Paradoxes in Advance Care Planning: The Complex Relationship of Oncology Patients Their Physicians and Advance Medical Directives

摘要

PurposeMany seriously ill patients with cancer do not discuss prognosis or advance directives (ADs), which may lead to inappropriate and/or unwanted aggressive care at the end of life. Ten years ago, patients with cancer said they would not like to discuss ADs with their oncologist but would be willing to discuss them with an admitting physician. We assessed whether this point of view still held.