Impact of early palliative interventions on the outcomes of care for patients with non-small cell lung cancer

Purpose The aim of this study is to address the question “does early palliative care in addition to standard oncology care or late additional palliative care improve patterns of terminal care in patients who died from non-small cell lung cancer (NSCLC)?” Methods We performed retrospective single-institution study of 286 patients. Palliative care was provided by a dedicated multidisciplinary palliative care team (PCT). An arbitrarily defined cutoff of 3 months before death was chosen to distinguish between early and late additional palliative care. Referral was at the discretion of the treating physicians who provided standard anticancer treatments. Results Patients who received early (8 %) or late (27 %) additional palliative care were significantly younger than those who did not receive additional palliative care. The likelihood of active anticancer treatment in the last month of life was lowest in the early additional palliative care group, p = 0.03. Patients who received early or late additional palliative care were significantly less likely to lack a documented resuscitation preference, p = 0.0001. Patients who received early additional palliative care were significantly less likely to become hospitalized in the last 3 months of life, p = 0.003. Place of death was also numerically different, with hospital death occurring in 33 % of patients who received early additional palliative care, as compared to 48 % in the late and 50 % in the no PCT group, p = 0.35. Anticancer treatment intensity was not reduced if the PCT contributed to the overall management. Conclusion Early additional palliative care resulted in relevant improvements. The optimal timing of this intervention should be examined prospectively..

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Supportive care in cancer - 24(2016), 10 vom: 21. Mai, Seite 4385-4391

Sprache:

Englisch

Beteiligte Personen:

Nieder, Carsten [VerfasserIn]
Tollåli, Terje [VerfasserIn]
Haukland, Ellinor [VerfasserIn]
Reigstad, Anne [VerfasserIn]
Flatøy, Liv Randi [VerfasserIn]
Engljähringer, Kirsten [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Best supportive care
Chemotherapy
End-of-life care
Non-small cell lung cancer
Palliative care

RVK:

RVK Klassifikation

Anmerkungen:

© Springer-Verlag Berlin Heidelberg 2016

doi:

10.1007/s00520-016-3278-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC210708811X

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