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https://ir.csmu.edu.tw:8080/ir/handle/310902500/23414
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| Title: | Association of Hospice Care Services With the Utilization of Life-Sustaining Treatments During End-of-Life Care Among Patients With Cancer: A Nationwide 11-Year Cohort Study |
| Authors: | Yen, YF;Lai, YJ;Ko, MC;Chen, YY;Chen, YT;Chou, YS;Huang, CT;Chen, CC |
| Keywords: | Cancer patients;hospice care;life-sustaining treatments;cohort study |
| Date: | 2021 |
| Issue Date: | 2022-08-05T09:36:54Z (UTC)
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| Publisher: | ELSEVIER SCIENCE INC |
| ISSN: | 0885-3924 |
| Abstract: | Context. The impact of hospice care services on the utilization of life-sustaining treatments during end-of-life care in terminally ill patients has not been extensively studied. Objectives. To determine the impact of hospice care services on the utilization of life-sustaining treatments during the last three months of life among patients with cancer. Methods. This nationwide population-based cohort study identified adults with cancer diagnosis from the Taiwan Registry for Catastrophic Illness, 2006-2016. Life-sustaining treatments included cardiopulmonary resuscitation, intubation, mechanical ventilation support, nasogastric tube feeding, and total parenteral nutrition. Hospice care services consisted of hospice inpatient care, hospice-shared care, and hospice home care. The association of hospice care services with the utilization of life-sustaining treatments was determined using multiple logistic regression. Results. Of 516,409 patients with cancer, 310,722 (60.2%) patients used life-sustaining treatments during the last three months of life. After adjusting for covariates, patients with hospice care services were less likely to receive life-sustaining treatments during the last three months of life than those without the services (adjusted odds ratio [AOR]: 0.70; 95% CI: 0.69-0.71). While type of life-sustaining treatments were considered, hospice care services were associated with a lower likelihood of receiving cardiopulmonary resuscitation (AOR: 0.125; 95% CI: 0.118-0.131), endotracheal intubation (AOR: 0.204; 95% CI: 0.199-0.210), mechanical ventilation support (AOR: 0.265; 95% CI: 0.260-0.270), nasogastric tube feeding (AOR: 0.736; 95% CI: 0.727-0.744), and total parenteral nutrition (AOR: 0.86; 95% CI: 0.84-0.88). Conclusion. Hospice care services were associated with a lower likelihood of receiving life-sustaining treatments during the last three months of life in patients with cancer. (C) 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved. |
| URI: | http://dx.doi.org/10.1016/j.jpainsymman.2020.07.028
https://www.webofscience.com/wos/woscc/full-record/WOS:000608719500015
https://ir.csmu.edu.tw:8080/handle/310902500/23414 |
| Relation: | JOURNAL OF PAIN AND SYMPTOM MANAGEMENT ,2021,v61,issue 2, P323-330 |
| Appears in Collections: | [researcher portal] Artical
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