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The effect of hospice consultation on aggressive treatment of lung cancer

DC Field Value Language
dc.contributor.authorYoo, Shin Hye-
dc.contributor.authorKeam, Bhumsuk-
dc.contributor.authorKim, Miso-
dc.contributor.authorKim, Tae Min-
dc.contributor.authorKim, Dong-Wan-
dc.contributor.authorHeo, Dae Seog-
dc.date.accessioned2020-04-27T11:04:06Z-
dc.date.available2020-04-27T11:04:06Z-
dc.date.issued2018-07-
dc.identifier.citationCancer Research and Treatment, Vol.50 No.3, pp.720-728-
dc.identifier.issn1598-2998-
dc.identifier.other76582-
dc.identifier.urihttps://hdl.handle.net/10371/165237-
dc.description.abstractPurpose 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.-
dc.subjectNon-small cell lung carcinoma-
dc.subjectAggressiveness-
dc.subjectHospice care-
dc.subjectTerminal care-
dc.subjectPalliative care-
dc.subjectDrug therapy-
dc.titleThe effect of hospice consultation on aggressive treatment of lung cancer-
dc.typeArticle-
dc.contributor.AlternativeAuthor김동완-
dc.contributor.AlternativeAuthor허대석-
dc.identifier.doi10.4143/crt.2017.169-
dc.citation.journaltitleCancer Research and Treatment-
dc.identifier.scopusid2-s2.0-85049777901-
dc.citation.endpage728-
dc.citation.number3-
dc.citation.startpage720-
dc.citation.volume50-
dc.identifier.urlhttps://www.e-crt.org/journal/view.php?doi=10.4143/crt.2017.169-
dc.identifier.rimsid76582-
dc.identifier.sci000438332100010-
dc.identifier.kciidART002366641-
dc.description.isOpenAccessY-
dc.contributor.affiliatedAuthorKim, Dong-Wan-
Appears in Collections:
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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