Utilization of palliative care and acute care services in older adults with advanced cancer

Journal of Geriatric Oncology
Namita SharmaAjeet Gajra

Abstract

There is a gap in knowledge regarding the rates of utilization of palliative care services (PCS) and acute care services (ACS) among older patients with advanced cancer close to end of life. We analyzed the utilization of these services among older adults (65 years and older) and compared them to those in younger adults (40-64 years) with advanced cancer. A retrospective chart review of 567 veterans who died with advanced cancer between 2002 and 2009 and utilized PCS and ACS prior to death was conducted after IRB approval. To assess PCS utilization, we studied the mean duration between day of hospice referral and time of death (DOR) and the mean length of stay with hospice (LoS). The frequency of emergency room visits (ERVLM), hospital admissions (HALM), and ICU admissions (ICULM) in the last month of life was used as a measure for ACS. The differences among older and younger patients were compared using two sample t-tests. Older adults had earlier referral to PCS [mean DOR: 47.3 versus 34.5 days, p=0.015], longer stay with hospice [mean LoS: 32.5 versus 20.2 days, p=0.007], fewer hospital [HALM: 0.7 versus 0.9, p=0.043], and ICU admissions [ICULM: 0.1 versus 0.2, p=0.030] per patient. The proportion of patients utilizing ER vi...Continue Reading

References

Feb 13, 2002·Journal of Palliative Medicine·Betsy T FriedmanMatthew Shields
Jan 8, 2004·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
May 27, 2009·Archives of Internal Medicine·Haiden A HuskampJohn Z Ayanian
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Mar 16, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Thi H HoCraig C Earle
May 25, 2011·Palliative Medicine·Siew Tzuh TangShu Chun Hsiao
Oct 26, 2012·The New England Journal of Medicine·Jane C WeeksDeborah Schrag
Nov 15, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer W MackJane C Weeks
Nov 28, 2012·Journal of Oncology Practice·David E CowallJoan M Daugherty
Feb 7, 2013·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
Jun 5, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer W MackDeborah Schrag
Dec 3, 2013·International Journal of Technology Assessment in Health Care·Clifford Goodman
Feb 25, 2014·Journal of Geriatric Oncology·Nicole BrighiGuido Biasco
Aug 27, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nina R O'ConnorDavid J Casarett
Oct 8, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alexi A WrightNancy L Keating
Nov 12, 2014·JAMA : the Journal of the American Medical Association·Ziad ObermeyerDavid M Cutler
Jan 23, 2015·Journal of the National Cancer Institute·Raymond W JangShabbir M H Alibhai

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Citations

Oct 19, 2017·Neuro-oncology·Deborah ForstJustin T Jordan
May 19, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Hanan M AlyamiKaren New
Oct 8, 2020·JAMA Surgery·Tyler R ChesneyUNKNOWN Recovery After Surgical Therapy for Older Adults Research–Cancer (RESTORE-Cancer) Group
Nov 11, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Kunal C KadakiaMohamed E Salem

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