ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2014
Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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19 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Increasing the chance of dying at home: roles, tasks and approaches of general practitioners enabling palliative care: a systematic review of qualitative literature.BMC primary care · 2023Pooled it
- Trends in Hospital Admissions Due to Neoplasms in England and Wales between 1999 and 2019: An Ecological Study.International journal of environmental research and public health · 2022Article
- Evaluating quality of care at the end of life and setting best practice performance standards: a population-based observational study using linked routinely collected administrative databases.BMC palliative care · 2022Observational
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- What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals' perspectives for improving care in Germany.BMC health services research · 2021Article
- General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study.Family practice · 2020Article
- Hospitalisation at the end of life among cancer and non-cancer patients in Denmark: a nationwide register-based cohort study.BMJ open · 2020Article
- Complexities in consultations in case of euthanasia or physician-assisted suicide: a survey among SCEN physicians.BMC family practice · 2020Article
- How do treatment aims in the last phase of life relate to hospitalizations and hospital mortality? A mortality follow-back study of Dutch patients with five types of cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Relatives' perceived quality of palliative care: comparisons between care settings in which patients die.BMC palliative care · 2017Article
- Dying among older adults in Switzerland: who dies in hospital, who dies in a nursing home?BMC palliative care · 2016Article
- End of life hospitalisations differ for older Australian women according to death trajectory: a longitudinal data linkage study.BMC health services research · 2016Article
- Cancer patients' use of primary care out-of-hours services: a cross-sectional study in Norway.Scandinavian journal of primary health care · 2016Article
- The size of the population potentially in need of palliative care in Germany--an estimation based on death registration data.BMC palliative care · 2016Article
- Bereaved relatives' experiences during the incurable phase of cancer: a qualitative interview study.BMJ open · 2015Article
- Intensive care at the end of life in patients dying due to non-cancer chronic diseases versus cancer: a nationwide study in Denmark.Critical care (London, England) · 2015Article
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- Symptoms and medication management in the end of life phase of high-grade glioma patients.Journal of neuro-oncology · 2014Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMany patients are hospitalised during the final phase of life, even though most prefer to receive care at home until the end. This study aimed to explore the reasons and characteristics of hospitalisation in the final 3 months of life for patients who died non-suddenly, with a comparison between cancer patients and non-cancer patients.
methodsThis study used a nationwide retrospective cross-sectional survey among Dutch general practitioners.
resultsOf the 317 hospitalised patients, 65 % had cancer. Most common reasons for hospitalisation in the final 3 months of life were respiratory symptoms (31 %), digestive symptoms (17 %), and cardiovascular symptoms (17 %). Seventy-three percent of patients experienced an acute episode before hospitalisation, and for 46 % of patients, their own GP initiated the hospitalisation. Compared to non-cancer patients, cancer patients were significantly more likely to be aged less than 80 (81 versus 46 %), were more likely to be hospitalised because of digestive symptoms (22 versus 7 %), were less likely to have a curative treatment goal before the last hospitalisation (6 versus 22 %) and were less likely to die in hospital (22 versus 49 %).
conclusionsRespiratory problems were the most common reasons for hospitalisation in the group of patients as a whole. Digestive problems were a frequent reason for hospitalisation in cancer patients and cardiovascular symptoms in non-cancer patients. Hospitalisation can therefore be anticipated by monitoring these relatively common symptoms. Also, timely communication with the patient is recommended about their preferences for hospital or home treatment in the case of an acute episode.
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