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The effect of hospice consultation on aggressive treatment of lung cancer

Cited 14 time in Web of Science Cited 12 time in Scopus
Issue Date
2018-07
Citation
Cancer Research and Treatment, Vol.50 No.3, pp.720-728
Keywords
Non-small cell lung carcinomaAggressivenessHospice careTerminal carePalliative careDrug therapy
Abstract
Purpose The aims of this study were to investigate trends of aggressive treatment of non-small cell lung cancer (NSCLC) patients at the end-of-life (EOL) during the recent 5 years and examine the relationship between hospice consultation (HC) and aggressive care. Materials and Methods The medical records of 789 patients with stage IIIB-IV NSCLC at Seoul National University Hospital (SNUH) who received palliative chemotherapy and died from 2010 to 2014 were retrospectively reviewed. Indicators of aggressive treatment were evaluated, and the association of HC with these indicators was analyzed. Results During the last 5 years, the frequency of HC increased from 26.7% to 43.6%. The time interval from last chemotherapy to death increased, and the proportion of patients who received palliative chemotherapy, visited an emergency room, were admitted to intensive care unit, during the last month of life, and died in SNUH significantly decreased over time. Referral to HC was significantly associated with lower intensive care unit admission rates, lower out-of-hospital death rates, and less use of the chemotherapy within 1 month prior to death. Overall survival did not differ by HC. Conclusion The pattern of cancer care near the EOL has become less aggressive when HC was provided. The positive association of HC with better EOL care suggests that providing HC at the optimal time might help to avoid futile aggressive treatment.
ISSN
1598-2998
URI
https://hdl.handle.net/10371/165237
DOI
https://doi.org/10.4143/crt.2017.169
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College of Medicine/School of Medicine (의과대학/대학원)Cancer Research Institute (암연구소)Journal Papers (저널논문_암연구소)
College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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