Similar levels of symptoms and problems were found among patients referred to specialized palliative care by general practitioners and hospital physicians: A nationwide register-based study of 31,139 cancer patients

Palliative Medicine
Maiken Bang HansenMogens Groenvold

Abstract

Previous studies suggest that the symptomatology threshold (i.e. the level and types of symptoms) for a referral to specialized palliative care might differ for doctors in different parts of the healthcare system; however, it has not yet been investigated. To investigate if the number and level of symptoms/problems differed for patients referred from the primary and secondary healthcare sectors (i.e. general practitioner versus hospital physician). Adult cancer patients registered in the Danish Palliative Care Database who reported their symptoms/problems at admittance to specialized palliative care between 2010 and 2017 were included. Ordinal logistic regression analyses were performed with each symptom/problem as outcome to study the association between referral sector and symptoms/problems, controlled for the effect of gender, age, cancer diagnosis and the specialized palliative care service referred to. The study included 31,139 patients. The average age was 69 years and 49% were women. Clinically neglectable associations were found between referral sector and pain, appetite loss, fatigue, number of symptoms/problems, number of severe symptoms/problems (odds ratios between 1.05 and 1.20, all p < 0.05) and physical functioni...Continue Reading

References

May 2, 1998·Journal of Pain and Symptom Management·C BrunelliF Toscani
May 2, 2000·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·D WalshL Rybicki
Oct 10, 2001·Palliative Medicine·S R CohenP Porterfield
Apr 7, 2005·Palliative Medicine·T Vejlgaard, J M Addington-Hall
Sep 16, 2005·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Mogens GroenvoldUNKNOWN EORTC Quality of Life Group
Sep 29, 2005·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·C Lundh HagelinC J Fürst
Apr 8, 2006·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Knut Jørgen LaboriJon Håvard Loge
Apr 13, 2007·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Rachel P RiechelmannCamilla Zimmermann
Jul 3, 2007·The American Journal of Hospice & Palliative Care·Bassam EstfanRuth L Lagman
Oct 31, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Kirsten WentlandtCamilla Zimmermann
Jun 2, 2016·BMJ Supportive & Palliative Care·M J HjermstadUNKNOWN European Palliative Care Cancer Symptom study (EPCCS)
Nov 29, 2016·JAMA : the Journal of the American Medical Association·Dio KavalieratosYael Schenker
Dec 31, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Betty R FerrellThomas J Smith
Jun 14, 2017·Palliative & Supportive Care·Kristina HolmenlundMie Nordly
Oct 23, 2018·The Lancet Oncology·Stein KaasaTonje Lundeby

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