دورية أكاديمية
Health Care Resource Use at End of Life in Patients with Advanced Lung Cancer
| العنوان: | Health Care Resource Use at End of Life in Patients with Advanced Lung Cancer |
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| المؤلفون: | Kersti Oselin, Heti Pisarev, Keit Ilau, Raul-Allan Kiivet |
| المصدر: | Applied Sciences, Vol 11, Iss 19, p 9301 (2021) |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Technology LCC:Engineering (General). Civil engineering (General) LCC:Biology (General) LCC:Physics LCC:Chemistry |
| مصطلحات موضوعية: | resource use, health care, end of life care, advanced lung cancer, Technology, Engineering (General). Civil engineering (General), TA1-2040, Biology (General), QH301-705.5, Physics, QC1-999, Chemistry, QD1-999 |
| الوصف: | We aimed to study differences in the use of health care resources in relation to time before death in patients with advanced lung cancer who either received systemic anti-cancer treatment (SACT) or were ineligible for SACT. A retrospective cohort of lung cancer patients (N = 778) diagnosed with advanced disease at North Estonia Medical Centre from 2015–2017 was linked to population-based health care data. We calculated a composite measure of cumulative resource use, comprised from the following: outpatient care, emergency department (ED) visit, inpatient care, admission to intensive care unit, nursing care and prescriptions. Costs were highest in patients who received SACT in the last month before death and decreased in parallel with the time elapsed from the last SACT. Only 20% of SACT patients received nursing care in the final month of life. The no-SACT patients had less time covered by health care services per month, and large differences were seen in the type of service received by the study groups. The largest contributor of health care costs at end of life was acute inpatient care, including approximately 10% of patients who died on the same day as or day following the emergency department visit. These results demonstrate the low nursing care and hospice utilization rates in Estonia. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2076-3417 31335241 |
| العلاقة: | https://www.mdpi.com/2076-3417/11/19/9301Test; https://doaj.org/toc/2076-3417Test |
| DOI: | 10.3390/app11199301 |
| الوصول الحر: | https://doaj.org/article/51386d31335241178f6d45cec1659319Test |
| رقم الانضمام: | edsdoj.51386d31335241178f6d45cec1659319 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20763417 31335241 |
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| DOI: | 10.3390/app11199301 |