Evidence map›Paper›PMID 26895033›Full record

ArticleInternal and emergency medicine2016

The characteristics of advanced cancer patients followed at home, but admitted to the hospital for the last days of life.

Sebastiano Mercadante, Francesco Masedu, Marco Valenti, Alessandro Mercadante, Federica Aielli

Abstract read
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Healthcare Utilization and End-of-Life Outcomes in Patients Receiving CAR T-Cell Therapy.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Article
  9. Article
  10. Article
  11. Palliative care needs of advanced cancer patients in the emergency department at the end of life: an observational cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Observational
  12. Article
  13. Application of palliative ventilation: potential and clinical evidence in palliative care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  14. Characteristics of advanced cancer patients who were readmitted to an acute palliative/supportive care unit.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  15. Obviousness in the dying patient.Internal and emergency medicine · 2017
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sebastiano MercadanteAnesthesia and Intensive Care and Pain Relief and Supportive Care, La Maddalena Cancer Center and University of Palermo, Via San Lorenzo 312, 90146, Palermo, Italy. terapiadeldolore@lamaddalenanet.it.
Francesco MaseduSection of Clinical Epidemiology and Environmental Medicine, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
Marco ValentiSection of Clinical Epidemiology and Environmental Medicine, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
Alessandro MercadanteUniversity of L' Aquila, L'Aquila, Italy.
Federica Aielli"L'Aquila per la Vita" Home Care Unit and Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Information regarding advanced cancer patients followed at home who are admitted to the hospital in the last days of life are lacking. The aim of this study was to assess the characteristics of patients who were hospitalized in the last days of life after being assisted by a home palliative care team. The secondary outcome was to identify possible risk factors for hospitalization. The charts were analyzed of a consecutive sample of advanced cancer patients admitted to hospital wards in the last days of life after being followed at home by a palliative care team. Of 550 consecutive patients followed at home, 138 (25.1 %) were admitted to the hospital. Younger patients were more likely to die in the hospital. In a logistic risk analysis adjusted for age, patients with lung and head-neck cancer were more likely to die in the hospital. Patients having a female relative or a female consort as a caregiver were more likely to die at home. CAGE-positive patients (7.25 %), and patients with a shorter period of home assistance were more likely transported to hospital before dying (p = 0.00 and p < 0.024, respectively). The most frequent reason for hospital admission was dyspnea. Admission was more frequent to the oncology ward. Patients who were admitted to the hospital died after a mean of 10.2 days (SD 8.2, range 0-40). This study provides preliminary data on the risk factors of hospitalization at the end of life for advanced cancer patients followed at home.

Indexed as

AdultAgedAged, 80 and overFemaleHospitalizationHospitalsHumansItalyMaleMiddle AgedNeoplasmsSurveys and QuestionnairesTerminal CareAdvanced cancerDeathEnd of lifeHome carePalliative care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.