ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
The silent transition from curative to palliative treatment: a qualitative study about cancer patients' perceptions of end-of-life discussions with oncologists.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Healthcare Providers' Perspectives on the Communication Challenges When Discussing Palliative Sedation: A Qualitative Study Across Eight European Countries.Journal of clinical medicine · 2025Article
- From MINI to Meaningful Change-A German Pilot Study to Improve Patient Outcomes in End-of-Life Care.Healthcare (Basel, Switzerland) · 2025Article
- We Need to Talk About Quality of Life with Cancer Patients: Primum Non Nocere in Oncology.Medicina (Kaunas, Lithuania) · 2025Article
- Prognostic understanding among patients with advanced cancer recently referred to an enhanced supportive care service: results from the cross-sectional ProgESC study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Dyadic effects of perceived burden and psychological distress on quality of life among Chinese advanced cancer patients and their caregivers.Scientific reports · 2025Article
- Synthesis and application of diazenyl sulfonamide-based schiff bases as potential BRCA2 active inhibitors against MCF-7 breast cancer cell line.Scientific reports · 2025Article
- To treat or not to treat? Oncologists' perceptions and experiences regarding overtreatment in end stage cancer patients.Frontiers in medicine · 2025Article
- Development and psychometric evaluation of the death risk perception scale for advanced cancer patients.BMC palliative care · 2024Article
- Muslim Jurisprudence on Withdrawing Treatment from Incurable Patients: A Directed Content Analysis of the Papers of the Islamic Fiqh Council of the Muslim World League.Journal of religion and health · 2024Article
- Perceptions and experiences of onco-haematology professionals in relation to advance care planning: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Attitudes toward End-of-Life Resuscitation: A Psychometric Evaluation of a Novel Attitude Scale.Healthcare (Basel, Switzerland) · 2023Article
- Exploring the Relationship Between Health-Illness Transition Experiences and Distress Among Patients With Pancreatic Cancer.Oncology nursing forum · 2023Article
- Patient and Caregiver Expression of Reluctance and Ambivalence During Palliative Care Encounters.Journal of palliative medicine · 2023Article
- Silent Conversations: Goals of Care and End-of-Life Quality in Relapsed High-Risk Leukemia.Journal of the advanced practitioner in oncology · 2023Article
- Meanings and Experiences of End-of-Life Patients and Their Family Caregivers in Hospital-to-Home Transitions: A Constructivist Grounded Theory Study.International journal of environmental research and public health · 2022Article
- Bereaved Caregivers Perspectives of Negative Communication Experiences Near the End of Life for Adolescents and Young Adults with Cancer.Journal of adolescent and young adult oncology · 2022Article
- "Who can I ring? Where can I go?" Living with advanced cancer whilst navigating the health system: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Communication about Prognosis during Patient-Initiated Second Opinion Consultations in Advanced Cancer Care: An Observational Qualitative Analysis.International journal of environmental research and public health · 2021Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
objectiveThe aims of the study were to examine patients' experiences of end-of-life (EOL) discussions and to shed light on patients' perceptions of the transition from curative to palliative care.
methodsThis study was based on a qualitative methodology; we conducted semi-structured interviews with advanced cancer patients admitted to the palliative care unit (PCU) of the Medical University of Vienna. Interviews were recorded digitally and transcribed verbatim. Data were analyzed based on thematic analysis, using the MAXQDA software.
resultsTwelve interviews were conducted with patients living with terminal cancer who were no longer under curative treatment. The findings revealed three themes: (1) that the medical EOL conversation contributed to the transition process from curative to palliative care, (2) that patients' information preferences were ambivalent and modulated by defense mechanisms, and (3) that the realization and integration of medical EOL conversations into the individual's personal frame of reference is a process that needs effort and information from different sources coming together.
conclusionsThe results of the present study offer insight into how patients experienced their transition from curative to palliative care and into how EOL discussions are only one element within the disease trajectory. Many patients struggle with their situations. Therefore, more emphasis should be put on repeated offers to have EOL conversations and on early integration of aspects of palliative care into the overall treatment.
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