Monday, January 25, 2010

Doctors Delay Talking About End-Of-Life Care - Kaiser Health News

from Kaiser Health News

A study published this month finds doctors delay talking about end-of-life care, which often proves very costly. The Los Angeles Times reports: "Most doctors don't talk about end-of-life issues with their cancer patients when those patients are feeling well, a new survey has found." Physicians also tended to delay these conversations "until treatments have been exhausted. Those delays mean patients might not be able to make truly informed choices early in their treatment. The study, published online Jan. 11 in the journal Cancer, surveyed 4,188 physicians about how they would talk to a hypothetical cancer patient with four to six months to live. A majority of respondents (65%) said they would discuss prognosis, but only a minority said they would discuss do-not-resuscitate status (44%), hospice (26%) or preferred site of death (21%) at that time. Rather, they would wait until symptoms were present or until there were no more treatments to offer" (Adams, 1/25).

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