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Where patients with Cancer prefer to die? Association of preferences expressed in life and the reality of patients in Brazil, Portugal and England

Grant number: 18/08728-7
Support Opportunities:Scholarships in Brazil - Doctorate
Effective date (Start): October 01, 2018
Effective date (End): September 30, 2022
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal Investigator:Bianca Sakamoto Ribeiro Paiva
Grantee:Talita Caroline de Oliveira Valentino
Host Institution: Hospital do Câncer de Barretos. Fundação Pio XII (FP). Barretos , SP, Brazil


The ideal would be for the patient to die in the desired place so that his will was respected. Identifying and understanding the factors that lead patients to choose the place of death preference and the actual place of occurrence is essential to plan quality care for these patients and their family caregivers, including in the post-death period . This research is a subject not yet explored in the Brazilian Literature, more specifically in the area of Oncology, as well as the comparison with the reality of other countries it is a determining factor to distinguish the magnitude of the socio-cultural and economic differences that involve these nations and can generate through the proposed results improvement in the scope of public health policies. Objective: To evaluate the preference of Cancer patients' place of death and to identify the agreement of this preference with their family caregivers and the actual place of occurrence. Materials and methods: A prospective longitudinal multicenter cohort study to be performed at the Barretos Cancer Hospital, the Portuguese Oncology Institute - IPO- Porto and the Cicely Saunders Institute for Palliative Care. Patients will be included in systemic palliative and/or palliative care for individual patients, life expectancy e 3 months and d 12 months, performance status d 2 and their family caregivers. The sample will be composed of 374 patients and 374 family caregivers. Participants will be investigated for preference of place of death in specific situations and in two distinct stages, being step 2 during the patient's treatment period and step 3 in a period of 3 to 12 months after the interview in step 2. Expected results: It is expected to identify the preference of the Brazilian Cancer patients' place of death and if this preference was met, to compare these results among the countries involved in the research and to propose more effective measures that can serve the patients, their family caregivers as well as to direct the planned care of institutions and health professionals. (AU)

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