ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Knowledge, attitudes, and influencing factors of cancer patients toward approving advance directives in China.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Factors related to advance directives completion among cancer patients: a systematic review.BMC palliative care · 2024Pooled it
- Asian patients' perspectives on advance care planning: A mixed-method systematic review and conceptual framework.Palliative medicine · 2021Pooled it
- Intention to complete advance directives among patients with cancer undergoing treatment: application of the extended theory of planned behavior.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Factors influencing palliative care decision-making participation among elderly patients in the terminal stage: a cross-sectional study.BMC palliative care · 2026Article
- EHR-Based Advanced Care Planning and Late-Stage Cancer Treatment in a Middle-Income Country: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Factors influencing the completion of advance directives in cancer patients: a descriptive survey.BMC palliative care · 2025Article
- Multi Components in the Implementation of Advanced Care Planning for Patients with Cancer: A Scoping Review.Journal of caring sciences · 2025Review
- Article
- Community health workers' knowledge and attitudes toward advance directives in China: a cross-sectional study.Frontiers in public health · 2025Article
- Article
- Psychometric properties of Persian version of advance care planning questionnaire among older adults in Iran.BMC geriatrics · 2024Article
- Factors That Influence Attitudes toward Advance Directives among Female Cancer Patients.Journal of hospice and palliative care · 2023Article
- Perspective on advanced directives among older adults in Shanghai: A qualitative study.International journal of nursing sciences · 2023Article
- Willingness of patients with cancer pain to participate in end-of-life decisions: a multi-center cross-sectional study from three coastal provinces in southern China.BMC palliative care · 2022Article
- Important Factors Influencing Willingness to Participate in Advance Care Planning among Outpatients: A Pilot Study in Central Taiwan.International journal of environmental research and public health · 2022Article
- Advance directives in patients with head and neck cancer - status quo and factors influencing their creation.BMC palliative care · 2022Article
- Advance Directives in Oncology and Haematology: A Long Way to Go-A Narrative Review.Journal of clinical medicine · 2022Review
- The Impact of Advance Directive Perspectives on the Completion of Life-Sustaining Treatment Decisions in Patients with Heart Failure: A Prospective Study.Journal of clinical medicine · 2021Article
- Prevalence and Predictors of Willingness to Make Advance Directives among Macao Chinese.International journal of environmental research and public health · 2021Article
- Advance directives and real-world end-of-life clinical practice: a case-control study.BMJ supportive & palliative care · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMany cancer patients do not have advance directives (ADs), which may lead to unwanted excessive or aggressive care when patients have lost decision-making capacity. The aim of this study was to investigate knowledge and attitudes of approving ADs and explore factors associated with willing to designate ADs among cancer patients in China.
methodsWe conducted semi-structured interview method investigating 753 in-patients with cancer in two cancer centers.
resultsOf those subjects, none of the cancer patients had an AD. Only 22.4 % (118 of 526) approved ADs. Comparing with the disapproved ADs group, the approved ADs group were more likely to discuss the AD with oncologist or nurse (χ (2) = 180.4, p < 0.001) in the cancer center (χ (2) = 244.1, p < 0.001), and they chose more comfort care (χ (2) = 18.8, p < 0.001). Most of cancer patients in the two groups wanted to die at home (72.8 %, 73.7 %, respectively). The older patients (OR, 1.04, 95 % CI, 1.02-1.07, p = 0.001), female (OR, 0.55, 95 % CI, 0.35-0.88, p = 0.013), with higher education levels (OR, 3.38, 95 % CI, 1.92-5.96, p < 0.001), with religious beliefs (OR, 2.91, 95 % CI, 1.71-4.94, p < 0.001), and with higher scores of ECOG (OR, 1.46, 95 % CI, 1.17-1.82, p = 0.001) were associated with desiring for ADs.
conclusionsOur findings indicate that there was a dearth of knowledge and different attitudes toward approving ADs among cancer patients, and some factors of demographic and clinical characteristics influenced their willing to designate ADs. This research highlights the importance of propagandizing the ADs to the public, especially to the patients, and further discussing with them when the time is ripe.
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