TY - JOUR
T1 - CT-019 Patient Perceptions of Palliative Care in the Process of Allogenic Stem Cell Transplantation
AU - Melody, Megan
AU - Bruning, Chimere
AU - Mack, Rachel
AU - Parrott, Kimberley
AU - Taylor, Richard
AU - Kaur, Judith
AU - Ayala, Ernesto
AU - Kharfan-Dabaja, Mohammed
AU - Murthy, Hemant
AU - Kilpatrick, Molly
AU - Robinson, Maisha
N1 - Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/10
Y1 - 2022/10
N2 - Context: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is associated with significant sequalae that affect patients' overall quality of life (QoL). Although studies have shown improvement in patient QoL with the involvement of palliative care in the allo-HSCT process, perceptions regarding palliative care often impact referrals to palliative care. We conducted a study to examine patient perceptions of palliative care during evaluation for allo-HSCT. Objective: Primary endpoint was to assess the change in patient pre-and post-questionnaire responses. Secondary endpoint was to assess for completion of advance care planning documentation. Study Design: We conducted a prospective, single-center study, of adult patients who were referred for palliative care consultation as part of evaluation for allo-HSCT. Patients were administered a pre- and post-visit questionnaire to assess understanding and comfort level with palliative medicine. Results: We enrolled 32 patients (male = 14) patients undergoing evaluation for allo-HSCT with a primary diagnosis of AML (n=8), NHL (n=8), MDS (n=7), ALL (n=2), and other (n=7). Our study showed that the majority (56%) of patients reported a below-average (poor or fair) knowledge of palliative medicine and understanding of the reason for palliative medicine consultation. Following consultation with palliative care there was a statistically significant increase in patient understanding of reason for the appointment, p= 0.0006. There was also a significant increase in patients' knowledge of palliative care, with only 28% describing their knowledge as “good” or “excellent” prior to consultation and 79.3% after consultation, p <0.0001. There was an observed positive trend in patient comfort level with palliative medicine and likelihood to utilize palliative medicine during allo-HSCT following consultation, although not statistically significant. There was a higher rate of completion of advance care planning documentation following consultation with palliative medicine 56.3% vs 71.4%, p= 0.042. Conclusions: The majority of patients undergoing allo-HSCT report a poor understanding of palliative medicine. A palliative care consultation prior to allo-HSCT increases a patient's understanding of the role of palliative medicine in his/her allo-HSCT.
AB - Context: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is associated with significant sequalae that affect patients' overall quality of life (QoL). Although studies have shown improvement in patient QoL with the involvement of palliative care in the allo-HSCT process, perceptions regarding palliative care often impact referrals to palliative care. We conducted a study to examine patient perceptions of palliative care during evaluation for allo-HSCT. Objective: Primary endpoint was to assess the change in patient pre-and post-questionnaire responses. Secondary endpoint was to assess for completion of advance care planning documentation. Study Design: We conducted a prospective, single-center study, of adult patients who were referred for palliative care consultation as part of evaluation for allo-HSCT. Patients were administered a pre- and post-visit questionnaire to assess understanding and comfort level with palliative medicine. Results: We enrolled 32 patients (male = 14) patients undergoing evaluation for allo-HSCT with a primary diagnosis of AML (n=8), NHL (n=8), MDS (n=7), ALL (n=2), and other (n=7). Our study showed that the majority (56%) of patients reported a below-average (poor or fair) knowledge of palliative medicine and understanding of the reason for palliative medicine consultation. Following consultation with palliative care there was a statistically significant increase in patient understanding of reason for the appointment, p= 0.0006. There was also a significant increase in patients' knowledge of palliative care, with only 28% describing their knowledge as “good” or “excellent” prior to consultation and 79.3% after consultation, p <0.0001. There was an observed positive trend in patient comfort level with palliative medicine and likelihood to utilize palliative medicine during allo-HSCT following consultation, although not statistically significant. There was a higher rate of completion of advance care planning documentation following consultation with palliative medicine 56.3% vs 71.4%, p= 0.042. Conclusions: The majority of patients undergoing allo-HSCT report a poor understanding of palliative medicine. A palliative care consultation prior to allo-HSCT increases a patient's understanding of the role of palliative medicine in his/her allo-HSCT.
KW - CT
KW - advance care planning
KW - allogeneic
KW - palliative
KW - stem cell transplantation
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U2 - 10.1016/S2152-2650(22)01639-1
DO - 10.1016/S2152-2650(22)01639-1
M3 - Article
C2 - 36164191
AN - SCOPUS:85138154189
SN - 2152-2650
VL - 22
SP - S431
JO - Clinical Lymphoma, Myeloma and Leukemia
JF - Clinical Lymphoma, Myeloma and Leukemia
ER -