Attitude of Italian medical oncologists toward palliative care for patients with advanced cancer: results of the SIO project.
OBJECTIVE
The aim of this survey was to describe the attitude of Italian oncologists towards palliative care.


METHODS
A survey on palliative care was carried out among 400 Italian oncologists.


RESULTS
Seventy-two percent indicated that the management of patients with advanced stage cancer represents the majority of their practice. They are often involved in the management of pain (78%) and complications of chemotherapy (61%), and frequently, in the treatment of terminal patients (60%). Only 8.5% reported having frequent collaboration with psychiatrists in support of emotional and psychological patients' disturbances. About 40% are often directly involved in the management of existential or spiritual distress. Discussions on euthanasia and assisted suicide, which are illegal in Italy, took place never (68%) or occasionally (27%).


CONCLUSIONS
Respondents agreed that all oncology centres should have access to palliative care service. These results are in line with those of the European Society of Medical Oncology survey and may be usefully employed to improve the organisation of palliative care.
Barni
Sandro
S
Oncologia Medica, Azienda Ospedaliera Treviglio-Caravaggio, Piazzale Ospedale, Treviglio, Italy. sandro.barni@ospedale.treviglio.bg.it
Maltoni
Marco
M
Tuveri
Guido
G
Pronzato
Paolo
P
Cortesi
Enrico
E
Massidda
Bruno
B
Colucci
Giuseppe
G
Iacono
Carmelo
C
Lorusso
Vito
V
Gridelli
Cesare
C
Aitini
Enrico
E
Simoni
Lucia
L
Torta
Riccardo
R
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007558:Italy; D008297:Male; D008495:Medical Oncology / Q000379:methods; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000503:physiopathology / Q000628:therapy*; D010166:Palliative Care / Q000379:methods*; D011795:Surveys and Questionnaires