Timing of referral to inpatient palliative care services for advanced cancer patients and earlier referral predictors in mainland China
| العنوان: | Timing of referral to inpatient palliative care services for advanced cancer patients and earlier referral predictors in mainland China |
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| المؤلفون: | Menglei Chen, Zhe Zhang, Xiaoli Gu, Minghui Liu, Wenwu Cheng |
| المصدر: | Palliative and Supportive Care. 14:503-509 |
| بيانات النشر: | Cambridge University Press (CUP), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, China, medicine.medical_specialty, Time Factors, Multivariate analysis, Palliative care, Referral, Disease, Indigenous, 03 medical and health sciences, 0302 clinical medicine, Neoplasms, medicine, Humans, 030212 general & internal medicine, Lung cancer, Referral and Consultation, General Nursing, Retrospective Studies, Inpatients, business.industry, Palliative Care, Cancer, Retrospective cohort study, General Medicine, Middle Aged, medicine.disease, Psychiatry and Mental health, Clinical Psychology, 030220 oncology & carcinogenesis, Family medicine, Emergency medicine, Female, business |
| الوصف: | Objective:Routine early integration of palliative care with advanced cancer management is not yet a part of standard practice in many countries, including mainland China. Whether patients in China suffering from advanced cancer are referred to palliative care services in a timely manner remains unclear. We sought to investigate the timing of palliative care referral of Chinese cancer patients at our center and its predictors.Method:Retrospective medical data including demographic characteristics and referral information were collected for analysis. A total of 759 patients referred to our palliative care unit (PCU) from January of 2007 to December of 2013 were included in the final analysis.Results:The mean age of the 759 patients included in the study was 62.89 years (range 61.95–63.82). Some 369 patients (48.6%) were male and 559 (73.6%) Shanghainese (indigenous). Lung cancer (17.9%) was the most common diagnosis. The time interval since enrollment into the PCU until a patient's death (length of stay, LOS) was calculated. A longer LOS indicated earlier referral to inpatient PC services. The median LOS was 21 days (CI95% = 19.79–22.21). Multivariate analysis showed that whether or not the patient was indigenous (p = 0.002) and younger than 65 (p = 0.031) were independent factors for a longer LOS. Such other characteristics as gender and primary cancer type bore no relationship to LOS.Significance of results:Our findings demonstrate that Chinese cancer patients are referred relatively late in the course of their disease to inpatient palliative care services. To overcome the barriers to early integration of palliative care into a patient's treatment plan, accurate information about palliative care must be provided to both oncologists and patients via comprehensive and systematic educational programs. |
| تدمد: | 1478-9523 1478-9515 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6782d915baedbbe929d6a2228d04a525Test https://doi.org/10.1017/s1478951515001212Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....6782d915baedbbe929d6a2228d04a525 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14789523 14789515 |
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