ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018
Factors associated with palliative care referral among patients with advanced cancers: a retrospective analysis of a large Brazilian cohort.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Experiences of informal caregivers supporting individuals with upper gastrointestinal cancers: a systematic review.BMC health services research · 2024Pooled it
- Duration of palliative care before death in international routine practice: a systematic review and meta-analysis.BMC medicine · 2020Pooled it
- Factors associated with physical and mental health symptoms in pancreatic adenocarcinoma: a population-based cohort study.Journal of the Canadian Association of Gastroenterology · 2026Article
- The transition from oncology to palliative care: barriers and facilitators explored through an integrative review.BMC palliative care · 2025Review
- Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic.BMC palliative care · 2025Article
- Willingness of advanced cancer patients to receive palliative care and its determinants: A cross-sectional study in Northern Tanzania.PloS one · 2023Article
- Palliative care outpatients in a German comprehensive cancer center-identifying indicators for early and late referral.BMC palliative care · 2022Article
- The prognostic value of the 12-, 6-, 3- and 1-month 'Surprise Question' in cancer patients: A prospective cohort study in three hospitals.European journal of cancer care · 2022Article
- Trends in specialized palliative care referrals at an oncology center from 2007 to 2019.BMC palliative care · 2021Article
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- How, when, and why individuals with stage IV cancer seen in an outpatient setting are referred to palliative care: a mixed methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Access to inpatient palliative care among cancer patients in France: an analysis based on the national cancer cohort.BMC health services research · 2020Article
- Access to palliative care for cancer patients between diagnosis and death: a national cohort study.Clinical epidemiology · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of the study is to estimate the proportion of patients who had access to palliative care (PC) and to identify the timing and factors associated with this access.
methodsA retrospective longitudinal study that included patients who died of advanced cancer between the years of 2010 and 2014 was conducted. The proportion of patients who received PC consultations was compared during those years. Sociodemographic and clinical factors, the timing between first PC consultation and death (early, ≥ 3 months; late, < 3 months), and first PC consultation were assessed.
resultsOf the 1284 studied patients, 988 (76.9%) were referred to PC and 839 (65.3%) had a PC consultation. The proportion of patients who received late PC consultation increased between the years 2010 and 2014 (44.2 vs. 60.4%, p = 0.001). Multivariate analysis revealed that younger age (odds ratio (OR) = 0.98, p = 0.016) and gynecologic cancer (OR = 2.17, p = 0.011) were associated with a PC consultation. Upper gastrointestinal tract (GIT) cancer (OR = 2.42, p = 0.001) and hematologic malignancies (OR = 0.37, p = 0.001) were associated with late PC consultations. The median time interval between the first PC consultation and death was 2.66 months: timing differed significantly among cancer subtypes (p = 0.002).
conclusionMost patients received PC consultation before death, and the number of patients with late consultation increased throughout the study. Patients with late referrals could have received PC earlier. The current findings suggest the need to standardize the referral criteria to optimize access to PC.
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