Acute care hospitalization near the end of life for cancer patients who die in hospital in Canada

被引：12

作者：

DeCaria, K. ^{[1
]}

Dudgeon, D. ^{[1
,2
,3
]}

Green, E. ^{[1
]}

Moxam, R. Shaw ^{[1
]}

Rahal, R. ^{[1
]}

Niu, J. ^{[1
]}

Bryant, H. ^{[1
,4
,5
]}

机构：

[1] Canadian Partnership Against Canc, 300-1 Univ Ave, Toronto, ON M5J 2P1, Canada

[2] Queens Univ, Dept Med, Kingston, ON, Canada

[3] Queens Univ, Dept Oncol, Kingston, ON, Canada

[4] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[5] Univ Calgary, Dept Oncol, Calgary, AB, Canada

来源：

CURRENT ONCOLOGY | 2017年 / 24卷 / 04期

关键词：

End of life; palliative care; acute care; home care; EARLY PALLIATIVE CARE; EMERGENCY-DEPARTMENT; VISITS;

D O I：

10.3747/co.24.3704

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Acute care hospitals have a role in managing the health care needs of people affected by cancer when they are at the end of life. However, there is a need to provide end-of-life care in other settings, including at home or in hospice, when such settings are more appropriate. Using data from 9 provinces, we examined indicators that describe the current landscape of acute care hospital use at the end of life for patients who died of cancer in hospital in Canada. Interprovincial variation was observed in acute care hospital deaths, length of stay in hospital, readmission to hospital, and intensive care unit use at the end of life. High rates of acute care hospital use near the end of life might suggest that community and home-based end-of-life care might not be suiting patient needs.

引用

页码：256 / 261

页数：6

共 15 条

[1]

Ananth P, 2017, J PALLIAT MED

[2]

[Anonymous], 2016, Technical series on safer primary care

[3] Factors associated with not receiving homecare, end-of-life homecare, or early homecare referral among cancer decedents: A population-based cohort study [J].

Bainbridge, Daryl ;

Seow, Hsien ;

Sussman, Jonathan ;

Pond, Gregory ;

Barbera, Lisa .

HEALTH POLICY, 2015, 119 (06) :831-839

[4] Why do patients with cancer visit the emergency department near the end of life? [J].

Barbera, Lisa ;

Taylor, Carole ;

Dudgeon, Deborah .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2010, 182 (06) :563-568

[5] Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries [J].

Bekelman, Justin E. ;

Halpern, Scott D. ;

Blankart, Carl Rudolf ;

Bynum, Julie P. ;

Cohen, Joachim ;

Fowler, Robert ;

Kaasa, Stein ;

Kwietniewski, Lukas ;

Melberg, Hans Olav ;

Onwuteaka-Philipsen, Bregje ;

Oosterveld-Vlug, Mariska ;

Pring, Andrew ;

Schreyoegg, Jonas ;

Ulrich, Connie M. ;

Verne, Julia ;

Wunsch, Hannah ;

Emanuel, Ezekiel J. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (03) :272-283

[6]

Canadian Hospice Palliative Care Association (CHPCA), 2006, PAN CAN GOLD STAND P

[7] Avoidable and Unavoidable Visits to the Emergency Department Among Patients With Advanced Cancer Receiving Outpatient Palliative Care [J].

Delgado-Guay, Marvin Omar ;

Kim, Yu Jung ;

Shin, Seong Hoon ;

Chisholm, Gary ;

Williams, Janet ;

Allo, Julio ;

Bruera, Eduardo .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2015, 49 (03) :497-504

[8] Aggressiveness of Cancer Care Near the End of Life: Is It a Quality-of-Care Issue? (vol 26, pg 3860, 2008) [J].

Earle, C. C. .

JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (19) :3205-3205

[9]

Henson L, 2015, LANCET, V385, P41

[10] Quality of End-of-Life Care in Patients With Hematologic Malignancies [J].

Hui, David ;

Didwaniya, Neha ;

Vidal, Marieberta ;

Shin, Seong Hoon ;

Chisholm, Gary ;

Roquemore, Joyce ;

Bruera, Eduardo .

CANCER, 2014, 120 (10) :1572-1578

← 1 2 →