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:6/25/2017)... ... June 25, 2017 , ... CareSet Labs released the Root ... Orleans. This is a new, greatly improved version of the Doctor Referral teaming dataset ... by Fred Trotter and subsequently called the the “Doctor Referral Dataset” as released by ...
(Date:6/24/2017)... York (PRWEB) , ... June 24, 2017 , ... ... the Dental365 family. Located at 217 Portion Road in Lake Ronkonkoma, Dental365 offers ... evenings and weekends so that visits to the dentist fit into their patients’ ...
(Date:6/23/2017)... ... 23, 2017 , ... By scoring 100% for fiscal management and accountability, the ... online charity evaluator, Charity Navigator, validating ANRF's work as a top charity in America. ... Charity Navigator and earns ANRF a spot on their “ 10 Charities Worth Watching ...
(Date:6/23/2017)... ... 2017 , ... Military Connection friend and veteran advocate Micaela Bensko ... Atlantic lounge. , Bensko is no stranger to the plight of the disabled. ... life to supporting our wounded veterans. A world-class photographer, her riveting photos “The Wounds ...
(Date:6/23/2017)... ... 2017 , ... Georgia State University will host the First ... two-day conference is focused on advancing scientific knowledge about the aggressive triple negative ... racial breast cancer-related disparities. The conference theme is “Illuminating Actionable Biology.” , Conference ...
Breaking Medicine News(10 mins):
(Date:6/9/2017)... , June 9, 2017 AirXpanders, Inc. (ASX: ... on the design, manufacture, sale and distribution of the ... the progress of its commercial roll-out in ... in more than one hundred (100) medical institutions and ... AeroForm offers a needle-free alternative for women who choose ...
(Date:6/7/2017)... Endo International plc (NASDAQ: ENDP ) today ... R. Goodwin , U.S. District Court Judge for the ... entered a case management order in MDL 2325, American ... (the "MDL") that includes a provision requiring plaintiffs in ... specific causation within one hundred twenty (120) days of ...
(Date:6/3/2017)... , June 3, 2017  Eli Lilly and ... that results from the Phase 3 MONARCH 2 ... & 6 inhibitor, in combination with fulvestrant, significantly ... fulvestrant alone in women with hormone-receptor-positive (HR+), human ... cancer who have relapsed or progressed after endocrine ...
Breaking Medicine Technology: