Advance care planning in adults with oral cancer: Multi‐institutional cross‐sectional study

Abstract

Purpose: Patients undergoing head and neck surgery are often elderly and frail with significant comorbidities. Discussion and documentation of what patients would desire for end-of-life care and decision-making is, therefore, essential for delivering patient-centered care.Materials and Methods: This was a retrospective, cross-sectional study of patients undergoing surgery for head and neck cancer at two large, academic, tertiary care centers in Canada. Advance care planning was defined as any documentation of advance directives, resuscitation orders, or end-of-life care preferences.Results: Among 301 patients, advance care planning was documented for 31 (10.3%). Patients with locally advanced disease (T3+) were twice as likely to have

Advance care planning in oncology: a scoping review and some recommendations

“…Fourteen articles that were not included in these categories are reported in Table 1. They address two topics: ACP uptake rates [39–44]; and ACP outcomes [45–52].…”

“…Thirty-eight studies [15–52] and three reviews were identified [6 ▪ ,8 ▪▪ ,13 ▪▪ ]. Studies were heterogeneous in terms of cancer care contexts, population size and characteristics, research designs, and assessment methods (Table 1).…”

Views of health care professionals on the implementation of preoperative advance care planning in older patients with head and neck cancer: Q methodology

“…However, Forner et al. [ 17 ] investigated the rate of preoperative ACP document signing in patients undergoing oral cancer surgery and found that the rate of preoperatively signing ACP documentation in this population was only 10.3%. On the one hand, this suggests the feasibility of applying ACP in patients undergoing HNC surgery; on the other hand, this also suggests that the views of stakeholders toward the implementation of ACP in patients undergoing HNC surgery need to be further investigated.…”