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Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients

BACKGROUND: In India, roughly one-half of patients undergoing cancer treatment are unaware of their diagnosis or treatment. The intention of this study is to determine the prevalence of collusion and its influence on quality of life (QOL) among patients in palliative care settings. METHODOLOGY: A cr...

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Autores principales: Victor, Anju, George, Carolin Elizabeth, Inbaraj, Leeberk Raja, Norman, Gift
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5801632/
https://www.ncbi.nlm.nih.gov/pubmed/29440809
http://dx.doi.org/10.4103/IJPC.IJPC_111_17
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author Victor, Anju
George, Carolin Elizabeth
Inbaraj, Leeberk Raja
Norman, Gift
author_facet Victor, Anju
George, Carolin Elizabeth
Inbaraj, Leeberk Raja
Norman, Gift
author_sort Victor, Anju
collection PubMed
description BACKGROUND: In India, roughly one-half of patients undergoing cancer treatment are unaware of their diagnosis or treatment. The intention of this study is to determine the prevalence of collusion and its influence on quality of life (QOL) among patients in palliative care settings. METHODOLOGY: A cross-sectional study was conducted among 100 palliative care patients to assess the extent of knowledge about their diagnosis and prognosis. The caretakers and the treating doctors were interviewed using a semi-structured questionnaire to assess if diagnosis was revealed to a patient. QOL of the patients was assessed using the European Organisation for Research and Treatment of Cancer QOL Questionnaire-C30 questionnaire. RESULTS: The prevalence of collusion was 37%, i.e., in more than one-third of the palliative care patients; caregivers restrained doctors from disclosing the diagnosis. The prevalence of collusion was less among patients with higher educational qualification (P = 0.027) and professionals (P = 0.025). Collusion was not associated with gender, type of family, place of residence, and socioeconomic status (SES). In multivariate regression, collusion (odds ratio = 10.53) was independently associated with poor QOL when adjusted for age, gender, place of residence, religion, educational status, family type, and SES. CONCLUSION: Collusion is fairly prevalent and it worsens the QOL among cancer patients. Since the main driver for collusion is the strong desire among caregivers to protect the physical and psychological well-being, the findings of the study could motivate the caregiver for a more open and honest communication.
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spelling pubmed-58016322018-02-13 Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients Victor, Anju George, Carolin Elizabeth Inbaraj, Leeberk Raja Norman, Gift Indian J Palliat Care Original Article BACKGROUND: In India, roughly one-half of patients undergoing cancer treatment are unaware of their diagnosis or treatment. The intention of this study is to determine the prevalence of collusion and its influence on quality of life (QOL) among patients in palliative care settings. METHODOLOGY: A cross-sectional study was conducted among 100 palliative care patients to assess the extent of knowledge about their diagnosis and prognosis. The caretakers and the treating doctors were interviewed using a semi-structured questionnaire to assess if diagnosis was revealed to a patient. QOL of the patients was assessed using the European Organisation for Research and Treatment of Cancer QOL Questionnaire-C30 questionnaire. RESULTS: The prevalence of collusion was 37%, i.e., in more than one-third of the palliative care patients; caregivers restrained doctors from disclosing the diagnosis. The prevalence of collusion was less among patients with higher educational qualification (P = 0.027) and professionals (P = 0.025). Collusion was not associated with gender, type of family, place of residence, and socioeconomic status (SES). In multivariate regression, collusion (odds ratio = 10.53) was independently associated with poor QOL when adjusted for age, gender, place of residence, religion, educational status, family type, and SES. CONCLUSION: Collusion is fairly prevalent and it worsens the QOL among cancer patients. Since the main driver for collusion is the strong desire among caregivers to protect the physical and psychological well-being, the findings of the study could motivate the caregiver for a more open and honest communication. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5801632/ /pubmed/29440809 http://dx.doi.org/10.4103/IJPC.IJPC_111_17 Text en Copyright: © 2018 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Victor, Anju
George, Carolin Elizabeth
Inbaraj, Leeberk Raja
Norman, Gift
Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients
title Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients
title_full Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients
title_fullStr Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients
title_full_unstemmed Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients
title_short Benefit or Harm? A Study on Impact of Collusion on the Quality of Life among Palliative Care Patients
title_sort benefit or harm? a study on impact of collusion on the quality of life among palliative care patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5801632/
https://www.ncbi.nlm.nih.gov/pubmed/29440809
http://dx.doi.org/10.4103/IJPC.IJPC_111_17
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