PURPOSE: To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping. PATIENTS AND METHODS: Prospective, multisite study of patients with advanced cancer from September 2002 through August 2008. We interviewed 343 patients at baseline and observed them (median, 116 days) until death. Spiritual care was defined by patient-rated support of spiritual needs by the medical team and receipt of pastoral care services. The Brief Religious Coping Scale (RCOPE) assessed positive religious coping. EoL outcomes included patient QoL and receipt of hospice and any aggressive care (eg, resuscitation). Analyses were adjusted for potential confounders and repeated according to median-split religious coping. RESULTS: Patients whose spiritual needs were largely or completely supported by the medical team received more hospice care in comparison with those not supported (adjusted odds ratio [AOR] = 3.53; 95% CI, 1.53 to 8.12, P = .003). High religious coping patients whose spiritual needs were largely or completely supported were more likely to receive hospice (AOR = 4.93; 95% CI, 1.64 to 14.80; P = .004) and less likely to receive aggressive care (AOR = 0.18; 95% CI, 0.04 to 0.79; P = .02) in comparison with those not supported. Spiritual support from the medical team and pastoral care visits were associated with higher QOL scores near death (20.0 [95% CI, 18.9 to 21.1] v 17.3 [95% CI, 15.9 to 18.8], P = .007; and 20.4 [95% CI, 19.2 to 21.1] v 17.7 [95% CI, 16.5 to 18.9], P = .003, respectively). CONCLUSION: Support of terminally ill patients' spiritual needs by the medical team is associated with greater hospice utilization and, among high religious copers, less aggressive care at EoL. Spiritual care is associated with better patient QoL near death.
PURPOSE: To determine whether spiritual care from the medical team impacts medical care received and quality of life (QoL) at the end of life (EoL) and to examine these relationships according to patient religious coping. PATIENTS AND METHODS: Prospective, multisite study of patients with advanced cancer from September 2002 through August 2008. We interviewed 343 patients at baseline and observed them (median, 116 days) until death. Spiritual care was defined by patient-rated support of spiritual needs by the medical team and receipt of pastoral care services. The Brief Religious Coping Scale (RCOPE) assessed positive religious coping. EoL outcomes included patient QoL and receipt of hospice and any aggressive care (eg, resuscitation). Analyses were adjusted for potential confounders and repeated according to median-split religious coping. RESULTS:Patients whose spiritual needs were largely or completely supported by the medical team received more hospice care in comparison with those not supported (adjusted odds ratio [AOR] = 3.53; 95% CI, 1.53 to 8.12, P = .003). High religious coping patients whose spiritual needs were largely or completely supported were more likely to receive hospice (AOR = 4.93; 95% CI, 1.64 to 14.80; P = .004) and less likely to receive aggressive care (AOR = 0.18; 95% CI, 0.04 to 0.79; P = .02) in comparison with those not supported. Spiritual support from the medical team and pastoral care visits were associated with higher QOL scores near death (20.0 [95% CI, 18.9 to 21.1] v 17.3 [95% CI, 15.9 to 18.8], P = .007; and 20.4 [95% CI, 19.2 to 21.1] v 17.7 [95% CI, 16.5 to 18.9], P = .003, respectively). CONCLUSION: Support of terminally ill patients' spiritual needs by the medical team is associated with greater hospice utilization and, among high religious copers, less aggressive care at EoL. Spiritual care is associated with better patient QoL near death.
Authors: Teresa A Rummans; Matthew M Clark; Jeff A Sloan; Marlene H Frost; John Michael Bostwick; Pamela J Atherton; Mary E Johnson; Gail Gamble; Jarrett Richardson; Paul Brown; James Martensen; Janis Miller; Katherine Piderman; Mashele Huschka; Jean Girardi; Jean Hanson Journal: J Clin Oncol Date: 2006-02-01 Impact factor: 44.544
Authors: Sian Cotton; Jerren C Weekes; Meghan E McGrady; Susan L Rosenthal; Michael S Yi; Kenneth Pargament; Paul Succop; Yvonne Humenay Roberts; Joel Tsevat Journal: J Relig Health Date: 2012-03
Authors: Michael J Balboni; Amenah Babar; Jennifer Dillinger; Andrea C Phelps; Emily George; Susan D Block; Lisa Kachnic; Jessica Hunt; John Peteet; Holly G Prigerson; Tyler J VanderWeele; Tracy A Balboni Journal: J Pain Symptom Manage Date: 2011-01-28 Impact factor: 3.612
Authors: Luciano Magalhães Vitorino; Giancarlo Lucchetti; Ana Eliza Oliveira Santos; Alessandra L G Lucchetti; Eric Batista Ferreira; Nilce Piva Adami; Lucila Amaral Carneiro Vianna Journal: J Relig Health Date: 2016-04
Authors: Virginia T LeBaron; Amanda Cooke; Jonathan Resmini; Alexander Garinther; Vinca Chow; Rebecca Quiñones; Sarah Noveroske; Andrew Baccari; Patrick T Smith; John Peteet; Tracy A Balboni; Michael J Balboni Journal: J Palliat Med Date: 2015-08-28 Impact factor: 2.947
Authors: Rajshekhar Chakraborty; Areej R El-Jawahri; Mark R Litzow; Karen L Syrjala; Aric D Parnes; Shahrukh K Hashmi Journal: Palliat Support Care Date: 2017-10
Authors: Michael J Balboni; Adam Sullivan; Adaugo Amobi; Andrea C Phelps; Daniel P Gorman; Angelika Zollfrank; John R Peteet; Holly G Prigerson; Tyler J Vanderweele; Tracy A Balboni Journal: J Clin Oncol Date: 2012-12-17 Impact factor: 44.544