Trends in inpatient palliative care use for primary brain malignancies
Autor: | Martin Ojong-Ntui, Y.J. Rao, Minh-Phuong Huynh-Le, Sharad Goyal, Erica Schockett, Erin Jackson, Fabio Roberti, Sindhu Kubendran |
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Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Palliative care medicine.medical_treatment Context (language use) Logistic regression 03 medical and health sciences 0302 clinical medicine Humans Medicine Intubation 030212 general & internal medicine Retrospective Studies Mechanical ventilation Inpatients Brain Neoplasms business.industry Nursing research Palliative Care Brain Hospitalization Radiation therapy Oncology 030220 oncology & carcinogenesis Emergency medicine Hemodialysis business |
Zdroj: | Supportive Care in Cancer. 29:6625-6632 |
ISSN: | 1433-7339 0941-4355 |
DOI: | 10.1007/s00520-021-06255-0 |
Popis: | Primary brain malignancies (PBMs) pose significant morbidity and poor prognosis. Despite NCCN recommendations that palliative care should be integrated into general oncologic care plans, it has been historically underused in patients with PBM. We sought to examine trends and factors associated with inpatient palliative care use in patients with PBM. Data from the 2007–2016 National (Nationwide) Inpatient Sample was analyzed for descriptive statistics and trends. Multivariable logistic regression was used to identify factors associated with inpatient palliative care in patients with PBMs. Of the 510,238 observed hospitalizations of adults with PBM in a 10-year period, 37,365 (7.3%) had an associated inpatient palliative care consult. Rates of inpatient palliative care have increased significantly over the 10-year period, from 2.3 in 2007 to 11.9% in 2011. Patients receiving inpatient palliative care were less likely to receive inpatient oncologic treatment such as brain surgery, chemotherapy, or radiation compared to those without palliative care (14.6% with palliative care vs. 42.4% without, p |
Databáze: | OpenAIRE |
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