Research progress on surrogate decision-making for advanced cancer patients
Chen Da
Zhang Lanxin
He Chunju
Wu Jiangxue
Linghu Die
Su Cui
Zhu Tong
Deng Renli
Zhang Mingxing
Yu Suyi
Abstract：With China's rapid transition into an aging society,advanced cancer patients face enormous decision-making challen-ges due to cognitive decline,ambiguous treatment preferences,and information asymmetry between doctors and patients.This article systematically reviews the conceptual evolution,core models,and application mechanisms of surrogate decision-making in patients with advanced cancer.In-depth analyses were performed on influencing factors such as family dynamics,doctor-pa-tient communication,societal influences,patient autonomy capacity,and personal values.Additionally,it evaluates the effec-tiveness of interventions including decision aids and interdisciplinary family conferences.The study aims to provide evidence-based insights for optimizing surrogate decision-making systems for advanced cancer patients,promoting clinical decision-mak-ing toward greater precision and patient-centeredness.
Keywords：Surrogate decision-makingAdvanced cancerStrategy enhancementDecision aidsResearch progress
Publication Date：2025-02-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 14-21 )