Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
Caregiver perception of quality of dying of cancer patients is associated with patient-reported quality of life during the last month of life.
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Soto-Guerrero Sebastián, Langer Paola, Carrasco Cecilia, Tupper-Satt Laura, González-Otaíza Marcela, Rodríguez-Núñez Alfredo, Pérez-Cruz Pedro E
Аннотация
PURPOSE: Improving the quality of dying (QOD) is key in palliative care (PC). It is unknown whether family caregivers' (FCs) after-death assessment is associated with patient-reported quality of life (QoL) during end-of-life (EOL). This study aims to assess the relationship between caregiver-reported QOD and the overall QoL that patients with advanced cancer reported during EOL in a Latino community.
METHODS: In this longitudinal study, dyads of advanced cancer patients and their FCs were enrolled from a PC Unit in Santiago, Chile. Dyads completed baseline and follow-up questionnaires until patients' death, including the EORTC-QLQ-C15 that assesses patients' QoL. After death, FCs were contacted to complete questionnaires regarding patients' dying experience. Simple and multivariate regression models were performed to evaluate the association of caregiver-reported QOD with patient-reported QoL during the last month of life and the role of possible confounders.
RESULTS: Two hundred seven dyads were enrolled during the study period. Due to attrition, 70 dyads were analyzed. FCs had a mean age of 47 years, and 69% were female. Patients had a mean age of 63 years; 51% were female. In the simple linear regression, caregiver-reported QOD was associated with overall QoL of patients and with caregiver satisfaction with care. In the multivariate model, the association between QOD and QoL remained significant.
CONCLUSION: QOD is independently associated with patients' QoL during the last month of life, when adjusted by caregiver satisfaction and caregiver depression and anxiety. Therefore, QOD could be used as a surrogate for patients' QoL during the last month of life.
METHODS: In this longitudinal study, dyads of advanced cancer patients and their FCs were enrolled from a PC Unit in Santiago, Chile. Dyads completed baseline and follow-up questionnaires until patients' death, including the EORTC-QLQ-C15 that assesses patients' QoL. After death, FCs were contacted to complete questionnaires regarding patients' dying experience. Simple and multivariate regression models were performed to evaluate the association of caregiver-reported QOD with patient-reported QoL during the last month of life and the role of possible confounders.
RESULTS: Two hundred seven dyads were enrolled during the study period. Due to attrition, 70 dyads were analyzed. FCs had a mean age of 47 years, and 69% were female. Patients had a mean age of 63 years; 51% were female. In the simple linear regression, caregiver-reported QOD was associated with overall QoL of patients and with caregiver satisfaction with care. In the multivariate model, the association between QOD and QoL remained significant.
CONCLUSION: QOD is independently associated with patients' QoL during the last month of life, when adjusted by caregiver satisfaction and caregiver depression and anxiety. Therefore, QOD could be used as a surrogate for patients' QoL during the last month of life.