Adverse events in deceased hospitalised cancer patients as a measure of quality and safety in end-of-life cancer care

Autor: Ellinor Christin Haukland, Christian von Plessen, Carsten Nieder, Barthold Vonen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Palliative Care, Vol 19, Iss 1, Pp 1-9 (2020)
Druh dokumentu: article
ISSN: 1472-684X
DOI: 10.1186/s12904-020-00579-0
Popis: Abstract Background Anticancer treatment exposes patients to negative consequences such as increased toxicity and decreased quality of life, and there are clear guidelines recommending limiting use of aggressive anticancer treatments for patients near end of life. The aim of this study is to investigate the association between anticancer treatment given during the last 30 days of life and adverse events contributing to death and elucidate how adverse events can be used as a measure of quality and safety in end-of-life cancer care. Methods Retrospective cohort study of 247 deceased hospitalised cancer patients at three hospitals in Norway in 2012 and 2013. The Global Trigger Tool method were used to identify adverse events. We used Poisson regression and binary logistic regression to compare adverse events and association with use of anticancer treatment given during the last 30 days of life. Results 30% of deceased hospitalised cancer patients received some kind of anticancer treatment during the last 30 days of life, mainly systemic anticancer treatment. These patients had 62% more adverse events compared to patients not being treated last 30 days, 39 vs. 24 adverse events per 1000 patient days (p
Databáze: Directory of Open Access Journals
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