Navigation Links
Parents, Doctors Often Differ on Chemo for Incurable Kids
Date:10/18/2011

TUESDAY, Oct. 18 (HealthDay News) -- Parents of children with incurable cancer tend to prefer to continue aggressive chemotherapy rather than pursue supportive end-of-life care, researchers have found.

The study findings revealed that if given the choice, the health care professionals treating these very sick children under the age of 18 would opt for supportive care alone to alleviate their patients' discomfort, according to the report published in the Oct. 17 issue of CMAJ, the Canadian Medical Association Journal.

"The choice between palliative chemotherapy and supportive care alone is one of the most important and difficult decisions for parents of children whose disease cannot be cured," Dr. Lillian Sung, of the division of hematology/oncology at the Hospital for Sick Children in Toronto, said in a journal news release.

In conducting the study, the researchers compared the treatment preferences of 77 parents whose children had little chance of surviving cancer to those of 128 health care professionals, including the doctors, residents, nurses and social workers, who care for children diagnosed with cancer.

The investigators found that 55 percent of parents preferred chemotherapy over supportive care. In contrast, only 16 percent of health care professionals would make the same choice.

Although parents placed a high value on their child's quality of life, the study also revealed that parents would choose chemotherapy for their child even if it reduced their quality of life and survival time.

The researchers pointed out that one reason for this discrepancy is the health care professionals viewed supportive care more positively than parents. The professionals' previous experiences with other children in similar circumstances may have something to do with that, the study authors suggested in the news release. Meanwhile, parents may remain hopeful that their child has a chance for survival regardless of their poor prognosis, the researchers added.

"This study is important because it highlights the incongruity between the preferences of parents and health care workers," Sung's team explained. "However, it may be that this incongruity masks a greater concern: miscommunication or unrealistic expectations."

The study authors concluded that health care professionals should be aware of parents' views on aggressive chemotherapy and communicate information about the child's quality of life and survival when making treatment decisions. They noted, however, that parents can remain hopeful while still optimizing their child's quality of life.

More information

The National Hospice and Palliative Care Organization provides more information on palliative care for children.

-- Mary Elizabeth Dallas

SOURCE: CMAJ, news release, Oct. 17, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Overzealous Parents, Coaches Take the Fun From Kids Sports
2. Rest Assured, Parents, Teens Really Do Get Smarter With Time
3. Parents, Saying Um and Uh May Aid Learning
4. Imaging technology might help doctors determine best treatment for Crohns disease patients
5. Parents who go online for pediatric health information are open to doctors website recommendations
6. Researchers track number of doctors disciplined and why
7. Mine-hunting software helping doctors to identify rare cells in human cancer
8. Survey reveals reasons doctors avoid online error-reporting tools
9. Doctors Consider Nonverbal Cues in Medical Decisions
10. The witch doctors gift: Potential new drugs from a cup of tea
11. Cancer Patients Should Ask Doctors to Use Simple Terms
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Parents, Doctors Often Differ on  Chemo for Incurable Kids
(Date:6/26/2016)... ... , ... PawPaws brand pet supplements owned by Whole Health Supply ... health of felines. The formula is all-natural and is made from Chinese herbs that ... Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root ...
(Date:6/25/2016)... Miami, FL (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton ... Plant City Observer , brings up a new, often overlooked aspect of head lice: ... The closing for fumigation is not a common occurrence, but a necessary one in the ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of ... recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at Work ... Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses ...
(Date:6/24/2016)... ... ... a crisis. Her son James, eight, was out of control. Prone to extreme mood shifts ... upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a knife ... and say he was going to kill them. If we were driving on the ...
(Date:6/24/2016)... ... 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join ... wage raise to $12 an hour by 2020 and then adjusting it yearly to increase ... of the minimum wage, assure the wage floor does not erode again, and make future ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... PUNE, India , June 24, 2016 ... "Pen Needles Market by Type (Standard Pen Needles, Safety ... 12mm), Therapy (Insulin, GLP-1, Growth Hormone), Mode of Purchase ... published by MarketsandMarkets, This report studies the market for ... is expected to reach USD 2.81 Billion by 2021 ...
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... 2016 Any dentist who has made an implant ... process. Many of them do not even offer this as ... high laboratory costs involved. And those who ARE able to ... a high cost that the majority of today,s patients would ... Parsa Zadeh , founder of Dental Evolutions Inc. and inventor ...
Breaking Medicine Technology: