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COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT

BACKGROUND: Patients with primary brain tumors find it difficult to make decisions during the advanced disease stage and experience decreased consciousness. It is important for patients to receive supported decision-making early. Medical staff should know what to do and when to do it,but there are n...

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Autores principales: Kishi, Tatsuya, Sakurada, Naoya, Horikawa, Mayumi, Ohkubo, Haruaki, Ishii, Kazumi, Miyakita, Yasuji, Ohno, Makoto, Takahashi, Masamichi, Narita, Yoshitaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213388/
http://dx.doi.org/10.1093/noajnl/vdz039.195
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author Kishi, Tatsuya
Sakurada, Naoya
Horikawa, Mayumi
Ohkubo, Haruaki
Ishii, Kazumi
Miyakita, Yasuji
Ohno, Makoto
Takahashi, Masamichi
Narita, Yoshitaka
author_facet Kishi, Tatsuya
Sakurada, Naoya
Horikawa, Mayumi
Ohkubo, Haruaki
Ishii, Kazumi
Miyakita, Yasuji
Ohno, Makoto
Takahashi, Masamichi
Narita, Yoshitaka
author_sort Kishi, Tatsuya
collection PubMed
description BACKGROUND: Patients with primary brain tumors find it difficult to make decisions during the advanced disease stage and experience decreased consciousness. It is important for patients to receive supported decision-making early. Medical staff should know what to do and when to do it,but there are no clear guidelines. Therefore,we reviewed the literature for supported decision-making for primary brain tumor patients,particularly to provide information for understanding trends reported in previous research. METHOD: On January 1,2019,we conducted a search using keywords,such as “brain tumor”and “decision-making,” via PubMed and “Igakuchuo-zashi” in Japan. We extracted literature about treatment decision support and end-of-life care for patients with primary brain tumors. Furthermore,we studied and chose the documents for information provision. RESULT: Upon observing 7 studies,we found: 1) about 50% of the patients want more prognostic information; 2) patients with brain tumor tend to be anxious,but they want more information to develop a good understanding of the disease and to lower their anxiety; 3) about half of the brain tumor patients in end-of-life care are unable to make decisions sooner owing to impaired consciousness,and hence are unable to share treatment preferences with their doctors; 4) when medical professionals provide information,such as adding video tools about end-of-life care to oral explanations,it facilitates supported decision-making; and 5) when the caregiver intends to notify patients,the family feels conflicted. DISCUSSION: The results suggested that if the timing of the end-of-life conversation is late,it becomes difficult for the patient to make decisions and the burden of decision-making falls on the family. It is necessary to examine effective supported decision-making tools for patients by assessing and comprehending information needs and anxiety levels of primary brain tumor patients.
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spelling pubmed-72133882020-07-07 COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT Kishi, Tatsuya Sakurada, Naoya Horikawa, Mayumi Ohkubo, Haruaki Ishii, Kazumi Miyakita, Yasuji Ohno, Makoto Takahashi, Masamichi Narita, Yoshitaka Neurooncol Adv Abstracts BACKGROUND: Patients with primary brain tumors find it difficult to make decisions during the advanced disease stage and experience decreased consciousness. It is important for patients to receive supported decision-making early. Medical staff should know what to do and when to do it,but there are no clear guidelines. Therefore,we reviewed the literature for supported decision-making for primary brain tumor patients,particularly to provide information for understanding trends reported in previous research. METHOD: On January 1,2019,we conducted a search using keywords,such as “brain tumor”and “decision-making,” via PubMed and “Igakuchuo-zashi” in Japan. We extracted literature about treatment decision support and end-of-life care for patients with primary brain tumors. Furthermore,we studied and chose the documents for information provision. RESULT: Upon observing 7 studies,we found: 1) about 50% of the patients want more prognostic information; 2) patients with brain tumor tend to be anxious,but they want more information to develop a good understanding of the disease and to lower their anxiety; 3) about half of the brain tumor patients in end-of-life care are unable to make decisions sooner owing to impaired consciousness,and hence are unable to share treatment preferences with their doctors; 4) when medical professionals provide information,such as adding video tools about end-of-life care to oral explanations,it facilitates supported decision-making; and 5) when the caregiver intends to notify patients,the family feels conflicted. DISCUSSION: The results suggested that if the timing of the end-of-life conversation is late,it becomes difficult for the patient to make decisions and the burden of decision-making falls on the family. It is necessary to examine effective supported decision-making tools for patients by assessing and comprehending information needs and anxiety levels of primary brain tumor patients. Oxford University Press 2019-12-16 /pmc/articles/PMC7213388/ http://dx.doi.org/10.1093/noajnl/vdz039.195 Text en © The Author(s) 2019. Published by Oxford University Press, the Society for Neuro-Oncology and the European Association of Neuro-Oncology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Kishi, Tatsuya
Sakurada, Naoya
Horikawa, Mayumi
Ohkubo, Haruaki
Ishii, Kazumi
Miyakita, Yasuji
Ohno, Makoto
Takahashi, Masamichi
Narita, Yoshitaka
COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT
title COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT
title_full COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT
title_fullStr COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT
title_full_unstemmed COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT
title_short COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT
title_sort cot-15 literature review on the decision making of the brain tumor patient
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213388/
http://dx.doi.org/10.1093/noajnl/vdz039.195
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