Palliative versus hospice care in patients with cancer: a systematic review.

BMJ Supportive & Palliative Care
Matthieu FrascaSimone Mathoulin-Pelissier

Abstract

Guidelines recommend an early access to specialised palliative medicine services for patients with cancer, but studies have reported a continued underuse. Palliative care facilities deliver early care, alongside antineoplastic treatments, whereas hospice care structures intervene lately, when cancer-modifying treatments stop. This review identified factors associated with early and late interventions of specialised services, by considering the type of structures studied (palliative vs hospice care). We performed a systematic review, prospectively registered on PROSPERO (ID: CRD42018110063). We searched Medline and Scopus databases for population-based studies. Two independent reviewers extracted the data and assessed the study quality using Joanna Briggs Institute critical appraisal checklists. The 51 included articles performed 67 analyses. Most were based on retrospective cohorts and US populations. The median quality scores were 19/22 for cohorts and 15/16 for cross-sectional studies. Most analyses focused on hospice care (n=37). Older patients, men, people with haematological cancer or treated in small centres had less specialised interventions. Palliative and hospice facilities addressed different populations. Older patien...Continue Reading

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Citations

Aug 18, 2020·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Matthieu FrascaSimone Mathoulin-Pelissier

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