U.O. Oncologia Medica 2, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Department of Internal Medicine and Medical Sciences (DiMI), School of Medicine, University of Genova, Genova, Italy.
Tumori. 2024 Dec;110(6):430-436. doi: 10.1177/03008916241287616. Epub 2024 Oct 14.
We conducted an online survey to investigate oncologists' clinical practices and views on palliative care at the end of life in the Italian region of Liguria.
The survey included 29 items divided into three sections: participant characteristics (n=6), hospital resources and practices (n=11), participant practices and views (n=12).
Twenty-one of the 41 medical oncologists invited completed the survey (51%). Although almost all reported the presence of palliative medicine physicians at their hospitals (90%), nearly half (48%) stated that palliative medicine physicians were not responsible for managing cancer patients at end of life, and 21% reported routine participation of palliative medicine physicians in multidisciplinary meetings. Thirty-eight percent of the respondents stated they never consulted psychologists regarding end of life patient care, and 43% reported they rarely did. Notably, a substantial proportion of participants stated that they administered active treatments to patients with six months life expectancy. Regarding integration between oncology and palliative medicine, an equal proportion felt it had been fully (48%) or partially achieved (48%) at their hospitals.
Participants seemed fairly satisfied with the level of integration between oncology and palliative medicine at their hospitals, which contrasts with other findings regarding, for instance, the scant participation of palliative medicine physicians in multidisciplinary meetings. Exploring the impact of the novel regional clinical healthcare pathway for palliative care on practices at hospitals in Liguria will be crucial to ensure that cancer patients at end of life receive quality care.
我们在意大利利古里亚地区进行了一项在线调查，旨在调查肿瘤学家在生命末期的姑息治疗临床实践和观点。
该调查包括 29 个项目，分为三个部分：参与者特征（n=6）、医院资源和实践（n=11）、参与者实践和观点（n=12）。
在 41 名受邀的肿瘤医学专家中，有 21 名（51%）完成了调查。尽管几乎所有的人都报告说他们所在的医院有姑息医学医生（90%），但近一半（48%）的人表示姑息医学医生不负责管理临终癌症患者，21%的人报告说姑息医学医生经常参加多学科会议。38%的受访者表示他们从未就临终患者护理咨询过心理学家，43%的人表示很少咨询。值得注意的是，相当一部分参与者表示，他们会给预计生存期为六个月的患者使用积极的治疗方法。关于肿瘤学和姑息医学的整合，同样比例的人（48%）认为他们所在的医院已经完全（48%）或部分（48%）实现了整合。
参与者似乎对他们所在医院的肿瘤学和姑息医学整合程度相当满意，这与其他关于姑息医学医生在多学科会议上参与度低的发现形成了对比。探索利古里亚地区新的姑息治疗区域临床医疗保健途径对医院实践的影响，对于确保临终癌症患者获得高质量的护理至关重要。
