Attitudes toward early palliative care in cancer patients and caregivers: a Korean nationwide survey

Shin Hye Yoo, Miso Kim, Young Ho Yun, Bhumsuk Keam, Young Ae Kim, Yu Jung Kim, Hyun Jeong Shim, Eun Kee Song, Jung Hun Kang, Jung Hye Kwon, Jung Lim Lee, Soon Nam Lee, Si Young Kim, Eun Joo Kang, Young Rok Do, Yoon Seok Choi, Kyung Hae Jung

    Research output: Contribution to journalArticlepeer-review

    19 Citations (Scopus)


    Integrated early palliative care (EPC) improves quality of life and reduces psychological distress in adult patients with cancer and caregivers, but attitudes toward EPC have been poorly studied. We aimed to investigate attitudes toward EPC in a nationwide survey of patients with cancer and caregivers. From July to October 2016, we administered nationwide questionnaires examining attitudes toward EPC in patients with cancer (n = 1001) and their families (n = 1006) from 12 Korean hospitals. When an individual considered EPC unnecessary, the reasons were collected and analyzed. Factors associated with perception of EPC were examined. A majority of patients (84.5%) and caregivers (89.5%) had positive attitudes toward EPC. The most common reasons for deeming EPC unnecessary were that EPC may be an obstacle to cancer treatment (patients: 37%; caregivers: 23%; respectively) or that they were not sure if EPC is beneficial (patients: 21%; caregivers: 24%; respectively). Financial burden as a reason was more evident in caregivers (23%) than in patients (17%). Male gender, age <50, early stage, intensive care unit admission, and not believing that dying people should prepare to practice charity were associated with patients’ negative attitudes. In caregivers, opposition to EPC was associated with not thinking death should be feared, not thinking people should be remembered, and lower educational level. Our findings showed that significant numbers of patients with advanced cancer and family caregivers showed positive attitudes toward EPC. However, more than 10% of participants did not consider EPC necessary. Physicians’ communication with patients and caregivers and financial support could help overcome the barriers of EPC.

    Original languageEnglish
    Pages (from-to)1784-1793
    Number of pages10
    JournalCancer medicine
    Issue number5
    Publication statusPublished - 2018 May

    Bibliographical note

    Publisher Copyright:
    © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.


    • Attitude
    • cancer
    • caregiver
    • early palliative care
    • patient

    ASJC Scopus subject areas

    • Oncology
    • Radiology Nuclear Medicine and imaging
    • Cancer Research


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