Comparison of terminally ill cancer-vs. non-cancer patients in specialized palliative home care in Germany-A single service analysis
| Autor: | Stiel, Stephanie, Heckel, Maria, Seifert, Andreas, Frauendorf, Tobias, Hanke, Roland Martin, Ostgathe, Christoph |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Home care Sex Factors Spezialisierte ambulante palliativversorgung Residence Characteristics Medizinische Fakultät Germany Neoplasms Non-cancer Humans Terminally Ill ddc:610 Aged Retrospective Studies Aged 80 and over Medicine(all) Palliative Care Non-malignant Age Factors Health sciences Middle Aged Home Care Services Socioeconomic Factors Palliative care Female Research Article |
| Zdroj: | Stiel, S, Heckel, M, Seifert, A, Frauendorf, T, Hanke, R M & Ostgathe, C 2015, ' Comparison of terminally ill cancer-vs. non-cancer patients in specialized palliative home care in Germany-A single service analysis ', BMC Palliative Care, vol. 14, no. 1, 34 . https://doi.org/10.1186/s12904-015-0033-z BMC Palliative Care Stiel, S, Heckel, M, Seifert, A, Frauendorf, T, Hanke, R M & Ostgathe, C 2015, ' Comparison of terminally ill cancer-vs. non-cancer patients in specialized palliative home care in Germany-A single service analysis ' BMC Palliative Care, vol 14, no. 1, 34 . DOI: 10.1186/s12904-015-0033-z |
| DOI: | 10.1186/s12904-015-0033-z |
| Popis: | Background: Palliative care (PC) is no longer offered with preference to cancer patients (CA), but also to patients with non-malignant, progressive diseases. Taking current death statistics into account, PC in Europe will face a growing number of patients dying from non-cancer diseases (NCA). More insights into specialized palliative home care (SPHC) in NCAs are needed. Methods: Retrospective analysis and group comparisons between CAs and NCAs of anonymous data of all patients cared for between December 2009 and June 2012 by one SPHC team in Germany. Patient-, disease-and care-related data are documented in clinical routine by specialized PC physicians and nurses in the Information System Palliative Care 3.0 ® (ISPC®). Results: Overall, 502 patients were cared for by the SPHC team; from 387 patients comprehensive data sets were documented. These 387 data sets (CA: N∈=∈300, 77.5 % and NCA: N∈=∈87, 22.5 %) are used for further analysis here. NCAs were significantly older (81 vs. 73 years; p∈Conclusions: Although the proportion of NCAs was relatively high in this study, the access to PC services seems to takes place late in the disease trajectory, as demonstrated by the lower survival rate for NCAs. Nevertheless, the results show, that NCAs PC needs are as complex and intense as in CAs. |
| Databáze: | OpenAIRE |
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