Evidence map›Paper›PMID 36172990›Full record

ArticleEuropean journal of cancer care2022

Hospitalisations of patients with cancer in the last stage of life. Reason to improve advance care planning?

Annemieke van der Padt-Pruijsten, Tanja Oostergo, Maria B L Leys, Carin C D van der Rijt, Agnes van der Heide

Abstract read
In one paragraph

Article in European journal of cancer care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Annemieke van der Padt-PruijstenDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5186-865X
Tanja OostergoDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.
Maria B L LeysDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-2862-1349
Carin C D van der RijtDepartment Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5996-1242
Agnes van der HeideDepartment of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5584-4305

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to examine why patients are hospitalised in the last stage of life.

methodsOur study was conducted in a large Dutch teaching hospital. We conducted a retrospective chart review of patients aged ≥18 years who died of cancer either during hospitalisation or after discharge to receive terminal care outside the hospital. We collected data about the characteristics of these hospitalisations and indicators of advance care planning.

resultsOf the 264 deceased patients, 56% had died in the hospital and 44% after hospital discharge. Of all patients, 80% had been admitted to the hospital because of symptom distress. Dyspnoea (39%) and pain (33%) were the most common symptoms. Most patients underwent diagnostic procedures (laboratory tests [97%] and radiology tests [91%]) and received medical treatment (analgesics [71%] and antibiotics [55%]) during their hospitalisation. A 'Do-Not-Resuscitate' code had been recorded before admission in 42% of the patients and in an additional 52% during admission.

conclusionOur study shows that patients with cancer in the last stage of life were mainly admitted to the hospital because of symptom distress. Some hospitalisations and in-hospitals deaths may be avoided by more timely recognition of patients' impending death and start of advance care planning.

Indexed as

Advance Care PlanningNeoplasmsTerminal CareAdolescentAdultHospitalizationHospitals, TeachingHumansRetrospective Studiesadvance care planningcancerend-of-life carehospital care

Identifiers

PMID36172990
PMCPMC9788226

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.