イワモト　タカユキ   Takayuki Iwamoto   岩本　高行    所属   川崎医科大学  医学部 臨床医学　乳腺甲状腺外科学    職種   講師
論文種別	総説
言語種別	英語
査読の有無	査読あり
表題	Advance care planning in metastatic breast cancer.
掲載誌名	正式名：Chinese clinical oncology 略　 称：Chin Clin Oncol ISSNコード：23043873/23043865
掲載区分	国外
巻・号・頁	7(3),pp.33
著者・共著者	Junji Matsuoka, Toshiki Kunitomi, Masahiko Nishizaki, Takayuki Iwamoto, Hideki Katayama
発行年月	2018/06
概要	End-of-life care requires improvement. For a good death, patients consider five factors important: managing physical symptoms, avoiding a useless prolongation of dying, having good self-esteem, relieving burdens on the family, and deepening ties with loved ones. Four out of those 5 are accomplished by the implementation of advance care planning (ACP). ACP is not simply a formal writing of a patient's preferences about end-of-life treatment, but it is a process of communication between a patient, their family and care providers. There are few studies on ACP for patients with metastatic breast cancer. However, data on seriously ill patients support ACP's favorable effects on end of life care outcomes for not only patients, but family members and care providers as well. The observed keys to success for ACP were trained facilitators, education of the medical staff, inclusion of family and surrogate members, and a system to support ACP. ACP should be regarded as a standard of care to improve the quality of life of patients with metastatic breast cancer.
DOI	10.21037/cco.2018.06.03
PMID	30056735