{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:09:19Z","timestamp":1777882159761,"version":"3.51.4"},"reference-count":55,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ricerca Corrente GRANT","award":["Italian Ministry of Health"],"award-info":[{"award-number":["Italian Ministry of Health"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Studies have highlighted a perceived lack of information concerning end-of-life (EoL) decisions and discrepancies in communication between physicians and cancer patients, despite the fact that sharing these dimensions remains central to the therapeutic process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We aimed to investigate healthcare professionals\u2019 disclosure of information on EoL, considering the perspectives of professionals and patients and relatives, and the professional factors that may affect communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>The descriptive, mono-centric study E.L.D.Y.-CA.RE. (End of Life Decisions study \u2013 CAregivers RElatives) was conducted in 2018 at the Veneto Institute of Oncology in Padua, Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Three different questionnaires were created for professionals, patients, and caregivers to investigate EoL decisions, opinions, psychological reactions, and quality of communication. Descriptive analysis and logistic regression were carried out, in order to corroborate the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 425 questionnaires were completed by 136 healthcare professionals, 171 patients, and 118 relatives. Some subjects were frequently discussed: diagnosis and purpose of medical treatment (89%) or possible complications (92%); less frequently discussed subjects were life expectancy (22%), existential and spiritual dimensions (11%), withholding\/withdrawing life-sustaining treatment (11%), and the option of hastening death (3%). Discrepancies emerged especially regarding palliative options, care delivery problems, emotional\/psychological, and social problems. Up to 55% of patients did not answer questions because they believed they were not relevant to their health and a consistent proportion of professionals still felt inadequate in communicating bad news and in confronting with terminally ill patients. As emerged from logistic regression models, role, gender, age, and previous training of healthcare professionals, as well as strength of their own and the patients\u2019 beliefs, significantly influenced the subjects discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The perceptions of EoL communication in physician\u2013patient and physician\u2013relative relationships reveal ongoing problems in terms of sensitive and psychological issues, which are often experienced differently. At the same time, the management of terminally ill patients has an emotional impact on medical professionals and affects how they view death. Increased attention to palliative care and training in both communication and bioethics may help to improve professional communication skills and make healthcare professionals better prepared to manage the final stages of a patient\u2019s life and personal reactions to death.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251376031","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:46:57Z","timestamp":1761198417000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The perspectives of patients, relatives, and healthcare providers on end-of-life communication in an Italian Oncological Institute"],"prefix":"10.1177","volume":"19","author":[{"given":"Caterina","family":"Ugolini","sequence":"first","affiliation":[{"name":"Hospital Psychology, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valter","family":"Giantin","sequence":"additional","affiliation":[{"name":"Geriatric Unit, San Bassiano Hospital, Bassano del Grappa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5230-3589","authenticated-orcid":false,"given":"Alessandra","family":"Feltrin","sequence":"additional","affiliation":[{"name":"Hospital Psychology, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"De Toni","sequence":"additional","affiliation":[{"name":"Oncology Unit 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Marin","sequence":"additional","affiliation":[{"name":"Geriatric Unit, San Bassiano Hospital, Bassano del Grappa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Hospital Psychology, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"De Rui","sequence":"additional","affiliation":[{"name":"Geriatrics Division, Department of Medicine (DIMED), University of Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renzo","family":"Pegoraro","sequence":"additional","affiliation":[{"name":"Pontifical Academy for Life, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorina","family":"Zagonel","sequence":"additional","affiliation":[{"name":"Oncology Unit 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30415-7"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02314-X"},{"key":"e_1_3_2_4_2","first-page":"108559","article-title":"The information and communication needs of patients with advanced incurable cancer: a rapid review","volume":"131","author":"Holland-Hart D","year":"2024","unstructured":"Holland-Hart D, Goss S, Hope I, et al. 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