ArticlePediatric investigation2018
Palliative care service in patients with childhood cancer from a tertiary pediatric oncology center.
Article in Pediatric investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Integration of Pediatric Palliative Care in Oncology: A Scoping Review.Journal of pediatrics. Clinical practice · 2026Article
- Association between platelet-to-albumin ratio and total spine bone mineral density in older adults with thoracolumbar fragility fractures: a retrospective cross-sectional study.Frontiers in endocrinology · 2026Article
- Symptom Documentation in Unstructured Palliative Care Notes of Children and Adolescents With Cancer.Journal of pain and symptom management · 2025Article
- The knowledge, attitude and behavior on the palliative care among neonatal nurses: what can we do.BMC palliative care · 2024Article
- Palliative care service in patients with childhood cancer from a tertiary pediatric oncology center.Pediatric investigation · 2018Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importancePediatric palliative care (PPC) has gained great attention in western countries, however data on Hong Kong children receiving PPC are limited. There are gaps in knowledge about the PPC needs in local children with cancer.
objectiveTo assess the current situation of PPC service of Hong Kong children with cancer.
methodsWe performed a 10-year retrospective review in a tertiary pediatric oncology unit and studied the referral pattern, clinical characteristics and services provided.
resultsTotally 117 children were referred to PPC Team which constituted 65% deceased children within the study period. The commonest diagnoses were central nervous system tumour (32.5%), leukaemia (25.6%) and neuroblastoma (9.4%). Ninety-one percent of children were referred after the last relapse or stopping curative treatment. The median time of referral to death was 77 days [interquartile range (IQR): 35, 182]. The median number of hospital admission after referral was 2 (IQR: 1, 5), with a median of 27 days total hospital stay (IQR: 10, 60). The reasons for admission were palliative chemotherapy (16.1%), pain control (12.1%) and platelet transfusion (11.2%). For the death episode, the median duration of hospital stay was 15 days (IQR: 2, 46). Most patients received oxygen (82.0%), intravenous fluid (81.2%) and intravenous analgesic (52.1%). A total of 111 (94.9%) children died in hospital, 15 had been admitted into intensive care unit (ICU) but only 5 (4.5%) died in ICU.
interpretationPain control and platelet transfusion were common reasons of readmission. Death in ICU and at home was uncommon in Hong Kong situation.
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