Evidence map›Paper›PMID 33928436›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

The use of in-hospital medical care for patients with metastasized colon, bronchus, or lung cancer.

Isabeau S L van Brakel, Martijn M Stuiver, Sjoerd M Euser, Gerty J de Klerk, Karlijn J van Stralen

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Isabeau S L van BrakelSpaarne Gasthuis Academy, Spaarne Gasthuis Hospital, Hoofddorp, The Netherlands.
Martijn M StuiverDepartment of Epidemiology and Data Science, Amsterdam UMC (Location AMC), University of Amsterdam, Amsterdam, The Netherlands.
Sjoerd M EuserSpaarne Gasthuis Academy, Spaarne Gasthuis Hospital, Hoofddorp, The Netherlands.
Gerty J de KlerkDepartment of Oncology, Spaarne Gasthuis Hospital, Hoofddorp, The Netherlands.
Karlijn J van StralenSpaarne Gasthuis Academy, Spaarne Gasthuis Hospital, Hoofddorp, The Netherlands. KvanStralen@Spaarnegasthuis.nl.ORCID http://orcid.org/0000-0002-3243-2970

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAt the end of life, patients and their families tend to favor adequate pain and symptom management and attention to comfort measures over prolongation of life. However, it has been suggested that many cancer patients without curative options still receive aggressive treatment. We therefore aimed to describe the number of diagnostic procedures, hospitalization, and medication use among these patients as well as factors associated with receiving such care.

methodsWe conducted a cohort study on all patients with metastasized cancer from a primary colon or bronchus and lung (BL) neoplasm from the moment of first admittance (January-December 2017) to end of follow-up (November 2018) or death.

resultsA total of 408 patients with colon (36%) or BL (64%) cancer were included in this study, with a median survival time of 7.4 months. 93% of the patients were subjected to at least one diagnostic procedure, 49% received chemotherapy, and 56% received expensive medication including immunotherapy. Patients had a median of 4.6 hospital admissions and 2.3 emergency room (ER) visits. A quarter of all patients (n = 105) received specialized palliative care with a mean of 1.96 consultations and the first consultation after a median time of 4.1 months. Patients with BL neoplasms received significantly more diagnostic procedures, chemotherapy episodes, ER/ICU admissions, and more often received an end-of-life statement per person-year than patients with a primary colon neoplasm. Females received significantly less diagnostic procedures and visited the ER/ICU less frequently than males, and patients aged > 70 years received significantly less chemotherapy (episodes) and expensive medication than younger patients. No differences in care were found between different socioeconomic status groups.

conclusionPatients with metastasized colon or BL cancer receive a large amount of in-hospital medical care. Specialized palliative care was initiated relatively late despite the incurable disease status of all patients. Factors associated with more procedures were BL neoplasms, age between 50 and 70, and male gender.

Indexed as

Lung NeoplasmsTerminal CareAgedBronchiCohort StudiesColonFemaleHospitalizationHospitalsHumansMaleMiddle AgedPalliative CareCancerEnd-of-life carePainPalliative care

Identifiers

PMID33928436

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