ArticleBMC palliative care2021
Home hospitalization for palliative cancer care: factors associated with unplanned hospital admissions and death in hospital.
Article in BMC palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05640076 (Effects of a 24/7 Palliative Care Service Integration in a Metropolitan Area on Non-oncologic Patients), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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.
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.
Effects of a 24/7 Palliative Care Service Integration in a Metropolitan Area on Non-oncologic Patients
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Reasons for patients in high income countries accessing hospital care while receiving specialist community palliative care: A systematic review and meta-ethnography.Palliative medicine · 2026Pooled it
- An optimisation framework for resource allocation in palliative and end-of-life care.Scientific reports · 2026Article
- Nursing interventions for patients in last days of life and their family caregivers at home: a protocol for a mixed methods systematic review.Systematic reviews · 2026Article
- Reasons for unplanned hospitalisation in specialist community palliative care: a scoping review.BMC palliative care · 2025Article
- Identifying the factors contributing to hospital readmissions in palliative care: a mixed-methods study from a Turkish palliative care unit.BMC palliative care · 2025Article
- Prediction of 90-day mortality among cancer patients with unplanned hospitalisation: a retrospective validation study of three prognostic scores.The Lancet regional health. Europe · 2025Article
- " I can't do it anymore": a qualitative study on the emergence of crisis in outpatient palliative care-the perspective of family caregivers.BMC palliative care · 2025Article
- Description and disposition of home patients with colorectal cancer accessing a practical, complications related medication therapy management service.Frontiers in oncology · 2025Article
- Kidney supportive care for advanced chronic and end-stage kidney disease: a retrospective cohort study.Journal of nephrology · 2024Article
- Levels of Competence and Need for Continuing Education in Nonspecialist Palliative Care Settings-A Qualitative Study of Views from Finnish Health Care Professionals.Palliative medicine reports · 2024Article
- Discharge to home from a palliative care unit: impact on survival and factors associated with home death after the discharge: a cohort study.BMC palliative care · 2023Article
- Patterns and outcome of unplanned care in lung cancer patients: an observational study in a medical oncology department.Translational lung cancer research · 2023Article
- Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2023Article
- Symptom evolution in the dying.BMJ supportive & palliative care · 2023Article
- Predicting unplanned hospital readmission in palliative outpatients (PRePP) - study protocol of a longitudinal, prospective study to identify informal caregiver-related and structural predictors.BMC palliative care · 2022Article
- Bibliometric analysis of cancer care operations management: current status, developments, and future directions.Health care management science · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHome hospitalization at the end of life can sometimes be perturbed by unplanned hospital admissions (UHAs, defined as any admission that is not part of a preplanned care procedure), which increase the likelihood of death in hospital. The objectives were to describe the occurrence and causes of UHAs in cancer patients receiving end-of-life care at home, and to identify factors associated with UHAs and death in hospital.
methodsA retrospective, single-center study (performed at a regional cancer center in the city of Lille, northern France) of advanced cancer patients discharged to home hospitalization between January 2014 and December 2017. We estimated the incidence of UHA over time using Kaplan-Meier method and Kalbfleish and Prentice method. We investigated factors associated with the risk UHA in cause-specific Cox models. We evaluated factors associated with death in hospital in logistic regressions.
resultsOne hundred and forty-two patients were included in the study. Eighty-two patients (57.7 %) experienced one or more UHAs, a high proportion of which occurred within 1 month after discharge to home. Most UHAs were related to physical symptoms and were initiated by the patient's family physician. A post-discharge palliative care consultation was associated with a significantly lower incidence of UHAs. Sixty-five patients (47.8 % of the deaths) died in hospital. In a multivariate analysis, living alone and the presence of one or more children at home were associated with death in hospital.
conclusionsMore than 40 % of cancer patients receiving end of life home hospitalization were not readmitted to hospital, reflecting the effectiveness of this type of palliative care setting. However, over half of the UHAs were due to an acute intercurrent event. Our results suggest that more efforts should be focused on anticipating these events at home - primarily via better upstream coordination between hospital physicians and family physicians.
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