ArticleMedicine2015
Determinants for aggressive end-of-life care for oral cancer patients: a population-based study in an Asian country.
Article in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 33 citations in OpenAlex.
- Multi-perspective views about healthcare experiences for those with incurable head and neck cancer: A prospective, longitudinal, qualitative study.Palliative medicine · 2026Article
- The Association of Palliative Care Decision on Secondary Health Care Utilization and Cancer Treatment at the End of Life Among Patients with Head and Neck Cancer: A Single-Center Retrospective Study.Health services insights · 2026Article
- Integration of Palliative Care as a Part of the Multidisciplinary Management of Patients with Head and Neck Cancer.Oncology and therapy · 2025Article
- Preferences for life-sustaining treatments in advance decisions: a cross-sectional survey of Taiwanese general public.BMC medical ethics · 2025Article
- Effects of palliative care consultation service on decedents experiencing end-stage heart failure: a 4-year observational study.BMC palliative care · 2025Observational
- Effects of age on postoperative oral function in older adults with oral squamous cell carcinoma and its cutoff values: a cross-sectional study.Scientific reports · 2025Article
- Effects of early palliative care intervention on medical resource use among end-of-life patients.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Integrated palliative care for patients with advanced head and neck cancer: a retrospective Brazilian cohort study of its impact at the end of life.Einstein (Sao Paulo, Brazil) · 2025Article
- Observational
- Gender differences in the intention to withhold life-sustaining treatments involving severe dementia for self and on behalf of parent or spouse.BMC palliative care · 2022Article
- Anti-tumor treatment and healthcare consumption near death in the era of novel treatment options for patients with melanoma brain metastases.BMC cancer · 2022Article
- A Qualitative Study Exploring Patient, Family Carer and Healthcare Professionals' Direct Experiences and Barriers to Providing and Integrating Palliative Care for Advanced Head and Neck Cancer.Journal of palliative care · 2021Article
- The palliative care needs and experiences of people with advanced head and neck cancer: A scoping review.Palliative medicine · 2021Article
- Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan, China: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Conceptualizing and Counting Discretionary Utilization in the Final 100 Days of Life: A Scoping Review.Journal of pain and symptom management · 2020Article
- Changes of End of Life Practices for Cancer Patients and Their Association with Hospice Palliative Care Referral over 2009-2014: A Single Institution Study.Cancer research and treatment · 2020Article
- [Effect of risk factor control policies on oral cancer mortality in Latin America].Revista espanola de salud publica · 2019Article
- Prospective Evaluation of Quality of Life in Patients Undergoing Primary Surgery for Oral Cancer: Preoperative and Postoperative AnalysisAsian Pacific journal of cancer prevention : APJCP · 2017Article
- Chemotherapy Near the End of Life for Chinese Patients with Solid Malignancies.The oncologist · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Few studies have addressed the association between oral cancer and end-of-life (EOL) aggressive care using population data. We investigated the relationship between patient demographics, primary physician's specialty, and hospital characteristics of patients who died from oral cancer in Taiwan from 2009 to 2011 and the aggressiveness of their EOL care. This nationwide population-based, retrospective cohort study identified 5386 patients who died from oral cancer identified from Taiwan's National Register of Deaths Database and collected their claims data from Taiwan's National Health Insurance Research Database. Accepted indicators of aggressiveness of EOL care were examined using a composite measure adapted from Earle et al. Scores ranged from 0 to 6; the higher the score, the more aggressive the EOL care. The impact of each variable on the aggressiveness of EOL care was examined by multivariate analysis using a random-intercept model. The mean composite score for aggressiveness of EOL care was 2.68 ± 1.37. Oral cancer patients who were younger, had a higher level of comorbidity or metastasis, belonged to a lower-level individual socioeconomic status, were cared for by nononcologists, had longer postdiagnosis survival times, or resided in urban areas were more likely to receive aggressive care at EOL. Compared with previous studies, oral cancer patients near death in this nationwide study had a far higher utilization rate (>50%) of chemotherapy, emergency room services, and intensive care unit services. Our findings indicate that oral cancer patients receive extensive aggressive medical care at EOL. Future research may be needed to examine the effect of the means (indicators) of aggressive treatment on survival, quality of life, and medical costs, especially since current research suggests such care may adversely affect quality of life and important preparation of death in these patients.
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