Palliative chemotherapy during the last month of life
Background: This study analyses the potential discriminative characteristics for patients with incurable cancer who received palliative chemotherapy during their last month of life. Patients and methods: The study includes all patients with epithelial cancer treated with palliative chemotherapy who...
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Oxford University Press
2011
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fthighwire:oai:open-archive.highwire.org:annonc:22/11/2375 2023-05-15T17:44:33+02:00 Palliative chemotherapy during the last month of life Näppä, U. Lindqvist, O. Rasmussen, B. H. Axelsson, B. 2011-11-01 00:00:00.0 text/html http://annonc.oxfordjournals.org/cgi/content/short/22/11/2375 https://doi.org/10.1093/annonc/mdq778 en eng Oxford University Press http://annonc.oxfordjournals.org/cgi/content/short/22/11/2375 http://dx.doi.org/10.1093/annonc/mdq778 Copyright (C) 2011, European Society for Medical Oncology palliative care TEXT 2011 fthighwire https://doi.org/10.1093/annonc/mdq778 2011-11-19T10:01:56Z Background: This study analyses the potential discriminative characteristics for patients with incurable cancer who received palliative chemotherapy during their last month of life. Patients and methods: The study includes all patients with epithelial cancer treated with palliative chemotherapy who died in 2008 in northern Sweden. Demographic parameters and care utilization data were registered. Data were analyzed using nonparametric methods. Results: Of 374 included patients, 87 (23%) received chemotherapy during the last month of life. These patients had a significantly shorter survival time from first palliative treatment to death, were admitted more frequently to hospital, more often lacked a documented decision to cease treatment, and died less frequently at home. Conclusions: The results indicate covariations between palliative chemotherapy treatments in the last month of life and unfavorable patient outcomes. As almost one of four patients with incurable cancer received their last round of palliative chemotherapy <31 days before death, there is a potential for improved routines. Text Northern Sweden HighWire Press (Stanford University) Annals of Oncology 22 11 2375 2380 |
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HighWire Press (Stanford University) |
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language |
English |
topic |
palliative care |
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palliative care Näppä, U. Lindqvist, O. Rasmussen, B. H. Axelsson, B. Palliative chemotherapy during the last month of life |
topic_facet |
palliative care |
description |
Background: This study analyses the potential discriminative characteristics for patients with incurable cancer who received palliative chemotherapy during their last month of life. Patients and methods: The study includes all patients with epithelial cancer treated with palliative chemotherapy who died in 2008 in northern Sweden. Demographic parameters and care utilization data were registered. Data were analyzed using nonparametric methods. Results: Of 374 included patients, 87 (23%) received chemotherapy during the last month of life. These patients had a significantly shorter survival time from first palliative treatment to death, were admitted more frequently to hospital, more often lacked a documented decision to cease treatment, and died less frequently at home. Conclusions: The results indicate covariations between palliative chemotherapy treatments in the last month of life and unfavorable patient outcomes. As almost one of four patients with incurable cancer received their last round of palliative chemotherapy <31 days before death, there is a potential for improved routines. |
format |
Text |
author |
Näppä, U. Lindqvist, O. Rasmussen, B. H. Axelsson, B. |
author_facet |
Näppä, U. Lindqvist, O. Rasmussen, B. H. Axelsson, B. |
author_sort |
Näppä, U. |
title |
Palliative chemotherapy during the last month of life |
title_short |
Palliative chemotherapy during the last month of life |
title_full |
Palliative chemotherapy during the last month of life |
title_fullStr |
Palliative chemotherapy during the last month of life |
title_full_unstemmed |
Palliative chemotherapy during the last month of life |
title_sort |
palliative chemotherapy during the last month of life |
publisher |
Oxford University Press |
publishDate |
2011 |
url |
http://annonc.oxfordjournals.org/cgi/content/short/22/11/2375 https://doi.org/10.1093/annonc/mdq778 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://annonc.oxfordjournals.org/cgi/content/short/22/11/2375 http://dx.doi.org/10.1093/annonc/mdq778 |
op_rights |
Copyright (C) 2011, European Society for Medical Oncology |
op_doi |
https://doi.org/10.1093/annonc/mdq778 |
container_title |
Annals of Oncology |
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22 |
container_issue |
11 |
container_start_page |
2375 |
op_container_end_page |
2380 |
_version_ |
1766146797283049472 |