuba, Ibaraki, Japan;4. Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan;5. Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan;6. Department of Social Work, George Mason University, Fairfax, Virginia, USA;7. Faculty of Medicine, Medical English Communications Center, University of Tsukuba, Tsukuba, Ibaraki, Japan;1. Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA;2. School of Nursing, University of Massachusetts Medical School, Worcester, Massachusetts, USA;1. Duke Global Health Institute, Duke University, Durham, North Carolina, USA;2. Caribbean Institute for Health Research – Sickle Cell Unit, University of the West Indies, Mona Campus, Kingston, Jamaica;3. Faculty of Health Sciences, Division of Human Genetics, University of Cape Town, Cape Town, South Africa;4. Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon;5. Department of Microbiology, Hematology and Immunology, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon;6. Duke Center on Genomics, Race, Identity, Difference, Durham, North Carolina, USA;7. Divisions of Hematology and Pediatric Hematology/Oncology, Duke University School of Medicine, Durham, North Carolina, USA;8. Duke University Schools of Nursing and Medicine, Durham, North Carolina, USA;9. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Duke University, Durham, North Carolina, USA;10. Department of African & African American Studies, Duke University, Durham, North Carolina, USA
Abstract:ContextA minority of patients with advanced or metastatic gynecologic cancer utilize palliative care and lack of knowledge may be a barrier to receiving palliative care services.ObjectivesTo identify sources used by patients with advanced or metastatic gynecologic cancer to learn about palliative care and evaluate for differences in knowledge about palliative care and palliative care utilization by knowledge source.MethodsPatients with gynecologic cancer receiving treatment for advanced or metastatic gynecologic cancer at a single academic medical center were surveyed about their awareness of and knowledge about palliative care. Medical chart review was conducted.ResultsOf the 111 women surveyed, 70 had heard of palliative care (63%). Sixty-eight specified from where they learned of palliative care: cancer care (n = 28; 41.2%), word of mouth (n = 26; 38.2%), work (n = 6; 8.8%), self-education (n = 4; 5.9%), personal experience (n = 2; 2.9%), or do not know (n = 2; 2.9%). Knowledge about palliative care (P = 0.35) and palliative care utilization (P = 0.81) did not differ by awareness of palliative care.ConclusionMost women receiving treatment for advanced gynecologic cancer have heard of palliative care from sources other than their cancer care providers. Knowledge about palliative care and source of knowledge about palliative care were not associated with palliative care utilization. Awareness of palliative care and palliative care utilization may be improved by increasing the low rate of health provider-based education and engaging cancer patients' social networks.
Keywords:Gynecologic cancer  patient education  palliative care consultation  palliative care knowledge  social network
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