ArticleThe American journal of hospice & palliative care2020
End-of-Life Trajectories of Patients With Hematological Malignancies and Patients With Advanced Solid Tumors Visiting the Emergency Department: The Need for a Proactive Integrated Care Approach.
Article in The American journal of hospice & palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding oncologic emergencies and related emergency department visits and hospitalizations: a systematic review.BMC emergency medicine · 2025Pooled it
- Systematic Review and Meta-Synthesis about Patients with Hematological Malignancy and Palliative Care.Asian Pacific journal of cancer prevention : APJCP · 2022Pooled it
- Review
- Symptom burden and palliative care in patients with hematologic malignancies: a single-center experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Initial quality of life and influencing factors in patients with advanced cancer receiving home hospice care: A propensity score-matched analysis stratified by survival period.Asia-Pacific journal of oncology nursing · 2025Article
- Prevalence of patients with unmet palliative care needs in a University Emergency Department in Germany - a cross-sectional screening study.BMC palliative care · 2025Article
- Early Palliative Care in Patients with Glioblastoma: Co-Design of an Integrated Care Pathway.Healthcare (Basel, Switzerland) · 2025Article
- Clinicians' experiences, perspectives, barriers, and facilitators of integrating palliative care into hematological malignancy care: a qualitative interview study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Disparities in electronic health record patient portal activation and use among people with hematological malignancies.Journal of geriatric oncology · 2025Article
- Attention to the Values, Wishes and Needs of Patients With Advanced Cancer by Hospital Clinicians, an Exploratory Qualitative Study.The American journal of hospice & palliative care · 2025Article
- Receipt of specialized palliative care and health care utilization at the end of life in hematological cancer patients - the Stockholm experience.Acta oncologica (Stockholm, Sweden) · 2025Observational
- Attitudes of a Hemato-Oncology Team Toward Referring Patients to Palliative Care: A Qualitative Study.Palliative medicine reports · 2025Article
- Advantages, barriers, and cues to advance care planning engagement in elderly patients with cancer and family members in Southern Thailand: a qualitative study.BMC palliative care · 2024Article
- Utilization and quality of palliative care in patients with hematological and solid cancers: a population-based study.Journal of cancer research and clinical oncology · 2024Article
- Adaptation of Serious Illness Care Program to be delivered via telehealth for older patients with hematologic malignancy.Blood advances · 2023Article
- Factors associated with suffering from dying in patients with cancer: a cross-sectional analytical study among bereaved caregivers.BMC palliative care · 2023Article
- Impact of Frailty on Health Care Resource Utilization and Costs of Care in Myelodysplastic Syndromes.JCO oncology practice · 2023Article
- Perspectives towards End-of-Life Care in the Emergency Department of Tertiary Public Hospitals-A Qualitative Analysis.Medicina (Kaunas, Lithuania) · 2023Article
- Advance care planning in older patients with acute myeloid leukemia and myelodysplastic syndromes.Journal of geriatric oncology · 2023Article
- Elements for assistance to patients with hematological malignancies to propose care lines: a scoping review.Revista brasileira de enfermagem · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatients with hematological malignancies (HM) have more unpredictable disease trajectories compared to patients with advanced solid tumors (STs) and miss opportunities for a palliative care approach. They often undergo intensive disease-directed treatments until the end of life with frequent emergency department (ED) visits and in-hospital deaths. Insight into end-of-life trajectories and quality of end-of-life care can support arranging appropriate care according to patients' wishes.
methodMortality follow-back study to compare of end-of-life trajectories of HM and ST patients who died <3 months after their ED visit. Five indicators based on Earle et al. for quality of end-of-life care were assessed: intensive anticancer treatment <3 months, ED visits <6 months, in-hospital death, death in the intensive care unit (ICU), and in-hospice death.
resultsWe included 78 HM patients and 420 ST patients, with a median age of 63 years; 35% had Eastern Cooperative Oncology Group performance status 3-4. At the ED, common symptoms were dyspnea (22%), pain (18%), and fever (11%). After ED visit, 91% of HM patients versus 76% of ST patients were hospitalized (
conclusionBecause end-of-life care is more aggressive in HM patients compared to ST patients, a proactive integrated care approach with early start of palliative care alongside curative care is warranted. Timely discussions with patients and family about advance care planning and end-of-life choices can avoid inappropriate care at the end of life.
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