Chapter

Association between Spirituality/Religiosity and Quality of End-of-Life Care

Marvin Omar Delgado-Guay

in 50 Studies Every Palliative Care Doctor Should Know

Published on behalf of Oxford University Press

Published in print April 2018 | ISBN: 9780190658618
Published online April 2018 | e-ISBN: 9780190658649 | DOI: https://dx.doi.org/10.1093/med/9780190658618.003.0029

Series: Fifty Studies Every Doctor Should Know

Association between Spirituality/Religiosity and Quality of End-of-Life Care

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The Coping with Cancer Study is a multicenter, prospective, longitudinal observational study that examines the association between religious coping strategies and end-of-life care outcomes in patients with advanced cancer. Baseline interviews were performed to assess religious coping and other related variables. Patients were followed until death, a median of 122 days after baseline assessment. Logistic regression analyses showed a significant association between higher positive religious coping with increased preference of aggressive care at the end-of-life. Subsequent analyses from the same study showed that patients who expressed high spiritual support only from religious communities were less likely to receive hospice and more likely to receive aggressive end-of-life measures including dying in an intensive care unit. This effect was reverse in spiritual/religious care and was provided by the medical team.

Chapter.  1475 words.  Illustrated.

Subjects: Palliative Medicine ; Primary Care

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