Comparison of Symptom Severity and Progression in Advanced Cancer Patients Among Different Care Settings: A Secondary Analysis.
advanced cancer patients
multicenter prospective cohort studies
palliative care at home
palliative care units
place of care
symptom management
Journal
Palliative medicine reports
ISSN: 2689-2820
Titre abrégé: Palliat Med Rep
Pays: United States
ID NLM: 101770666
Informations de publication
Date de publication:
2023
2023
Historique:
accepted:
01
06
2023
medline:
26
6
2023
pubmed:
26
6
2023
entrez:
26
6
2023
Statut:
epublish
Résumé
Most people in Japan wish to spend their final days at home, but the majority fail to do so; earlier studies indicated a more pronounced worsening of symptoms if treated at home. This study compared the prevalence of symptom worsening and explored associated factors between patients with advanced cancer receiving palliative care in palliative care units (PCUs) and at home. We conducted a secondary analysis of two multicenter, prospective cohort studies involving patients with advanced cancer receiving palliative care in PCUs or at home. One study was conducted at 23 PCUs (January to December 2017) and the other on 45 palliative home care services (July to December 2017) in Japan. Symptom changes were categorized as stable, improved, or worse. Of the 2998 registered patients, 2877 were analyzed. Among them, 1890 patients received palliative care in PCUs, and 987 at home. Patients receiving palliative care at home were more likely to have worsening of pain (17.1% vs. 3.8%; After adjusting for patient background, the prevalence of symptom worsening was not different between patients with advanced cancer receiving palliative care at home and in PCUs.
Sections du résumé
Background
UNASSIGNED
Most people in Japan wish to spend their final days at home, but the majority fail to do so; earlier studies indicated a more pronounced worsening of symptoms if treated at home.
Objectives
UNASSIGNED
This study compared the prevalence of symptom worsening and explored associated factors between patients with advanced cancer receiving palliative care in palliative care units (PCUs) and at home.
Design
UNASSIGNED
We conducted a secondary analysis of two multicenter, prospective cohort studies involving patients with advanced cancer receiving palliative care in PCUs or at home.
Setting/Subjects
UNASSIGNED
One study was conducted at 23 PCUs (January to December 2017) and the other on 45 palliative home care services (July to December 2017) in Japan.
Measurements
UNASSIGNED
Symptom changes were categorized as stable, improved, or worse.
Results
UNASSIGNED
Of the 2998 registered patients, 2877 were analyzed. Among them, 1890 patients received palliative care in PCUs, and 987 at home. Patients receiving palliative care at home were more likely to have worsening of pain (17.1% vs. 3.8%;
Conclusions
UNASSIGNED
After adjusting for patient background, the prevalence of symptom worsening was not different between patients with advanced cancer receiving palliative care at home and in PCUs.
Identifiants
pubmed: 37360680
doi: 10.1089/pmr.2023.0011
pii: 10.1089/pmr.2023.0011
pmc: PMC10288302
doi:
Types de publication
Journal Article
Langues
eng
Pagination
139-149Informations de copyright
© Ryuto Shiraishi et al., 2023; Published by Mary Ann Liebert, Inc.
Déclaration de conflit d'intérêts
H.I. reports personal fees and non-financial support unrelated to the submitted work from Shionogi, Mundipharma, Daiichi-Sankyo, Hisamitsu, EA Pharma, Pfizer, and Esai. T.Y. reports personal fees and non-financial support unrelated to the submitted work from Shionogi, Daiichi-Sankyo, and Hisamitsu. Other authors declare that they have nothing to disclose.
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