ArticleBreast cancer (Tokyo, Japan)2025
The impact of specialist palliative care on healthcare utilization among patients with breast cancer: a nationwide register-based cohort study.
Article in Breast cancer (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The Impact of Specialist Palliative Care on the Utilization of Health Care Services at the End of Life Among Patients With Prostate Cancer: A Nationwide Register-based Study.European urology open science · 2026Article
- Assessing the Impact of Specialist Palliative Care on Healthcare Utilisation at the End of Life Among Patients With Pancreatic Cancer: A Nationwide Register-Based Cohort Study.Cancer medicine · 2026Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe incidence of breast cancer and the related mortality in Finland are among the highest in the world. Specialist palliative care (SPC) has been shown to improve quality of life and potentially reduce intensive resource use at the end of life among patients with advanced cancer. We aimed to perform a nationwide evaluation of the timing of the first SPC contact and its impact on hospital resource utilization in patients with breast cancer.
methodsA nationwide retrospective cohort analysis included 881 breast cancer patients who died in Finland in 2019, with data drawn from national registries. Patients were divided into two groups according to the time of their first SPC contact: Group I (> 30 days before death) and Group II (≤ 30 days before death or no SPC contact).
resultsSPC contact was established for 288 (35%) patients, with a median interval of 89 days from initial SPC contact to death. During the last month of life, patients in Group I had fewer emergency department contacts (46% vs. 58%, p = 0.004) and fewer hospitalizations in secondary care (28% vs. 48%, p < 0.001), compared patients in Group II. Additionally, patients in Group I utilized hospital-at-home services more often (42% vs. 7%, p < 0.001) and had a higher likelihood of dying in SPC wards (15% vs. 3%, p < 0.001) rather than in hospital (65% vs. 77%, p < 0.001).
conclusionTimely SPC contact was associated with fewer acute hospital contacts and a reduced likelihood of hospital death, underscoring the importance of timely palliative care integration for patients with advanced breast cancer.
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