Evidence map›Paper›PMID 37444458›Full record

ArticleCancers2023

End-of-Life Care in the Last Three Months before Death in Older Patients with Cancer in Belgium: A Large Retrospective Cohort Study Using Data Linkage.

Victoria Depoorter, Katrijn Vanschoenbeek, Lore Decoster, Geert Silversmit, Philip R Debruyne, Inge De Groof, Dominique Bron, Frank Cornélis, Sylvie Luce, Christian Focan and 18 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

28 authors at 20 institutions in 2 countries.

Victoria DepoorterDepartment of Oncology, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-2409-2280
Katrijn VanschoenbeekResearch Department, Belgian Cancer Registry, 1210 Brussels, Belgium.
Lore DecosterDepartment of Medical Oncology, Oncologisch Centrum, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, 1090 Brussels, Belgium.
Geert SilversmitResearch Department, Belgian Cancer Registry, 1210 Brussels, Belgium.ORCID 0000-0003-1104-1839
Philip R DebruyneDivision of Medical Oncology, Kortrijk Cancer Centre, AZ Groeninge, 8500 Kortrijk, Belgium.ORCID 0000-0001-5438-9697
Inge De GroofDepartment of Geriatric Medicine, Iridium Cancer Network Antwerp, Sint-Augustinus, 2610 Wilrijk, Belgium.
Dominique BronDepartment of Hematology, ULB-Institute Jules Bordet, 1070 Brussels, Belgium.
Frank CornélisDepartment of Medical Oncology, Cliniques Universitaires Saint-Luc-UCLouvain, 1200 Brussels, Belgium.
Sylvie LuceDepartment Medical Oncology, University Hospital Erasme, Université Libre de Bruxelles ULB, 1000 Brussels, Belgium.
Christian FocanDepartment of Oncology, Groupe Santé CHC-Liège, Clinique CHC-MontLégia, 4000 Liège, Belgium.
Vincent VerschaeveDepartment of Medical Oncology, GHDC Grand Hôpital de Charleroi, 6000 Charleroi, Belgium.
Gwenaëlle DebugneDepartment of Geriatric Medicine, Centre Hospitalier de Mouscron, 7700 Mouscron, Belgium.
Christine LangenaekenDepartment of Medical Oncology, AZ Klina, 2930 Brasschaat, Belgium.
Heidi Van Den BulckDepartment of Medical Oncology, Imelda Hospital, 2820 Bonheiden, Belgium.
Jean-Charles GoeminneDepartment of Medical Oncology, CHU-UCL-Namur, 5530 Namur, Belgium.
Wesley TeurfsDepartment Medical Oncology, ZNA Stuivenberg, 2060 Antwerp, Belgium.
Guy JerusalemDepartment of Medical Oncology, Centre Hospitalier Universitaire Sart Tilman, Liège University, 4000 Liège, Belgium.ORCID 0000-0002-8845-0043
Dirk SchrijversDepartment of Medical Oncology, ZNA Middelheim, 2020 Antwerp, Belgium.
Bénédicte PetitDepartment of Medical Oncology, Centre Hospitalier Jolimont, 7100 La Louvière, Belgium.
Marika RasschaertDepartment of Medical Oncology, University Hospital Antwerp, 2650 Edegem, Belgium.
Jean-Philippe PraetDepartment of Geriatric Medicine, CHU St-Pierre, Free Universities Brussels, 1000 Brussels, Belgium.
Katherine VandenborreDepartment of Medical Oncology, AZ Vesalius, 3700 Tongeren, Belgium.
Harlinde De SchutterResearch Department, Belgian Cancer Registry, 1210 Brussels, Belgium.
Koen MilisenAcademic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium.
Johan FlamaingDepartment of Geriatric Medicine, University Hospitals Leuven, 3000 Leuven, Belgium.
Cindy KenisAcademic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0002-7932-6817
Freija VerdoodtResearch Department, Belgian Cancer Registry, 1210 Brussels, Belgium.
Hans WildiersDepartment of Oncology, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0001-8990-7837
KU Leuven · BEAntwerp University Hospital · BEAZ Groeninge · BEAZ Klina · BEAZ Sint-Blasius · BECentre Hospitalier Chrétien · BECentre Hospitalier de Mouscron · BECentre Hospitalier Universitaire de Liège · BECentre Hospitalier Universitaire de Saint-Pierre · BECHU Dinant Godinne UCL Namur · BECliniques Universitaires Saint-Luc · BEGrand Charleroi Hospital · BEHôpital de Jolimont · BEImelda Hospital · BEInstitut Jules Bordet · BEIridium Kankernetwerk · BEUniversité Libre de Bruxelles · BEVrije Universiteit Brussel · BEZiekenhuisnetwerk Antwerpen Stuivenberg · BEZNA Middelheim Hospital · BE

Funding

Kom op tegen Kanker NA
6 · The paper itself

Abstract

This study aims to describe end-of-life (EOL) care in older patients with cancer and investigate the association between geriatric assessment (GA) results and specialized palliative care (SPC) use. Older patients with a new cancer diagnosis (2009-2015) originally included in a previous multicentric study were selected if they died before the end of follow-up (2019). At the time of cancer diagnosis, patients underwent geriatric screening with Geriatric 8 (G8) followed by GA in case of a G8 score ≤14/17. These data were linked to the cancer registry and healthcare reimbursement data for follow-up. EOL care was assessed in the last three months before death, and associations were analyzed using logistic regression. A total of 3546 deceased older patients with cancer with a median age of 79 years at diagnosis were included. Breast, colon, and lung cancer were the most common diagnoses. In the last three months of life, 76.3% were hospitalized, 49.1% had an emergency department visit, and 43.5% received SPC. In total, 55.0% died in the hospital (38.5% in a non-palliative care unit and 16.4% in a palliative care unit). In multivariable analyses, functional and cognitive impairment at cancer diagnosis was associated with less SPC. Further research on optimizing EOL healthcare utilization and broadening access to SPC is needed.

Indexed as

geriatric oncologypopulation-based dataspecialized palliative careterminal healthcare utilization

Identifiers

PMID37444458
PMCPMC10340177
OpenAlexW4382468952

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.