• Sao Paulo Med J · Jan 2023

    Burial or cremation? Factors associated with preferences among patients with cancer in Brazil: a cross-sectional study.

    • PaivaBianca Sakamoto RibeiroBSR0000-0002-2711-8346PhD. Nurse, Researcher and Professor, Oncology Graduate Program, Grupo de Pesquisa em Cuidados Paliativos e Qualidade de Vida Relacionada à Saúde (GPQual), Hospital de Câncer de Barretos, Barretos (SP), Br, Bruna Minto Lourenço, Henrique Moraes Prata, ValentinoTalita Caroline de OliveiraTCO0000-0001-7565-4437Doctoral Student and Nurse, Oncology Graduate Program, Grupo de Pesquisa em Cuidados Paliativos e Qualidade de Vida Relacionada à Saúde (GPQual), Hospital de Câncer de Barretos, Barretos (SP), Braz, OliveiraMarco Antonio deMA0000-0001-6879-2778MSc. Biostatistics, Learning and Research Institute, Grupo de Pesquisa em Cuidados Paliativos e Qualidade de Vida Relacionada à Saúde (GPQual), Hospital de Câncer de Barretos, Barretos (SP), Brazil., Santos NetoMartins Fideles DosMFD0000-0003-2996-2222MSc. Librarian, Oncology Graduate Program, Faculdade de Ciências da Saúde de Barretos Dr. Paulo Prata (FACISB), Barretos (SP), Brazil; Grupo de Pesquisa em Cuidados Paliativos e Qualidade de Vida Relacio, Eduardo Bruera, and Carlos Eduardo Paiva.
    • PhD. Nurse, Researcher and Professor, Oncology Graduate Program, Grupo de Pesquisa em Cuidados Paliativos e Qualidade de Vida Relacionada à Saúde (GPQual), Hospital de Câncer de Barretos, Barretos (SP), Brazil.
    • Sao Paulo Med J. 2023 Jan 1; 141 (6): e2022441e2022441.

    BackgroundPeople living with life-limiting illnesses and their family caregivers consistently emphasize the importance of preparing for imminent death, with planned funerals being a common aspect of this preparation. Few studies have described the funeral rituals or post-mortem preferences of patients with cancer.ObjectiveTo evaluate the percentage of patients with cancer who wish to be cremated and to identify the factors associated with this preference.Design And SettingCross-sectional study conducted at Barretos Cancer Hospital.MethodsA total of 220 patients with cancer completed a Sociodemographic and Clinical Questionnaire, the Duke University Religiosity Index, and burial or cremation preferences. Binary Logistic Regression was performed to identify independent variables associated with cremation.ResultsOf the 220 patients, 25.0% preferred cremation and 71.4% preferred burial. Talks about death with family or close friends in their daily life (odds ratio, OR = 2.89; P = 0.021), patients that answered "other" (unsure, tends not be true and not true) for religious beliefs are what really lie behind my whole approach to life (OR = 20.34; P = 0.005), and education 9 to 11 years (OR = 3.15; P = 0.019) or ≥ 12 years (OR = 3.18; P = 0.024) were associated with cremation preference.ConclusionMost patients with Cancer in Brazil prefer burial after death. Discussions about death, religious beliefs and involvement, and educational level seem to influence the preference for cremation. A deeper understanding of ritual funeral preferences and their associated factors may guide policies, services, and health teams in promoting the quality of dying and death.

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