Evidence map›Paper›PMID 41845132›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Trends and outcomes of inpatient palliative care use among older Thai patients with pancreatic cancer: a nationwide analysis, 2017-2024.

Panita Limpawattana, Piyakarn Watcharenwong, Jarin Chindaprasirt, Manchumad Manjavong, Aumkhae Sookprasert, Kosin Wirasorn, Poonchana Wareechai

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Panita LimpawattanaDivision of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Piyakarn WatcharenwongDivision of Oncology, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. piyawa@kku.ac.th.ORCID http://orcid.org/0000-0001-6911-7977
Jarin ChindaprasirtDivision of Oncology, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Manchumad ManjavongDivision of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Aumkhae SookprasertDivision of Oncology, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Kosin WirasornDivision of Oncology, Department of Internal Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Poonchana WareechaiNational Health Security Office, Bangkok, 10210, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cancer remains one of the most lethal malignancies worldwide, particularly among older adults with multimorbidity and frailty. Palliative care (PC) is essential for optimizing quality of life and reducing nonbeneficial interventions. This study examined national patterns, trends, and outcomes of inpatient PC use among older adults hospitalized with pancreatic cancer in Thailand.

methodsA retrospective study using the National Health Security Office database from 2017 to 2024, including patients aged ≥ 60 years hospitalized with a primary diagnosis of pancreatic cancer (ICD-10 codes C25.0-C25.7). Inpatient PC utilization was identified using the ICD-10 code Z51.5, recorded at any time during hospitalization. We assessed demographics, hospital type, interventions, costs, and discharge outcomes. Univariate and multivariate logistic regression analyses were performed to examine associations between PC utilization and clinical outcomes, including medical interventions, healthcare costs, and mortality.

resultsAmong 8566 hospital visits, 1045 (12.2%) involved PC. PC recipients were slightly younger, more frequently female, and more likely to be treated at non-Ministry of Public Health hospitals. Across study years, inpatient PC utilization declined in all age groups, most markedly in patients aged 60-69 years. Compared with non-PC patients, those receiving PC had lower rates of chemotherapy (AOR 0.10, 95% CI 0.07-0.13), Whipple surgery (AOR 0.05, 95% CI 0.02-0.12), pancreatectomy (AOR 0.10, 95% CI 0.02-0.40), and biliary interventions (AOR 0.33, 95% CI 0.24-0.44). PC patients had higher odds of blood transfusion (AOR 1.28, 95% CI 1.09-1.49), parenteral nutrition (AOR 1.71, 95% CI 1.09-2.68), prolonged hospital stay (AOR 1.01, 95% CI 1.001-1.02), and in-hospital mortality (AOR 2.89, 95% CI 2.41-3.45). Median hospitalization costs were slightly lower in the PC group (USD 550 vs. 597).

conclusionAmong older Thai inpatients with pancreatic cancer, PC was utilized in only 12.2% of admissions, with declining trends over time. PC was associated with less aggressive treatment, lower costs, and lower in-hospital mortality, reflecting its potential to reduce nonbeneficial interventions.

Indexed as

HospitalizationPalliative CarePancreatic NeoplasmsAgedAged, 80 and overAge FactorsFemaleHealth Care CostsHumansInpatientsMaleMiddle AgedQuality of LifeRetrospective StudiesThailandElderlyPalliative carePancreatic cancer

Identifiers

PMID41845132

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