Work

A Call to Action for Revisiting Goals of Care Discussions With Adolescents and Young Adults With Cancer

Year: 2024

Type: article

Abstract: In "Evolution in Documented Goals of Care at End of Life for Adolescents and Young Adults With Cancer," Mastropolo et al 1 addresses an important and understudied question regarding whether and how goals of care (GOC) change for adolescents and young adults (AYAs) with cancer as death approaches.To answer this question, the authors 1 conducted a multisite, cross-sectional, retrospective study of nearly 2000 AYAs who died between 2003 and 2019 at 3 sites across 2 states.Eligible AYAs were aged 12 to 39 years at time of death with documentation of metastatic, relapsed, or refractory cancer.Standardized data abstraction algorithms were used to extract data from the electronic health record related to demographics, disease type, medical interventions, and documented conversations about GOC and treatment preferences.The study's primary objective focused on assessing frequency, timing, and evolution of GOC discussions during the last 90 days of

Source: JAMA Network Open

DOI: 10.1001/jamanetworkopen.2024.50427

Author: Erica C. Kaye

Institution: St. Jude Children's Research Hospital

Language: English

Topic: Palliative Care and End-of-Life Issues

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,000